UNASSIGNED: To compare the biomechanical parameters of microplates and the combined miniplate-microplate for fixing zygomaticomaxillary complex (ZMC) fractures using nonlinear finite element analysis (FEA).
UNASSIGNED: Two samples of ZMC fracture models were prepared. In sample 1 (S1), the fractures were stabilized with microplates, and in sample 2 (S2), with miniplates plus microplates. FEA software was used to measure the displacement, Von Mises stress distribution (VMSD), and maximum principal stress distribution (MPSD).
UNASSIGNED: The displacement was 6.7 μm in the L-shaped plate of both samples, 4.4 μm in the S1 lateral-edge plate, 4.8 μm in the S2 lateral-edge plate, 5.8 μm in the S1 bottom-edge plate, and 5.6 μm in the S2 bottom-edge plate. The VMSD was 41.1 MPa in the S1 lateral-edge plate, 24.3 MPa in the S2 lateral-edge plate, 7.6 MPa in the S1 Lshaped plate, 9.6 MPa in S2 L-shaped plate, 28.5 MPa in the S1 bottom-edge plate, and 11.8 MPa in the S2 bottom-edge plate. The MPSD was 46.2 MPa in the S1 lateral-edge plate, 26.4 MPa in the S2 lateral-edge plate, 3.6 MPa in S1 L-shaped plate, 4.2 MPa in S2 L-shaped plate, 30.9 MPa in S1 bottom-edge plate, and 14.1 MPa in the S2 bottom-edge plate.
UNASSIGNED: The L-shaped and lateral-edge plates in both samples had the highest and lowest amount of displacement, respectively. The lateral-edge plates in both samples had the highest VMSD and MPSD, which was higher in S1 than S2. The L-shaped plate had the lowest VMSD and MPSD in both samples.

Background/Objectives: The use of miniplates for stabilizing bones post orthognathic surgery has surged in popularity due to their efficacy in ensuring stability and hastening recovery. However, controversy exists regarding what should be done with these miniplates after surgery. Some surgeons advocate for their removal, while others suggest leaving them in place. This study sought to assess the frequency, causes, and potential risk factors linked with miniplate removal in orthognathic procedures. Methods: A thorough meta-analysis was conducted by scrutinizing studies from various databases including PubMed, Google Scholar, Embase, and Scopus, focusing on publications spanning from 1989 to 2023. Results: Ten studies meeting the inclusion criteria, encompassing 1603 patients, were chosen for inclusion in the meta-analysis. The male-to-female ratio varied from 0.7:1 to 4:1. Overall, 5595 miniplates were inserted, with 294 (5.3%) being subsequently removed. Primary reasons for miniplate removal included infection (161 cases, 2.9%), exposure of miniplates (34 cases, 0.6%), and palpable plates (23 cases, 0.4%). Other indications comprised pain, patient preference, and temperature sensitivity. Less frequent causes for miniplate removal included sinusitis, secondary surgery, and dental pathology. The mean duration of miniplate removal was 5.5 months, with the majority (56.1%) being removed from the mandible rather than the maxilla. In conclusion, this meta-analysis underscores the importance of miniplate removal when hardware causes complications and physical discomfort. The primary reasons for removing miniplates were infection and plate exposure, with the mandible being the most common removal site. Conclusions: These findings emphasize the need for continued monitoring to assess the fate of miniplates in orthognathic surgery and provide valuable information for future clinical decision-making.

