Mandibular Fractures
Conditions
Brief summary
compare between the effect of shockwave therapy and low-intensity pulsed ultrasound on healing process of fresh mandibular fractures
Detailed description
The mandible is the commonest facial bone to fracture. Mandibular fractures represent more than 74% of all maxillofacial fractures. To compare between the effect of shockwave therapy and low-intensity pulsed ultrasound on healing process of fresh mandibular fractures. A total of 21 patients; aged between 20-40 years, who have mandibular fracture were selected for this study from the outpatient clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University. In this study all patients were subjected to closed reduction and intermaxillary fixation. This will be followed by shockwave therapy in seven patients as a study group and by low-intensity pulsed ultrasound in seven patients as study group. Seven patients will receive neither and will constitute the control group.
Interventions
PROCEDUREinter maxillary fixation with shockwave therapy
Shockwave therapy device which give 1500-4000 pulses per session with or without anesthesia, and the treatment session takes approximately 5-10 minutes at the day after surgery.
PROCEDUREInter maxillary fixation and exposure to low intensity pulsed
Low-intensity pulsed ultra sound was applied three times weekly for six weeks from the second day after surgery.
PROCEDUREInter maxillary fixation
Closed reduction will be done. Intermaxillary fixation (IMF) will be secured after proper reduction of the fractured segments to assure proper occlusion using upper and lower arch bars or eyelet wires for six weeks.
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
-Patients selected for this study will have fresh fracture mandible which is indicated for closed reduction.
Exclusion criteria
-Patients having the following criteria will be excluded scars, burns, infection in the Skin in the relevant working area
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in bone density | after 6 Weeks and 12 weeks | using CT |
| Change in pain scale | after 24 hours and 1 week | pain was scores using visual analouge scale from 0 to 10 0 means no pain 10 most severe pain |
Countries
Egypt
Outcome results
None listed