Journal of Maxillofacial and Oral Surgery

, Volume 17, Issue 4, pp 557–562 | Cite as

Novel Use of Orbita Plates in Mandibular Body Fractures

  • Sonal Anchlia
  • Jigar M. Dhuvad
  • Dhruvi ShuklaEmail author
  • Rohit Kumar
  • Nisarg Patel
  • Vipul Nagavadiya
Original Article



Isolated fractures of the mandibular body separate the dentate border and compress lower border when subjected to masticatory forces. This study aims at evaluating the efficacy of two Orbita plates in Champy’s osteosynthesis lines along with achieving 3D configuration and preventing trauma to mental foramen.


(1) To achieve a near 3D configuration by fixing the terminal parts of both plates in contact with each other; (2) to preserve the mental nerve within the ellipse created by two Orbita plates; and (3) to prevent damage to the root apices from the upper plate.

Materials and Methods

This study was performed on 20 patients with mandible body fracture through the mental foramina. With the intraoral vestibular approach, two Orbita miniplates were fixed in Champy’s osteosynthesis lines. A geometrically closed quadrangular relationship was achieved in the shape of an ellipse, with the mental nerve emerging from it.


Fracture healing was optimum in all the cases along with satisfactory occlusion. Postoperative intermaxillary fixation was not required. Mental nerve function impairment was insignificant.


This served to achieve satisfactory functional outcomes in patients with mandible body fracture without injury to roots and along with achieving a geometrically close quadrangular relationship even where 3D miniplates cannot be placed.


Orbita plate 3D Quadrangular Paresthesia Mandible body fracture 


Compliance with Ethical Standards

Conflict of interest

No conflict of interest.

Ethical Standard

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institution.

Informed Consent

Informed consent was obtained from all individuals who are involved in this study.


  1. 1.
    Champy M, Loddé JP, Schmitt R, Jaeger JH, Muster D (1978) Mandibular osteosynthesis by miniature screwed plates via a buccal approach. J Maxillofac Surg 6:14–21PubMedCrossRefGoogle Scholar
  2. 2.
    Farmand M, Dupoirieux L (1992) The value of 3 dimensional plates in maxillofacial surgery. Rev Stomatol Chir Maxillofac 93:353–357PubMedGoogle Scholar
  3. 3.
    Greenstein Gary (2006) The mental foramen and nerve: clinical and anatomical factors related to dental implant placement: a literature review. J Periodontol 77:1933–1943PubMedCrossRefGoogle Scholar
  4. 4.
    Fridrich KL, Pena-Velasco G, Olson RA (1992) Changing trends with mandibular fractures: a review of 1,067 cases. J Oral Maxillofac Surg 50:586–589PubMedCrossRefGoogle Scholar
  5. 5.
    Farmand M (1993) The 3D plating system in maxillofacial surgery. J Oral Maxillofac Surg 51:166–167Google Scholar
  6. 6.
    Winstanley RP (1984) The management of fractures of the mandible. Br J Oral Maxillofac Surg 22:170–177PubMedCrossRefGoogle Scholar
  7. 7.
    do Nascimento EHL (2016) Assessment of the anterior loop of the mandibular canal: a study using cone-beam computed tomography. Imaging Sci Dent 46:69–75PubMedPubMedCentralCrossRefGoogle Scholar
  8. 8.
    Chritah A, Lazow SK, Berger JR (2005) Transoral 2.0 mm locking miniplate fixation of mandibular fractures plus 1 week of maxillomandibular fixation: a prospective study. J Oral Maxillofac Surg 63(12):1737–1741PubMedCrossRefGoogle Scholar
  9. 9.
    Zachariades N, Papademetriou I (1995) Complications of treatment of mandibular fractures with compression plates. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 79(2):150–153PubMedCrossRefGoogle Scholar
  10. 10.
    Williams MD, Pearson MH, Milner SM (1991) Complications in the use of compression plates in the treatment of mandibular fractures. Oral Surg Oral Med Oral Pathol 72(2):159–161PubMedCrossRefGoogle Scholar

Copyright information

© The Association of Oral and Maxillofacial Surgeons of India 2018

Authors and Affiliations

  • Sonal Anchlia
    • 1
  • Jigar M. Dhuvad
    • 1
  • Dhruvi Shukla
    • 1
    Email author
  • Rohit Kumar
    • 1
  • Nisarg Patel
    • 1
  • Vipul Nagavadiya
    • 1
  1. 1.Department of Oral and Maxillofacial SurgeryGovernment Dental College and HospitalAsarwa, AhmedabadIndia

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