Three-dimensional versus conventional plating fixation in management of anterior mandibular fractures: a comparative study

Background: Anterior mandibular fractures account for approximately 17% of all mandibular fractures and are commonly caused by trauma. Traditional management using double miniplates based on Champy’s technique effectively resists torsional forces but necessitates the placement of two plates. Aim: This study aimed to compare the clinical efficacy of three-dimensional (3D) titanium plates with conventional miniplates in the treatment of anterior mandibular fractures. Patients and Methods: In this prospective randomized study, 36 patients with anterior mandibular fractures were allocated into two groups (18 per group). Group A was treated using conventional 2.0 mm miniplates, while Group B received 1.5 mm 3D titanium plates. Results: The mean operative time was significantly shorter in the 3D plate group (40.26 ± 5.12 minutes) compared to the conventional miniplate group (60.58 ± 9.80 minutes, p < 0.001). Fixation was reported to be easier with 3D plates (88.9% vs. 66.7%, p = 0.04). Both groups demonstrated similar postoperative stability, with excellent or good outcomes observed in 66.7% and 33.3% of Group B patients, respectively, compared to 44.4% and 55.6% in Group A (p = 0.343). No postoperative complications—such as malocclusion, infection, or segmental mobility—were reported in either group. Conclusion: Three-dimensional titanium plates are as effective as conventional miniplates in the management of anterior mandibular fractures. They offer the added benefits of reduced operative time and easier application. Furthermore, the use of a single 3D plate minimizes hardware requirements, presenting a more cost-effective treatment option.