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Not yet recruitingNCT06978530Updated Mar 19, 2026

3D Custom Plate vs. Standard Titanium Plates for Mandibular Sub-condylar Fractures Fixation

An interventional study of 3D custom plate and Standard titanium fixation plates in Mandibular Sub-condylar Fracture, sponsored by Esraa Mosad Tawfik. Not yet recruiting. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-03-19.

Sponsored by Esraa Mosad Tawfik · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This randomized clinical trial aims to conduct a comprehensive clinical and radiographic evaluation by comparing the efficacy of standard titanium fixation plates with three dimensional custom plate in the management of sub-condylar fractures. By assessing the clinical outcomes, accuracy of reduction of the fracture segments, and bite force promoted by both fixation modalities.

02

Conditions studied

  • Mandibular Sub-condylar Fracture

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Keywords

  • Mandibular fracture
  • 3D custom plate
  • titanium miniplates
  • sub-condylar fractures
03

In context

Mandibular Fractures

91 studies on the registry are indexed under Mandibular Fractures; 24 are open to participants now.

This study's planned enrollment of 30 is above the median of 21 across 72 interventional studies indexed under Mandibular Fractures.

Browse Mandibular Fractures studies →

Lead sponsor

This is the only study on the registry with Esraa Mosad Tawfik as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Displaced sub condylar fractures, requiring open reduction and rigid internal fixation
  • Age ranges from 18 to 60 years
  • Fracture duration less than 2 weeks
  • Patients with adequate follow up duration for outcome assessment

Exclusion criteria

Exclusion Criteria:

  • Comminuted sub condylar fractures
  • Patients with severe systemic diseases that may affect fracture healing
  • Presence of any pathology at the fracture site
  • Patients with previous history of mandibular surgery
  • Medically compromised patients who are not fit to undergo surgery under general anesthesia
  • Patients with in complete medical records or missing follow up data
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    3D Custom Plate group

    Patients in this group will undergo open reduction and internal fixation of displaced mandibular sub-condylar fractures using preoperatively designed and 3D-printed patient-specific titanium plates. The custom plate is designed based on patient CT data and includes extensions along the posterior border of the mandibular ramus and above the sigmoid notch to facilitate accurate fracture reduction and stable fixation.

    Device: 3D custom plate

  • Active comparator
    Standard titanium plates group

    Patients in this group will undergo open reduction and internal fixation of displaced mandibular sub-condylar fractures using the conventional technique, involving either two standard titanium miniplates or a single 2.3 mm titanium plate.

    Device: Standard titanium fixation plates

Interventions

  • Device3D custom plate

    Custom 3D plate will be designed using preoperative CT and virtual surgical planning.

    Also known as: patient specific plate

  • DeviceStandard titanium fixation plates

    The fixation will be performed according to established surgical principles for managing displaced mandibular sub-condylar fractures without patient-specific planning or customization.

06

What researchers measure

Primary outcomes

  1. Mandibular deviation on opening

    Deviation in mm measured using midline reference.

    Time frame: 1 month, 3 months, and 6 months postoperatively.

  2. Maximum mouth opening

    Distance in mm between incisal edges during maximal mouth opening.

    Time frame: 1 month, 3 months, and 6 months postoperatively.

Secondary outcomes

  1. Bite force

    Bite force measured in Newtons at the molar region using a bite force recording device.

    Time frame: 1 month, 3 months, and 6 months postoperatively

  2. Accuracy of fracture reduction

    Evaluated by comparing preoperative CT with postoperative CT using 3D image superimposition analysis

    Time frame: Immediately postoperative (within 1 week)

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Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Apr 2026; primary completion for Oct 2026, 6 months later.

Of 38 non-industry interventional studies with no phase under Mandibular Fractures, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 9 and three quarters within 24. This study's planned 6 months is below that.

Counting every sponsor, half of 38 studies reached it within 13 months; a quarter within 9 and three quarters within 24.

How these figures are worked out, and which studies are left out of them.

Registered
May 10, 2025
First posted
May 18, 2025
StartEst.
Apr 10, 2026
Primary completionEst.
Oct 10, 2026
CompletionEst.
Nov 1, 2026
Last update
Mar 19, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 19, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06978530
Lead sponsor
Esraa Mosad Tawfik
Responsible party
Esraa Mosad Tawfik (Resident, Oral and Maxillofacial Surgery, Cairo University) — Sponsor-investigator
First posted
May 18, 2025
Start date
Apr 10, 2026 (estimated)
Primary completion
Oct 10, 2026 (estimated)
Completion
Nov 1, 2026 (estimated)
Last update
Mar 19, 2026

Study contacts

Esraa Mosaad
Contact
esraa.tawfik@dentistry.cu.edu.eg
+201153918930

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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