Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study

Abhinandan Patel; Girish Gowda; Siri Shetty; Preethi Bhat; Sirisha Sampangi Pushpa

doi:doi:10.11648/j.ijcoms.20251101.14

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| Peer-Reviewed

Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study

Abhinandan Patel

, Girish Gowda

, Siri Shetty^*

, Preethi Bhat

, Sirisha Sampangi Pushpa

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 11, Issue 1)

Received: 13 March 2025 Accepted: 28 March 2025 Published: 9 May 2025

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Abstract

Background/Aim: This is a prospective Randomized study which aims to evaluate the rehabilitation period and functional outcomes associated with three distinct plating positions superior border lateral border and inferior border in cases of favorable mandibular angle fractures. Materials and Methods: Clinical and radiological evaluations were conducted on a sample size of 30 patients with favorable mandibular angle fractures before surgery during the first week at first month and three months post operation. Clinical outcomes, specifically the bite force for the three different plating positions were measured using a bite force device. Functional outcomes were assessed through Maximal Interincisal Opening (MIO), occlusion, neurosensory deficits and radiographic assessment of fracture reduction using pre-operative and post operative radio graphs i.e. OPG. Results: The superior border plating group exhibited a notable enhancement in bite force after surgery when compared to the other two groups with p-value being significant (p<0.001). Post operatively the inter-group comparison revealed no significant difference pre-operatively (p=0.039) but post-operatively (p<0.001) was significant. The inferior border plating group experienced a 30% rate of neurosensory deficits after the operation unlike the other two groups. Occlusal discrepancies were observed in 10% of the inferior border plating group while there was no significant difference in radio graphic reduction among the three plating groups. Conclusion: The study concludes that superior border plating is the most effective plate position for facilitating prompt recovery and minimal complications providing sufficient stability for favorable angle fractures.

Published in	International Journal of Clinical Oral and Maxillofacial Surgery (Volume 11, Issue 1)
DOI	10.11648/j.ijcoms.20251101.14
Page(s)	31-39
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Bite Force, Inferior Border Plating, Lateral Border Plating, Mandibular Angle Fracture, Superior Border Plating

References

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APA Style

Patel, A., Gowda, G., Shetty, S., Bhat, P., Pushpa, S. S. (2025). Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study. International Journal of Clinical Oral and Maxillofacial Surgery, 11(1), 31-39. https://doi.org/10.11648/j.ijcoms.20251101.14

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ACS Style

Patel, A.; Gowda, G.; Shetty, S.; Bhat, P.; Pushpa, S. S. Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study. Int. J. Clin. Oral Maxillofac. Surg. 2025, 11(1), 31-39. doi: 10.11648/j.ijcoms.20251101.14

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AMA Style

Patel A, Gowda G, Shetty S, Bhat P, Pushpa SS. Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study. Int J Clin Oral Maxillofac Surg. 2025;11(1):31-39. doi: 10.11648/j.ijcoms.20251101.14

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@article{10.11648/j.ijcoms.20251101.14,
  author = {Abhinandan Patel and Girish Gowda and Siri Shetty and Preethi Bhat and Sirisha Sampangi Pushpa},
  title = {Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study
},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {11},
  number = {1},
  pages = {31-39},
  doi = {10.11648/j.ijcoms.20251101.14},
  url = {https://doi.org/10.11648/j.ijcoms.20251101.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20251101.14},
  abstract = {Background/Aim: This is a prospective Randomized study which aims to evaluate the rehabilitation period and functional outcomes associated with three distinct plating positions superior border lateral border and inferior border in cases of favorable mandibular angle fractures. Materials and Methods: Clinical and radiological evaluations were conducted on a sample size of 30 patients with favorable mandibular angle fractures before surgery during the first week at first month and three months post operation. Clinical outcomes, specifically the bite force for the three different plating positions were measured using a bite force device. Functional outcomes were assessed through Maximal Interincisal Opening (MIO), occlusion, neurosensory deficits and radiographic assessment of fracture reduction using pre-operative and post operative radio graphs i.e. OPG. Results: The superior border plating group exhibited a notable enhancement in bite force after surgery when compared to the other two groups with p-value being significant (p<0.001). Post operatively the inter-group comparison revealed no significant difference pre-operatively (p=0.039) but post-operatively (p<0.001) was significant. The inferior border plating group experienced a 30% rate of neurosensory deficits after the operation unlike the other two groups. Occlusal discrepancies were observed in 10% of the inferior border plating group while there was no significant difference in radio graphic reduction among the three plating groups. Conclusion: The study concludes that superior border plating is the most effective plate position for facilitating prompt recovery and minimal complications providing sufficient stability for favorable angle fractures.
},
 year = {2025}
}

