Assessment of Internal Fixation of Parasymphyseal Mandibular Fractures Using One Miniplate With Bridle Wire

Objective:  This study was designed to assess the internal fixation of parasymphyseal fractures (PFs) using one miniplate with Bridle wire (BW)  Subjects and Methods: The study was conducted on 10 patients (3 females and 7 males) divided randomly in two groups each one contains five patients. The patients’ ages ranged from 18 to 40 years. In Group I (fixation done by Single miniplate with BW), the mean age at the time of surgery for group (I) was (25.4) years. While in Group II (fixation done by 2 miniplates), the ages ranged from 18 to 48 years with the mean age at the time of surgery was (30.8) years. All patients were recalled for follow-up at 2-day, 1 week, 2 weeks, 1 month and then monthly for 6 months after fracture fixation for to evaluate the occlusion, soft tissue dehiscence, exposure of the plate, mobility of segment, signs and symptoms of infection and pain will be evaluated according to the American association of Maxillofacial surgery (AAOMS). Periodontal status of adjacent teeth used for wiring will be evaluated. Post-operative Radiographs i.e. Orthopantogram (OPG) will be taken at one week after the surgical procedure then 3 and 6 months.  Results:  There was no statically significant difference between the groups, only the operative time was highly significant in group I, the effect of BW applicated inter dentally in group I was transient in nature which disappeared after its removal. Conclusion: The fixation of PFs by single miniplate combined by BW performed adequate fixation also reduce the operative time and cost effective.