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compare between the effect of shockwave therapy and low-intensity pulsed ultrasound on healing process of fresh mandibular fractures
The mandible is the commonest facial bone to fracture. Mandibular fractures represent more than 74% of all maxillofacial fractures.
To compare between the effect of shockwave therapy and low-intensity pulsed ultrasound on healing process of fresh mandibular fractures.
A total of 21 patients; aged between 20-40 years, who have mandibular fracture were selected for this study from the outpatient clinic of the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Alexandria University. In this study all patients were subjected to closed reduction and intermaxillary fixation. This will be followed by shockwave therapy in seven patients as a study group and by low-intensity pulsed ultrasound in seven patients as study group. Seven patients will receive neither and will constitute the control group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Inter maxillary fixation and exposure to shockwave therapy | Experimental |
| |
| Inter maxillary fixation and exposure to low intensity pulsed | Experimental |
| |
| Inter maxillary fixation only | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| inter maxillary fixation with shockwave therapy | Procedure | Shockwave therapy device which give 1500-4000 pulses per session with or without anesthesia, and the treatment session takes approximately 5-10 minutes at the day after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain scale | pain was scores using visual analouge scale from 0 to 10 0 means no pain 10 most severe pain | after 24 hours and 1 week |
| Change in bone density | using CT | after 6 Weeks and 12 weeks |
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Inclusion Criteria -Patients selected for this study will have fresh fracture mandible which is indicated for closed reduction.
Exclusion Criteria
-Patients having the following criteria will be excluded scars, burns, infection in the Skin in the relevant working area
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Dentistry | Alexandria | 21526 | Egypt |
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| ID | Term |
|---|---|
| D008337 | Mandibular Fractures |
| ID | Term |
|---|---|
| D007572 | Jaw Fractures |
| D008446 | Maxillofacial Injuries |
| D005151 | Facial Injuries |
| D006259 | Craniocerebral Trauma |
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| Inter maxillary fixation and exposure to low intensity pulsed | Procedure | Low-intensity pulsed ultra sound was applied three times weekly for six weeks from the second day after surgery. |
|
| Inter maxillary fixation | Procedure | Closed reduction will be done. Intermaxillary fixation (IMF) will be secured after proper reduction of the fractured segments to assure proper occlusion using upper and lower arch bars or eyelet wires for six weeks. |
|
| D020196 |
| Trauma, Nervous System |
| D009422 | Nervous System Diseases |
| D012887 | Skull Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |