Comparison of an intra-oral approach using a contra-angle hand piece with the transbuccal technique for mandibular angle fracture repair

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dc.contributor.authorDe Waal, Andre Stephanus
dc.contributor.otherNULL
dc.contributor.otherFaculty of Dentistry
dc.date.accessioned2013-12-11T12:26:35Z
dc.date.accessioned2024-06-04T07:57:28Z
dc.date.available2011/03/01 07:54
dc.date.available2011/03/01
dc.date.available2013-12-11T12:26:35Z
dc.date.available2024-06-04T07:57:28Z
dc.date.issued2010
dc.descriptionMagister Chirurgiae Dentium - MChDen_US
dc.description.abstractPurpose: To compare the intra-oral approach using a contra-angled hand piece with the standard transbuccal approach in the treatment of mandibular angle fractures. Patients and Methods: Thirty patients with isolated fractures of the mandibular angle were treated by open reduction and internal fixation using one three-dimensional “strut” or “geometric” Synthes® angle plate. Patients were selected randomly for placement of two-millimeter self-threading screws, either through the standard transbuccal technique or with an intra-oral approach using a contra-angle hand piece. None of the patients were placed into post-surgical maxillomandibular fixation (MMF). Swelling and pain were measured pre-operatively and again twenty-four hours after surgery. The actual cutting time from first incision to placement of last suture was documented, as well as the perception of difficulty of the specific case by a single operating surgeon. Results: No statistically significant difference in perception of pain was experienced between the two groups of patients during the first twenty-four hours after surgery. There was also no statistically relevant difference in cutting time between the two placement techniques. A small statistically relevant difference (p-value = 0.089) was found in the amount of swelling post-operatively between the two groups, with more swelling in the control group. Conclusion: The use of a contra-angle hand piece to place screws in the compression band area in a mandible angle fracture is an acceptable alternative to the transbuccal approach.en_US
dc.description.countrySouth Africa
dc.identifier.urihttps://hdl.handle.net/10566/15806
dc.language.isoenen_US
dc.publisherUniversity of the Western Capeen_US
dc.rights.holderUniversity of the Western Capeen_US
dc.subjectEndodonticsen_US
dc.subjectTeethFracturesen_US
dc.subjectTooth fractures treatmenten_US
dc.subjectDental Restorationen_US
dc.subjectPermanenten_US
dc.subjectPost and Core Techniqueen_US
dc.titleComparison of an intra-oral approach using a contra-angle hand piece with the transbuccal technique for mandibular angle fracture repairen_US
dc.typeThesisen_US

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