Evidence map›Paper›PMID 42098721›Full record

Trial reportBMC oral health2026

Impact of three miniplate configurations on mental nerve integrity in parasymphyseal mandibular fractures: a blinded randomized trial.

Reem M Ismail, Ibrahim Mohamed Abdelhamed, Wafaa Samir, Amany M Alryess, Yehia El-Mahallawy

Registry-linked trialAbstract readRandomized Controlled Trial
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 NCT07058597 (Assessment of Mental Nerve Integrity During Fixation of Fractures at Anterior Transition Zone Using Three Different Miniplates Configurations), which is not on this map. Not yet cited in PubMed.

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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.

NCT07058597 nacompletednot on this map

Assessment of Mental Nerve Integrity During Fixation of Fractures at Anterior Transition Zone Using Three Different Miniplates Configurations

TypeinterventionalSponsorAlexandria UniversityRan2020 to 2025Enrolled36ConditionsMandibular Fracture Trauma, Mandible FractureArmsTwinfork plate, 3D-interlocking plate, Miniplate
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

5 authors.

Reem M IsmailOral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Champlion st, Azrite, Alexandria, Egypt.
Ibrahim Mohamed AbdelhamedOral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Champlion st, Azrite, Alexandria, Egypt.ORCID 0009-0005-8442-2810
Wafaa SamirRheumatology and Rehabilitation, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Amany M AlryessOral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Champlion st, Azrite, Alexandria, Egypt.
Yehia El-MahallawyOral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University, Champlion st, Azrite, Alexandria, Egypt. yehia.el-mahallawy@alexu.edu.eg.ORCID 0000-0003-4432-9978

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the mental nerve's functional integrity after parasymphyseal mandibular fracture fixation using three different miniplates configurations. METHODOLOGY: A total of 36 patients with unilateral parasymphyseal fractures were included in the study. Patients were randomly allocated into three groups based on the fixation modality configuration. Clinical evaluations were carried out in conjunction with radiographic assessments of mean bone density at the fracture line. Electrophysiological objective nerve testing was conducted 1 month postoperatively to assess the amplitude, onset latency, and conduction velocity of the mental nerve.

resultPhysiological nerve testing intergroup analysis demonstrated no statistically significant differences in latency or amplitude, while conduction velocity showed a trend toward intergroup variation without reaching statistical significance (P = 0.072). Comparing the degree of agreement of nerve conduction parameters between the affected ipsilateral and healthy contralateral sides reported high levels of ICCs for all 3 miniplates configurations. Radiographic analysis revealed significantly greater bone density at the fracture site in the 3D-Interlocking group compared with twin fork and conventional miniplates (P < 0.001).

conclusionFixation of parasymphyseal mandibular fractures using 3D-Interlocking or Twin-Fork miniplates yielded a slightly enhanced mental nerve conduction profile and integrity preservation when compared to the conventional miniplate configuration. Furthermore, the 3D-Interlocking plate demonstrated improved stability and healing of the fracture line. These findings support the use of 3D-Interlocking or Twin-Fork miniplates as preferable alternatives to conventional miniplates in the mental foramen region.

trial registrationTrial was retrospectively registered at clinicaltrials.gov [NCT07058597/ 2025-07-01].

Indexed as

Bone PlatesFracture Fixation, InternalMandibular FracturesMandibular NerveAdultFemaleHumansMaleNerve Conduction StudiesYoung AdultElectrophysiological studyMandibular fracturesMental nerveParasymphysis

Identifiers

PMID42098721
PMCPMC13173844

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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.