Outcome Analysis of Different Plating Positions in Mandibular Angle Fractures: A Prospective Randomized Study

Background/Aim: This is a prospective Randomized study which aims to evaluate the rehabilitation period and functional outcomes associated with three distinct plating positions superior border lateral border and inferior border in cases of favorable mandibular angle fractures. Materials and Methods: Clinical and radiological evaluations were conducted on a sample size of 30 patients with favorable mandibular angle fractures before surgery during the first week at first month and three months post operation. Clinical outcomes, specifically the bite force for the three different plating positions were measured using a bite force device. Functional outcomes were assessed through Maximal Interincisal Opening (MIO), occlusion, neurosensory deficits and radiographic assessment of fracture reduction using pre-operative and post operative radio graphs i.e. OPG. Results: The superior border plating group exhibited a notable enhancement in bite force after surgery when compared to the other two groups with p-value being significant (p<0.001). Post operatively the inter-group comparison revealed no significant difference pre-operatively (p=0.039) but post-operatively (p<0.001) was significant. The inferior border plating group experienced a 30% rate of neurosensory deficits after the operation unlike the other two groups. Occlusal discrepancies were observed in 10% of the inferior border plating group while there was no significant difference in radio graphic reduction among the three plating groups. Conclusion: The study concludes that superior border plating is the most effective plate position for facilitating prompt recovery and minimal complications providing sufficient stability for favorable angle fractures.