DOI: 10.36347/sjds.2019.v06i03.009

Pages: 121-128

Aim of this study is to compare the outcome of various intraoral incisions in the management of isolated mandibular fracture using miniplates as means of rigid internal fixation and to analyze the advantages and disadvantages of one over the other. Its a prospective study and carried out in patients with well-defined inclusion and exclusion criteria. Patients suffering from symphyseal, parasymphyseal and body fractures were selected and randomly taken for crevicular incision (study group-1), crevicular incision with a vertical release (study group-2) and vestibular incision(control group) for open reduction and rigid internal fixation (ORIF). Operative time and postoperative complications including pain, infection, dehiscence, sensory disturbance and need of plate removal were recorded at intervals of 1st, 3rd and 7th day of surgery with 12 weeks of postoperative follow up and compared with the control group. It was noticed that postoperative pain was significantly reduced in the study groups in comparison to control group at different intervals of treatment. It was also observed that the incidence of dehiscence and infection were also less in cases of crevicular approach as compared to the vestibular incision.With this study we can conclude that crevicular incision is a more favourable incision over the vestibular one with the lesser degree of postoperative complications.