Effective strategies in the management of anterior mandibular fractures: a comprehensive systematic review

This review examines the prevailing modalities for fractures of the anterior mandible, which represent a significant proportion of the maxillofacial injuries commonly treated by oral and maxillofacial surgeons. The article traces the historical shift from conservative techniques to the dominant mana...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2024-05, Vol.62 (4), p.349-360
Main Authors: Savani, Rajan, Weihsin, Hu, Patel, Shital, Shah, Naiya, Chauhan, Shyam, Chavda, Yashasvi
Format: Article
Language:English
Subjects:
3D miniplate
Anterior mandibular fracture
Intermaxillary fixation
Lag screws
Miniplate
Standard miniplates
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Summary:This review examines the prevailing modalities for fractures of the anterior mandible, which represent a significant proportion of the maxillofacial injuries commonly treated by oral and maxillofacial surgeons. The article traces the historical shift from conservative techniques to the dominant management strategies of open reduction and fixation. Encompassing a range of studies, the review, in accordance with PRISMA 2020 recommendations, meticulously examines various fixation methods, assessing their efficacy in achieving stability of fracture, early healing, and mobilisation. The comparison of these methods highlights their unique advantages and limitations, and demonstrates the need for more nuanced and precise approaches. The review emphasises evidence-based methodology in the management of anterior mandibular fractures (AMF), highlighting the benefits offered by innovative techniques such as 3D miniplates. It also acknowledges the advantages provided by older fixation devices such as lag screws. The importance of postoperative outcomes and the need for tailored treatment strategies are recognised, considering the complex nature of these fractures.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2024.02.006