SCREW RETAINED BAND WIRING VERSUS MINIPLATES FOR TREATMENT OF ANTERIOR MANDIBULAR FRACTURES (RANDOMIZED CLINICAL TRIAL)

Abstract

Introduction: Screw-retained band wiring is a simple and efficient technique for achieving simultaneous reduction and fixation of anterior mandibular fractures. It requires minimal assistance and low-cost instrumentation, making it a practical alternative to conventional methods.Objective: This study aims to compare the clinical and radiographic outcomes of screw-retained band wiring versus conventional miniplates in the treatment of anterior mandibular fractures.Materials and Methods: Thirty patients diagnosed with anterior mandibular fractures were divided into two groups. Group A (15 patients) was treated with screw-retained band wiring, while Group B (15 patients) underwent fixation with conventional miniplates. Clinical follow-ups were conducted at 1, 2, 4, 6, and 12 weeks postoperatively. Radiographic evaluations were performed immediately after surgery and at 3 months to assess reduction accuracy and mean bone density across the fracture line.Results: Clinically, both groups showed stable fracture reduction without interfragmentary mobility and maintained normal occlusion throughout the 12-week follow-up period. Group A demonstrated significantly shorter surgery duration. Sensory nerve deficits progressively decreased in both groups during the follow-up period. Radiographically, a statistically significant improvement in mean bone density was observed in both groups (Group A: p < 0.001; Group B: p < 0.001) from postoperative day 0 to day 90.Conclusion: Screw-retained band wiring resulted in shorter operation times, fewer postoperative complications, and superior healing outcomes compared to conventional miniplates.