Background: Mandible fracture is the commonly occurring fractures in the facial skeleton. The present study aimed to evaluate and compare three different treatment modalities for treating isolated anterior mandibular fractures. Materials & Methods: The present study was conducted on fifteen patients. All patients were divided into three major groups. Group I: Five patients were treated with two mini plates placed across the fracture site along with upper & lower Erich arch bar for six weeks. Group II:Five patients were treated with two mini plates without Erich arch bar. Group III: Five patients were treated with one mini plate placed along with the lower Erich arch bar for six weeks. Epidemiology of mandibular fractures, status of occlusion, site of fracture, operating time, stability of occlusion & fractured fragments in reduced position during manual reduction was recorded. Complication such as infection, wound dehiscence, exposure/loosening of implants, malunion, non-union and hardware failure etc. was recorded. Results: Maximum patients were seen in age group 31-40 years (males- 4, females- 3) followed by 41-50 years (males- 2, females- 2). 1 patient in group I had anesthesia/paraesthesia reported at immediate postoperative period, 15 days, 1 month, 3 months and 6 months. In group II, 1 patient had immediate postoperative period and at 1 month. Improper reduction of fractured segments was being notices only in immediate post-operative phase, 1 month and 6-month post-operative phases of group II patients. In group III patients, improper reduction of fractured segments was noticed in each of the examined post-operative visits. 1 patient of group I in examined post-operative phases (of I month and 6 month) showed clinical signs/symptoms of Infection/wound dehiscence. Group II & III patients showed signs of loosening/fracture of screws/plates. Conclusion: Single miniplate at the inferior border with utilization of 6 weeks arch bar system can be reliably and judiciously used for surgical management of such clinical circumstance.
Key words: Mandibular, Miniplate, Screws.

Received: 12 February, 2019                             Revised: 24 February, 2019                     Accepted: 27 February, 2019

Corresponding author: Dr. Ashish Sharma, Junior resident, , Department of Oral Surgery, Institute of Dental Sciences Bareilly, U.P., India

This article may be cited as: Sharma A, Giri KY, Dandiyal R, B Indraprasad N, Singh P, Gupta AM. Three Different Treatment Modalities for Anterior Mandibular Fractures: A Comparative Study. Int J Res Health Allied Sci 2019; 5(2):58-64.