Title

Comparative analysis of closed versus open reduction and internal fixation in mandibular fractures: A prospective study

Authors

S Sonal^1,*, Bibhu Prasad Mishra², Ashutosh Panda², Prabhat Kumar Soni³, Kohinoor Acharya², Shree Mishra² & Miral Mehta⁴

Affiliation

¹Department of Oral and Maxillofacial Surgery, ITS Dental College, Ghaziabad, Uttar Pradesh, India; ²Department of Oral and Maxillofacial Surgery, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India; ³Department of Oral and Maxillofacial Surgery, Guru Gobind Singh College of Dental Science and Research Centre, Burhanpur, Madhya Pradesh, India; ⁴Department of Pediatric and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, Gujarat, India; *Corresponding author

Email

S Sonal - E-mail: drsonal.aries@gmail.com; Phone: +91 84472 52756

Bibhu Prasad Mishra - E-mail: infodrprasad@gmail.com; Phone: +91 94378 49136

Ashutosh Panda - E-mail: asitpanda25@gmail.com; Phone: +91 95560 64519

Prabhat Kumar Soni - E-mail: prabhatkumarsoni693@gmail.com; Phone: +91 9109222263

Kohinoor Acharya - E-mail: kohinoor.acharya96@gmail.com; Phone: +91 7978385134

Shree Mishra - E-mail: shreemishra300@gmail.com; Phone: +91 6371736109

Miral Mehta - E-mail: miral9829@gmail.com; Phone: +91 94277 04737

Article Type

Research Article

Date

Received April 1, 2026; Revised April 30, 2026; Accepted April 30, 2026, Published April 30, 2026

Abstract

Mandibular fractures are among the most frequently encountered maxillofacial injuries. Yet, the optimal management strategy between closed and open reduction with internal fixation (ORIF) remains a topic of considerable debate, given differences in functional outcomes and complication rates. Therefore, it is of interest to evaluate and compare the clinical, functional and radiographic outcomes of closed reduction (CR) using maxillomandibular fixation and ORIF using titanium miniplates in patients with isolated mandibular fractures. Eighty patients were randomly allocated into two groups-Group A (CR, n=40) treated with arch bar fixation for four to six weeks and Group B (ORIF, n=40) treated with titanium miniplates via intraoral or extraoral approaches - and followed for six months. The evaluated parameters included fracture union period, maximum mouth opening, masticatory efficiency, occlusal accuracy, complication rates, nutritional status and overall patient satisfaction. Thus, we show that while both methods achieve similar union and occlusal outcomes, ORIF provides superior functional rehabilitation and satisfaction, establishing it as the preferred choice when resources and expertise are available.

Keywords

Mandibular fracture, closed reduction (CR), opens reduction, internal fixation, maxillomandibular fixation, miniplate osteosynthesis

Citation

Sonal et al. Bioinformation 22(4): 2161-2167 (2026)

Edited by

Vini Mehta  

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.