OBJECTIVE: This study aimed to analyze the global scholarly production of articles related to temporary anchorage devices (TADs) from 1998-2023 in peer-reviewed dental journals indexed in the Web of Science.
METHODS: A database of TADs-related articles was created via a Web of Sciences structured search. The bibliometric characteristics of the studies, including the number of citations, publication year, journal title, journal impact factor (IF), authorship, contributing institutions and countries, thematic field, and study design, were extracted. Keyword co-occurrence network analyses and the correlation between the number of citations and the article age, journal IF, and journal quartile of each article were performed.
RESULTS: The top 50 cited articles were published from 1999-2016, and the total number of citations ranged from 82-602, with 160.36 citations/paper on average. Most of the articles originated from Japan (n = 12), with the most remarkable contributions from Nihon and Okayama Universities, Japan (n = 5, each). The American Journal of Orthodontics and Dentofacial Orthopedics had the most cited articles, with 196.57 citations/paper on average. A significant positive correlation occurred between the number of citations and publication age (rho = 0.392, P = 0.005).
CONCLUSIONS: Our scientometric analysis reported the characteristics of TADs-related articles published over 25 years. Most highly-cited articles were published between 2005 and 2008. The positive correlation between articles\' publication date and the number of citations might impact the top 50 within the next 5-10 years.
UNASSIGNED: ZIELSETZUNG: Ziel dieser Studie war es, den weltweiten wissenschaftlichen Output von Artikeln über temporäre Verankerungen („temporary anchorage devices“, TAD) im Zeitraum von 1998-2023 in im Web of Science indexierten zahnmedizinischen Fachzeitschriften mit Peer-Review zu analysieren.
UNASSIGNED: Über eine strukturierte Suche im Web of Science wurde eine Datenbank mit TAD-relevanten Artikeln erstellt. Die bibliometrischen Merkmale der Studien, einschließlich der Anzahl der Zitate, des Publikationsjahres, des Zeitschriftentitels, des Impact Factors (IF), der Autorenschaft, der beitragenden Institutionen und Länder, des Themenbereichs und des Studiendesigns, wurden extrahiert. Es wurden Netzwerkanalysen zum Vorkommen von Schlüsselwörtern und die Korrelation zwischen der Anzahl der Zitate und dem Alter des Artikels, dem Zeitschriften-Impact-Faktor und dem Quartil der Zeitschrift für jeden Artikel durchgeführt.
UNASSIGNED: 50 angeführte Artikel wurden im Zeitraum 1999-2016 veröffentlicht, und die Gesamtzahl der Zitate reichte von 82-602, mit durchschnittlich 160,36 Zitaten pro Artikel. Die meisten Artikel stammten aus Japan (n = 12), die bemerkenswertesten Beiträge von den Universitäten Nihon und Okayama, Japan (jeweils n = 5). Die am häufigsten zitierten Artikel fanden sich mit durchschnittlich 196,57 Zitaten pro Artikel im American Journal of Orthodontics and Dentofacial Orthopedics. Es bestand eine signifikante positive Korrelation zwischen der Anzahl der Zitate und dem Alter der Veröffentlichung (rho = 0,392, p = 0,005).
UNASSIGNED: Unsere szientometrische Analyse gibt Aufschluss über die Merkmale der in den letzten 25 Jahren veröffentlichten TAD-bezogenen Artikel. Die meisten häufig zitierten Artikel wurden zwischen 2005 und 2008 veröffentlicht. Die positive Korrelation zwischen Veröffentlichungsdatum und Anzahl der Zitierungen könnte sich in den nächsten 5–10 Jahren auf die „Top 50“ auswirken.

The parasymphysis area of the mandible is highly dynamic because it is subjected to both occlusal and muscular forces. As a result, the fractures in this transition zone have a special pattern, posing a challenge for surgeons whether to use one miniplate versus two miniplates, as per Champy\'s recommendations. The commonest complication resulting to treat this area is mental nerve paraesthesia due to the dissection and stretching of the nerve. Hence, an in vitro research study of a newly designed \'Zeta\' miniplate is performed, to evaluate the biomechanical behaviour using finite element (FE) analysis and biomechanical analysis along with a comparison study with the conventional miniplate configurations. The results showed that the Zeta miniplate produces the lowest stresses 17.511 MPa and the least total structural deformation of 0.0011 mm after applying the maximum occlusal bite force. On application of torsional load, total structural deformation was 0.0004 mm and von Mises (VM) stress value was 0.24 MPa which was lowest when compared with the two miniplate system. Hence, the newly developed Zeta miniplate is superior in terms of stability. Another benefit of its design is that it helps in preventing mental nerve paraesthesia and tooth root damage while fixing and stabilising the fractured bony segments.

This review examines the prevailing modalities for fractures of the anterior mandible, which represent a significant proportion of the maxillofacial injuries commonly treated by oral and maxillofacial surgeons. The article traces the historical shift from conservative techniques to the dominant management strategies of open reduction and fixation. Encompassing a range of studies, the review, in accordance with PRISMA 2020 recommendations, meticulously examines various fixation methods, assessing their efficacy in achieving stability of fracture, early healing, and mobilisation. The comparison of these methods highlights their unique advantages and limitations, and demonstrates the need for more nuanced and precise approaches. The review emphasises evidence-based methodology in the management of anterior mandibular fractures (AMF), highlighting the benefits offered by innovative techniques such as 3D miniplates. It also acknowledges the advantages provided by older fixation devices such as lag screws. The importance of postoperative outcomes and the need for tailored treatment strategies are recognised, considering the complex nature of these fractures.

: A three-dimensional-printed individual titanium plate was applied for maxillary protraction to eliminate side effects and obtain the maximum skeletal effect. This study aimed to explore the stress distribution characteristics of sutures during maxillary protraction using individual titanium plates in various directions and locations.
: A protraction force of 500 g per side was applied at forward and downward angles between 0° and 60° with respect to the Frankfort horizontal plane, after which the titanium plate was moved 2 and 4 mm upward and downward, respectively. Changes in sutures with multiple protraction directions and various miniplate heights were quantified to analyze their impact on the maxillofacial bone.
: Protraction angle of 0-30° with respect to the Frankfort horizontal plane exhibited a tendency for counterclockwise rotation in the maxilla. At a 40° protraction angle, translational motion was observed in the maxilla, whereas protraction angles of 50-60° tended to induce clockwise rotation in the maxilla. Enhanced protraction efficiency at the lower edge of the pyriform aperture was associated with increased height of individual titanium plates.
: Various protraction directions are suitable for patients with different types of vertical bone surfaces. Furthermore, when the titanium plate was positioned lower, the protraction force exhibited an increase.

