Stainless Steel Versus Titanium Miniplates in the Treatment of Mandibular Fractures: A Comparative Study.

Introduction The fast-paced lifestyle of modern society has led to an increase in maxillofacial trauma, particularly in the mandible, which is prone to fracture due to its prominent position among facial bones. Mandibular fractures are one of the most common facial injuries and require effective treatment to ensure proper healing and function. A study conducted at the Department of Oral and Maxillofacial Surgery of Buddha Institute of Dental Sciences and Hospital investigated the adaptability, impact on fracture line difficulties, and facial outcomes of fracture therapy using stainless steel and titanium miniplates. The research aimed to compare these two materials in terms of their effectiveness, patient outcomes, and any complications that might arise from their use. Methodology The study included 20 adult patients with mandibular fractures, divided into two groups for open reduction and internal fixation using either titanium or stainless steel miniplates. All patients underwent comprehensive diagnostics, including blood tests and virus screenings, prior to the operation to ensure they were suitable candidates for surgery. The surgical procedure was followed by a meticulous postoperative care plan, which included a soft diet to minimize strain on the jaw, chlorhexidine mouth rinse to maintain oral hygiene, and guided elastics to support proper alignment during healing. The study meticulously recorded the operating times, fracture stability, and any complications to provide a thorough comparison between the two materials. Results The results showed that patients in the titanium miniplate group had significantly shorter operating times, averaging 32 minutes compared to 45.10 minutes in the stainless steel group (p < 0.0001). This difference highlights the efficiency of titanium plates in surgical procedures. Additionally, using a bimanual examination to assess fracture stability, the titanium plate group exhibited superior stability compared to the stainless steel plate group. The stability of the fractured segments in the titanium group was statistically significant with a p-value of 0.474. Conclusion Titanium miniplates provide several advantages over stainless steel in the treatment of mandibular fractures. These advantages include increased postoperative stability, lower complication rates, and higher biocompatibility. The study concludes that titanium miniplates are a more effective option for mandibular fracture treatment, offering better patient outcomes and reducing the overall burden on healthcare resources. This finding is significant for oral and maxillofacial surgery, as it supports the use of titanium miniplates for improved surgical results and patient care.