title: Open reduction with internal fixation of moderately displaced mandible fractures is not a cost-effective alternative to closed reduction with maxillomandibular fixation.
abstract: BACKGROUND
  Do the benefits of rigid internal fixation of mandible fractures justify the added costs? Results from a randomized controlled trial. Shetty V, Atchison K, Leathers R, Black E, Zigler C, Belin TR. J Oral Maxillofac Surg 2008;66(11):2203-12.
  
  
  METHODS
  O. Ross Beirne, DMD, PhD.
  
  
  OBJECTIVE
  In patients with moderately severe mandible fractures, does open reduction with internal fixation result in fewer complications than closed reduction with maxillomandibular fixation?
  
  
  BACKGROUND
  Government: National Institute of Drug Abuse and National Institute of Dental and Craniofacial Research.
  
  
  METHODS
  Randomized controlled trial.
  
  
  METHODS
  Level 1: Good-quality, patient-oriented evidence.
  
  
  METHODS
  Level B: Inconsistent or limited-quality patient-oriented evidence.
authors.affiliation: University of Washington, School of Dentistry, B-241Health Sciences, Department of Oral & Maxillofacial Surgery, 1959 Pacific Avenue NE, Box 357134, Seattle, WA 98195-7134, USA. slsb@u.washington.edu <slsb@u.washington.edu>
authors.forename: O Ross
authors.initials: OR
authors.lastname: Beirne