This case report documents the diagnosis and successful management of a substantial periapical lesion located in the lower left region of the jaw. The patient presented with clinical symptoms indicative of periapical pathology, and radiographic examination revealed an extensive radiolucent lesion. The chosen treatment approach involved endodontic intervention coupled with surgical decompression, leading to the resolution of the lesion and restoration of oral health. This case underscores the significance of an accurate diagnosis and a multidisciplinary treatment approach in addressing large periapical lesions.

UNASSIGNED: Fifty patients were included to compare the efficacy of three-dimensional (3D) locking miniplates versus 3D standard miniplates in the management of mandibular fractures.
UNASSIGNED: Fifty patients were randomly allocated to either 3D locking miniplate group or 3D standard miniplate group. All patients were followed for six months to compare post-operative occlusion, stability and associated clinical complications such as wound dehiscence, infection and plate/screw fracture and mental nerve paraesthesia.
UNASSIGNED: All the fractures were adequately fixed when checked intraoperatively. Four patients in each group had mildly deranged occlusion, one patient in Group A and two patients in Group B had reduced stability. None of the patients had complications of non-union or malunion. In Group A, one out of 25 patients had mental nerve paraesthesia and two had wound dehiscence. Moreover, in Group B, two patients had mental nerve paraesthesia and two others had wound dehiscence. The data when compared were statistically significant (=0.05).
UNASSIGNED: The overall result of our study led us to the conclusion that both the plating systems were satisfactory and there is no statistically significant difference when used for open reduction and fixation in mandibular fractures. Healing was satisfactory in both groups.

UNASSIGNED: Mandible is the only mobile facial jaw bone and it aides in various functions such as phonation and mastication. Therefore, management of mandible fracture becomes inevitable due to its functional and anatomical importance. Fracture fixation methods and techniques have steadily evolved with various osteosynthesis systems. In this article, we discuss the management of mandible fracture using a newly designed two-dimensional (2D) hybrid V-shaped plate.
UNASSIGNED: In this paper, we have evaluated the efficacy of the newly developed 2D V-shaped locking plate in the management of mandibular fractures.
UNASSIGNED: We have assessed 12 cases of different mandibular fractures ranging from symphysis, parasymphysis, angle and subcondylar region. Treatment outcome was assessed both clinically and radiologically at regular intervals with various intraoperative and postoperative parameters.
UNASSIGNED: Results of this study suggest that fixation of mandible fracture with the 2D hybrid V-shaped plate facilitates anatomic reduction and functional stability and carries a low morbidity and infection rate.
UNASSIGNED: The 2D anatomic hybrid V-shaped plate can be a suitable alternative to conventional miniplate and 3D plates as it offers satisfactory anatomic reduction and functional stability. Positioning the plate in relation to the mental nerve and plate adaptation along the angle region are much easier.

OBJECTIVE: To three-dimensionally analyse the stress distribution and displacement pattern in the maxillofacial complex following intrusion and distalization of the maxillary arch using finite element analysis in skeletal class II malocclusion with prognathic maxilla and vertical maxillary excess using miniplates and mini-implants.
METHODS: Finite Element models of a skull, Y-shaped stainless steel miniplate, mini-implant and a posted arch were generated. Three force levels (1) 200 g (2) 300 g and (3) 500 g per side were applied to the assembly. The models were pre-processed and the analysis was performed using ANSYS version 18.1 software. Alterations in von mises stress, principal maximum stress, principal minimum stress and compressive stress were analysed around the sutures and surface landmarks.
RESULTS: With miniplates, there was a maximum stress concentration at the zygomatic buttress with even stress distribution at the fronto-maxillary, zygomatico-temporal, zygomatico-frontal and pterygomaxillary sutures along with anatomical landmarks such as frontal process of maxilla, ANS, Point A, prosthion and maxillary process of zygoma. First molars experienced greater distalization effects with buccal flaring when miniplates were used. With mini-implants, canine and premolars also exhibited greater distalization effects. In the root apices, lateral incisors showed increased lingual root movement with mini-implants.
CONCLUSIONS: Miniplates provide a greater distalizing effect while mini-implants produce increased intrusive effect. The distalizing effect is greater when 500 g of force is applied using miniplates with significantly even stress distribution and displacement pattern.