Abstract
Introduction
Arch bars are regularly used in the management of dentoalveolar and minimally displaced fractures of the maxilla or mandible and luxation or avulsion of teeth by maxillofacial surgeons. The procedure for arch bar placement has remained unchanged over the period of years, and this coupled with the difficulty in maintenance of oral hygiene is a problem that begs attention.
Technique
We have devised a technique to overcome these hurdles and achieve adequate intramaxillary splinting. The technique uses an arch wire and ligature wire assembly instead of the conventional arch bar.
Conclusion
This technique is easy to learn and can thus be used as a rapid yet robust alternative to the conventional arch bar for dentoalveolar and minimally displaced fractures.
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References
Maxillomandibular fixation. Arch bar: indications [Internet]. http://www2.aofoundation.org/wps/portal/!ut/p/a0/04_Sj9CPykssy0xPLMnMz0vMAfGjzOKN_A0M3D2DDbz9_UMMDRyDXQ3dw9wMDAx8jfULsh0VAdAsNSU!/?BackMode=true&bone=CMF&contentUrl=%2Fsrg%2Fpopup%2Fadditional_material%2F91%2FX10_MMF.jsp&popupStyle=diagnosis&segment=Mandible&soloState=true#JumpLabelNr7
Rowe NL, Williams JL (1994) Maxillofacial Injuries.vol 1, 2nd edn, Chapter 8: Mandibular fractures. Churchill Livingstone (London), p 248
Oikarinen KS, Nieminen TM (1994) Influence of arch bar splinting on periodontium and mobility of fixed teeth. Acta Odontol Scand 52(4):203–208
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Shenoi, S.R., Rao, C. Arch Wire: A Novel Technique for Intra-Maxillary Fixation. J. Maxillofac. Oral Surg. 15, 547–548 (2016). https://doi.org/10.1007/s12663-015-0865-3
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DOI: https://doi.org/10.1007/s12663-015-0865-3