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This study is conducted to evaluate the accuracy of 3D-printed acrylic occlusal cap splint fabricated by computer-guided software in reduction and fixation of pediatric mandibular fractures. There are a wide range of choices in the management of mandibular pediatric trauma, ranging from observation and follow-up, conservative treatment, and open reduction and internal fixation (ORIF).
Mandibular growth, with the presence of tooth buds, along with deciduous/ permanent teeth eruption (mixed dentition) favor the use of conservative approaches in the management of pediatric mandibular fractures, where splints are fixed over the mandible by the use of circum-mandibular wiring (non-rigid fixation). The virtual surgical planning is increasing in popularity in craniomaxillofacial surgery.
There are multiple advantages that this study offers. First, it is suitable for the patients with a complete primary dentition as well as those in mixed dentition. Second, the fracture segments will be reduced accurately during virtual surgical simulation, improving the accuracy of the operation. Third, due to the splint is done according to the individual dentition of the child, it is more stable than the traditional dental arch splint ligation. Fourth, compared with intraoperative impression taking, pouring them into casts, fracturing and reattaching them in the correct positions to fabricate the splints, it avoids the contamination of the operation area and helps shorten the operation's time spent, and improves the safety and efficiency of the operation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment by 3D-printed occlusal cap splint | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 3D-printed occlusal cap splint | Device | Patient specific 3D-printed occlusal cap splint will be used for reduction and fixation of pediatric mandibular fractures |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occlusion | Occlusion will be assessed to be satisfactory or not, according to Angle classification, absence of midline shift, cross-bite or open-bite. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Radiographic evidence of fracture reduction | Radiographic evidence of fracture reduction will be assessed by panoramic radiograph. | 3 months |
| Maximum mouth opening | Maximum mouth opening will be assessed in millimeters using a ruler |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Cairo University | Recruiting | Cairo | Cairo Governorate | Egypt |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 1, 2026 | Apr 2, 2026 | Prot_000.pdf |
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| 3 months |
| Post-operative pain | Post-operative pain will be measured by visual analogue scale (VAS), on a scale from 1 to 10, where 1 is the minimum and 10 is the maximum. | 1 month |