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TY  - JOUR
T1  - Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study

AU  - Abhinandan Patel
AU  - Girish Gowda
AU  - Siri Shetty
AU  - Preethi Bhat
AU  - Sirisha Sampangi Pushpa
Y1  - 2025/05/09
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcoms.20251101.14
DO  - 10.11648/j.ijcoms.20251101.14
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 31
EP  - 39
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20251101.14
AB  - Background/Aim: This is a prospective Randomized study which aims to evaluate the rehabilitation period and functional outcomes associated with three distinct plating positions superior border lateral border and inferior border in cases of favorable mandibular angle fractures. Materials and Methods: Clinical and radiological evaluations were conducted on a sample size of 30 patients with favorable mandibular angle fractures before surgery during the first week at first month and three months post operation. Clinical outcomes, specifically the bite force for the three different plating positions were measured using a bite force device. Functional outcomes were assessed through Maximal Interincisal Opening (MIO), occlusion, neurosensory deficits and radiographic assessment of fracture reduction using pre-operative and post operative radio graphs i.e. OPG. Results: The superior border plating group exhibited a notable enhancement in bite force after surgery when compared to the other two groups with p-value being significant (p<0.001). Post operatively the inter-group comparison revealed no significant difference pre-operatively (p=0.039) but post-operatively (p<0.001) was significant. The inferior border plating group experienced a 30% rate of neurosensory deficits after the operation unlike the other two groups. Occlusal discrepancies were observed in 10% of the inferior border plating group while there was no significant difference in radio graphic reduction among the three plating groups. Conclusion: The study concludes that superior border plating is the most effective plate position for facilitating prompt recovery and minimal complications providing sufficient stability for favorable angle fractures.

VL  - 11
IS  - 1
ER  -

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Author Information

Abhinandan Patel

Department of Facio-Maxillary Surgery, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, India

Contact Email

http://orcid.org/0000-0001-7290-0647
Girish Gowda

Department of Facio-Maxillary Surgery, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, India

Contact Email

http://orcid.org/0000-0001-9306-3817
Siri Shetty

Department of Facio-Maxillary Surgery, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, India

Contact Email

http://orcid.org/0009-0000-3438-8136
Preethi Bhat

Department of Facio-Maxillary Surgery, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, India

Contact Email

http://orcid.org/0000-0002-5427-1194
Sirisha Sampangi Pushpa

Department of Facio-Maxillary Surgery, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore, India

Contact Email

http://orcid.org/0000-0001-9952-2762

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Plain Text BibTeX RIS

APA Style

Patel, A., Gowda, G., Shetty, S., Bhat, P., Pushpa, S. S. (2025). Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study. International Journal of Clinical Oral and Maxillofacial Surgery, 11(1), 31-39. https://doi.org/10.11648/j.ijcoms.20251101.14

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ACS Style

Patel, A.; Gowda, G.; Shetty, S.; Bhat, P.; Pushpa, S. S. Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study. Int. J. Clin. Oral Maxillofac. Surg. 2025, 11(1), 31-39. doi: 10.11648/j.ijcoms.20251101.14

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AMA Style

Patel A, Gowda G, Shetty S, Bhat P, Pushpa SS. Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study. Int J Clin Oral Maxillofac Surg. 2025;11(1):31-39. doi: 10.11648/j.ijcoms.20251101.14

