Evidence map›Paper›PMID 41622154›Full record

Trial reportBMC oral health2026

Customized z-shaped versus conventional miniplates for fixation of parasymphyseal/body mandibular fractures: a randomized controlled trial evaluating clinical and radiographic outcomes.

Mariam A Abd El Hamid, Ahmed S El Mahallawy, Nehad M Elshatby, Mohamed E Saber

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07094867 (Customized z Shaped Miniplate Versus Standard 2 Miniplates for Fixation of Parasymphyseal/Body Mandibular Fractures), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07094867 nacompletednot on this map

Customized z Shaped Miniplate Versus Standard 2 Miniplates for Fixation of Parasymphyseal/Body Mandibular Fractures (a Randomized Controlled Clinical Trial)

TypeinterventionalSponsorHams Hamed AbdelrahmanRan2024 to 2024Enrolled22ConditionsMandibular FracturesArmscustomized Z shaped miniplate, conventional two miniplates
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mariam A Abd El HamidOral and Maxillofacial Department, Faculty Of Dentistry, Alexandria University, Champollion St., Azarita, Alexandria, 21527, Egypt. Mariam.Ahmed.dent@alexu.edu.ORCID 0009-0003-6692-0352
Ahmed S El MahallawyOral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Nehad M ElshatbyFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Mohamed E SaberOral and Maxillofacial Department, Faculty Of Dentistry, Alexandria University, Champollion St., Azarita, Alexandria, 21527, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMandible is considered the protrudest mobile bone of the facial skeleton so it is the most common maxillofacial fracture. Customized Z miniplate is a new geometry that may provide better mental nerve preservation, healing of fractures compared with conventional two miniplates in the treatment of parasymphyseal/body mandibular fractures. AIM OF THE STUDY: To compare between customized Z miniplates and conventional miniplates for fixation of parasymphyseal and body mandibular fractures in terms of bone density (primary outcome), post operative mental nerve paresthesia, pain, occlusion and operation time (secondary outcomes). MATERIALS AND

methodsThis prospective, parallel, exploratory, randomized controlled study was conducted from April to December 2024 and included 22 patients diagnosed with parasymphyseal or body mandibular fractures. Allocation (customized Z-miniplates, n = 11; two miniplates, n = 11) was done by independent statistician using a computer-generated random number list method. Mann-Whitney U, Wilcoxon-signed rank and Chi-square tests were applied (p < 0.05). Postoperative patient evaluation was done for primary outcome (bone density) and for secondary outcomes (nerve paresthesia, postoperative pain, occlusion and operation time). All adverse events were recorded prospectively during follow-up visits. The trial was registered retrospectively at ClinicalTrials.gov (NCT07094867) due to administrative procedures, which represents a potential source of bias.

resultsStatistical analysis did not detect significant variation in terms of mean bone density, occlusion, mental nerve affection and pain between customized Z miniplates and conventional two miniplates. Operation time was statistically significant shorter in customized Z miniplate group (p < 0.001). Only one case of wound dehiscence occurred in each group and no other complications observed.

conclusionBoth fixation methods provided results that were not statistically distinct in terms of pain, occlusion, mental nerve affection and mean bone density, with significant shorter operation time for parasymphyseal/body mandibular fracture fixation. Given the sample size, our study provides preliminary findings of clinical and radiographical performance of customized Z plate.

trial registrationThe research was formally recorded in the clinicaltrials.gov database with registration submitted on 06/27/2025 under the number (NCT07094867).

Indexed as

Bone PlatesFracture Fixation, InternalMandibular FracturesAdultBone DensityFemaleHumansMaleMiddle AgedOperative TimeParesthesiaProspective StudiesTreatment OutcomeConventional two miniplatesCustomized z-shaped miniplateMandibular fractures

Identifiers

PMID41622154
PMCPMC12954998

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.