Monika Gupta1*, Debdutta Das1, Ahemer Arif Shaikh Akbar2, Rushik Raval2 and Swati Gupta2
1Department of Oral & Maxillofacial Surgery, M M College of Dental Sciences & Research, India
2Department of Oral & Maxillofacial Surgery, SDDC Dental College & Research Center, India
Purpose: Several metals have been tried since 1920’s like gold, silver, copper & its alloys, lead and
aluminum were used and tested. Stainless steel and titanium emerged through the era as the new
corrosion resistant material. Titanium metal introduced with claims of lots of advantages over the
classic stainless steel. These observations prompt us to do a study to compare the efficacy of 3D
stainless steel plate system and 3D titanium plate system for osteosynthesis of mandibular fractures
(oral functions, duration of plate adaptation to definite fixation (PA-DF interval), cost effectiveness
Patients and methods: A 20 patients with non comminuted mandibular fractures were divided into
two Groups (Group A titanium 3D and Group B stainless steel 3D plate system) randomly. Among
20 patients, 8 had symphysis fractures, 8 parasymphysis fractures and 4 angle fractures. All patients
underwent open reduction and internal fixation. Postoperatively patients were analyzed at the 1st
week, 6th week, 3rd month and 4th month according to Uglesic V scoring system, 1993.
Results: Significant results were observed in duration of Plate Adaptation to Definite Fixation (PADF
interval) more in 3D stainless steel plate system. Difficulty was encountered with 3D stainless
steel plate adaptation on curved bony contours in symphysis region. No significant difference was
observed in clinical outcome (Oral functions, occlusion & stability of fracture fragments) of 3D
stainless steel plate system and 3D titanium plate system.
Conclusion: 3D titanium plates has better adaptability at curved bony contours, less operating
time, and have less postoperative complications. The 3D stainless steel plate has advantage of cost
3D Titanium; 3D Stainless Steel; Osteosynthesis; Mandibule Fractures
Gupta M, Das D, Akbar AAS, Raval R, Gupta S. 3D Stainless Steel versus 3D Titanium Plate System for Osteosynthesis of Mandibular Fracture: Cost Effectiveness and Clinical Outcome? A Prospective Clinical Study. World J Oral Maxillofac Surg. 2018; 1(1): 1005..