Copy | Download

@article{10.11648/j.ijcoms.20251101.14,
  author = {Abhinandan Patel and Girish Gowda and Siri Shetty and Preethi Bhat and Sirisha Sampangi Pushpa},
  title = {Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study
},
  journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
  volume = {11},
  number = {1},
  pages = {31-39},
  doi = {10.11648/j.ijcoms.20251101.14},
  url = {https://doi.org/10.11648/j.ijcoms.20251101.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20251101.14},
  abstract = {Background/Aim: This is a prospective Randomized study which aims to evaluate the rehabilitation period and functional outcomes associated with three distinct plating positions superior border lateral border and inferior border in cases of favorable mandibular angle fractures. Materials and Methods: Clinical and radiological evaluations were conducted on a sample size of 30 patients with favorable mandibular angle fractures before surgery during the first week at first month and three months post operation. Clinical outcomes, specifically the bite force for the three different plating positions were measured using a bite force device. Functional outcomes were assessed through Maximal Interincisal Opening (MIO), occlusion, neurosensory deficits and radiographic assessment of fracture reduction using pre-operative and post operative radio graphs i.e. OPG. Results: The superior border plating group exhibited a notable enhancement in bite force after surgery when compared to the other two groups with p-value being significant (p<0.001). Post operatively the inter-group comparison revealed no significant difference pre-operatively (p=0.039) but post-operatively (p<0.001) was significant. The inferior border plating group experienced a 30% rate of neurosensory deficits after the operation unlike the other two groups. Occlusal discrepancies were observed in 10% of the inferior border plating group while there was no significant difference in radio graphic reduction among the three plating groups. Conclusion: The study concludes that superior border plating is the most effective plate position for facilitating prompt recovery and minimal complications providing sufficient stability for favorable angle fractures.
},
 year = {2025}
}

Copy | Download

TY  - JOUR
T1  - Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study

AU  - Abhinandan Patel
AU  - Girish Gowda
AU  - Siri Shetty
AU  - Preethi Bhat
AU  - Sirisha Sampangi Pushpa
Y1  - 2025/05/09
PY  - 2025
N1  - https://doi.org/10.11648/j.ijcoms.20251101.14
DO  - 10.11648/j.ijcoms.20251101.14
T2  - International Journal of Clinical Oral and Maxillofacial Surgery
JF  - International Journal of Clinical Oral and Maxillofacial Surgery
JO  - International Journal of Clinical Oral and Maxillofacial Surgery
SP  - 31
EP  - 39
PB  - Science Publishing Group
SN  - 2472-1344
UR  - https://doi.org/10.11648/j.ijcoms.20251101.14
AB  - Background/Aim: This is a prospective Randomized study which aims to evaluate the rehabilitation period and functional outcomes associated with three distinct plating positions superior border lateral border and inferior border in cases of favorable mandibular angle fractures. Materials and Methods: Clinical and radiological evaluations were conducted on a sample size of 30 patients with favorable mandibular angle fractures before surgery during the first week at first month and three months post operation. Clinical outcomes, specifically the bite force for the three different plating positions were measured using a bite force device. Functional outcomes were assessed through Maximal Interincisal Opening (MIO), occlusion, neurosensory deficits and radiographic assessment of fracture reduction using pre-operative and post operative radio graphs i.e. OPG. Results: The superior border plating group exhibited a notable enhancement in bite force after surgery when compared to the other two groups with p-value being significant (p<0.001). Post operatively the inter-group comparison revealed no significant difference pre-operatively (p=0.039) but post-operatively (p<0.001) was significant. The inferior border plating group experienced a 30% rate of neurosensory deficits after the operation unlike the other two groups. Occlusal discrepancies were observed in 10% of the inferior border plating group while there was no significant difference in radio graphic reduction among the three plating groups. Conclusion: The study concludes that superior border plating is the most effective plate position for facilitating prompt recovery and minimal complications providing sufficient stability for favorable angle fractures.

VL  - 11
IS  - 1
ER  -

Copy | Download