Clinical assessment of Open Reduction Internal Fixation (ORIF) of Mandibular Body Fractures Using ComputerAssisted Polyetherether Ketone (PEEK) Custom Made Plates Versus Conventional Titanium Plates: A Randomized Clinical Trial
Keywords:PEEK, custom made plates, ORIF.
Background and objective: This study aimed at clinical assessment of ORIF of mandibular body fractures
using computer-assisted PEEK custom made plates versus conventional titanium plates.
Materials and Method: Sixteen patients were divided into 2 equal groups. Patients in both groups underwent
ORIF of mandibular body fractures. In the study group, the fractures were stabilized using computerassisted PEEK custom made plates. In the control group, the mandibular body fractures were stabilized
using 2.3 & 2.0 titanium plating system. Each patient was assessed in terms of postoperative occlusion,
wound dehiscence and mental nerve paresthesia. Moreover, operative time was evaluated in both groups.
Results: The postoperative recovery and healing phase were uneventful in all patients. No postoperative
complications were observed except in one case in the study group (PEEK) where wound dehiscence &
mental nerve paresthesia were experienced. Postoperative occlusion was satisfactory in both groups with an
insignificant difference (p>0.05) regarding the assessment criteria. However, the custom made PEEK plates
showed the advantage of decreasing operative time and accuracy of reduction.
Conclusion: Patient specific PEEK plate showed satisfactory clinical outcomes in ORIF of mandibular
body fractures. Additional advantages include saving time & effort during the surgery.
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