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dc.contributor.authorCabrini Gabrielli, Marisa Aparecida [UNESP]
dc.contributor.authorReal Gabrielli, Mário Francisco
dc.contributor.authorMarcantonio, Elcio
dc.contributor.authorVieira, Eduardo Hochuli [UNESP]
dc.identifier.citationJournal Of Oral And Maxillofacial Surgery, v. 61, n. 4, p. 430-436, 2003.
dc.description.abstractOur goal was to study the use of 2.0-mm miniplates for the fixation of mandibular fractures. Records of 191 patients who experienced a total of 280 mandibular fractures that were treated with 2.0-mm miniplates were reviewed. One hundred twelve of those patients, presenting 160 fractures, who attended a late follow-up were also clinically evaluated. Miniplates were used in the same positions described by AO/ASIF. No intermaxillary fixation was used. All patients included had a minimum follow-up of 6 months. Demographic data, procedures, postoperative results, and complications were analyzed. Mandibular fractures occurred mainly in males (mean age, 30.3 years). Mean follow-up was 21.92 months. The main etiology was motor vehicle accident. The most common fracture was the angle fracture (28.21%). Twenty-two fractures developed infection, for an overall incidence of 7.85%. When only angle fractures are considered, that incidence is increased to 18.98%. Although only 1 patient (0.89%) described inferior alveolar nerve paresthesia, objective testing revealed sensitivity alterations in 31.52% of the patients who had fractures in regions related to the inferior alveolar nerve. Temporary mild deficit of the marginal mandibular branch was observed in 2.56% of the extraoral approaches performed and 2.48% presented with hypertrophic scars. Incidence of occlusal alterations was 4.0%. Facial asymmetry was observed in 2.67% of the patients, whereas malunion incidence was 1.78%. Fibrous union, mostly partial, occurred in 2.38% of the fractures, but only 1 of those presented with mobility (0.59%). Condylar resorption developed in 6.25% of the fixated condylar fractures. Mean mouth opening was 42.08 mm. The overall incidence of complications, including infections, was similar to those described for more rigid methods of fixation.en
dc.publisherAmerican Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg
dc.relation.ispartofJournal Of Oral And Maxillofacial Surgery : Official Journal Of The American Association Of Oral And Maxillofacial Surgeons
dc.titleFixation of mandibular fractures with 2.0-mm miniplates: review of 191 casesen
dcterms.rightsHolderAmerican Association of Oral and Maxillofacial Surgeons J Oral Maxillofac Surg
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.description.affiliationDivision of Oral and Maxillofacial Surgery, University Dentistry School at Araraquara, Araraquara, São Paulo, Brazil.
dc.description.affiliationUnespDivision of Oral and Maxillofacial Surgery, University Dentistry School at Araraquara, Araraquara, São Paulo, Brazil.
dc.rights.accessRightsAcesso restrito
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt
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