The effect of gingival gel on periodontium in mandibular fracture patients applied by arch bar

Purpose: Intermaxillary xation (IMF) is an essential principle in the management of mandibular fractures; but with the recent advent of open reduction and internal xation (ORIF), the use of IMF is almost limited to intraoperative procedure only. This study aims to investigate and compare the effectiveness of Erich arch bar & intermaxillary xation (IMF) screws for the management of mandibular fractures. Materials And Method: A randomized prospective study was conducted on 20 patients with mandibular fracture, who were randomly allotted to two groups. Group A patients received intermaxillary xation using Erich arch bar and group B patients received IMF screws. The parameters assessed were time taken for application and removal of appliance, stability of occlusion, glove perforation, and pre-and post-operative plaque accumulation. Results: The mean time for placement of the Erich arch bar was 43.10 minutes as compared to 18.60 minutes with intermaxillary xation screws. Better occlusal stability was shown with an arch bar over IMF screws, and was statistically signicant. More glove tears or penetrations occurred during application in group A than Group B (p<0.01). Also, The Plaque Index assessment on removal of appliance showed a statistically signicant difference between the two groups; higher in the arch bar group. Conclusion: This study indicates that with acceptable occlusal stability, IMF screws technique is an effective and favourable alternative to Erich arch bars for temporary intermaxillary xation in mandibular fractures.

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Comparison Between Intermaxillary Fixation With Screws and an Arch Bar for Mandibular Fracture

Journal of Craniofacial Surgery ◽

10.1097/scs.0000000000005488 ◽

2019 ◽

Vol 30 (6) ◽

pp. 1787-1789 ◽

Cited By ~ 2

Author(s):

Jong-Woo Choi ◽

Hyung Bae Kim ◽

Woo Shik Jeong ◽

Sung Chan Kim ◽

Kyung S. Koh

Keyword(s):

Mandibular Fracture ◽

Intermaxillary Fixation ◽

Arch Bar ◽

With Screws

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MANDIBULAR FRACTURE MANAGEMENT;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.04.3363 ◽

2019 ◽

Vol 26 (04) ◽

Cited By ~ 1

Author(s):

Manoj Kumar ◽

Syed Fida Hussain Shah ◽

Suneel Kumar Panjabi ◽

Soonhan Abdullah ◽

Salman Shams

Keyword(s):

Operative Time ◽

Mandibular Fracture ◽

P Value ◽

Mandibular Fractures ◽

Maxillomandibular Fixation ◽

Arch Bar ◽

Case Series Study ◽

Fracture Management ◽

Maxillomandibular Fixation Screws ◽

Screw Group

Objectives: To compare the efficacy of Maxillomandibular fixation screws versus Erich Arch bar in the management of mandibular fractures. Study Design: Comparative case series study. Setting: Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Liaquat University Hospital Hyderabad, Jamshoro. Period: 29/03/2016 to 28/09/2016. Methodology: Forty patients of either gender with age above 18 years with mandibular fracture requiring closed reduction were included. 20 patients of Groups A, treated with Maxillomandibular fixation screws and 20 patients of Group B treated with Erich Arch bar. Mean operative time was noted. All patients were followed up on every week up to four weeks. The statistical analysis via t-test was used and P-value <0.05 was categorized as significant. Results: In MMF screw group 13(65.0%) patients were male and 7(35.0%) patients were female whereas in Arch Bar group, 15(75.0%) were male and 5(25.0%) were female. Evidence of wire stick injury was found positive in 2(10.0%) and 4(20.0%) patients among MMF screw and Arch Bar groups respectively. In MMF screw group, mean operative time was 84.20±18.04 minutes whereas in Arch Bar groups it was 121.80±13.68 minutes. The mean operative time is significantly reduced in MMF screw group as compared to Arch Bar group with p value <0.01. Conclusion: We conclude that Maxillomandibular fixation with screws was more worthwhile mode as matched to the conservative Erich arch bars for managing the mandibular fractures.

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New method for intraoperatory occlusal restauration in mandibular angle fractures treatment using two modified reduction forcepssing two modified reduction forceps

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v9i1.5063 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

José Lineu Pereira Ogoshi ◽

Rogerio Henrique Berardi ◽

Denis Zangrando ◽

Fernando kendi Horikawa ◽

Susana Morimoto ◽

...

Keyword(s):

Mandibular Fracture ◽

New Method ◽

Surgical Approaches ◽

Dental Occlusion ◽

Mandibular Angle ◽

Intermaxillary Fixation ◽

Non Invasive ◽

Arch Bar ◽

Angle Fractures ◽

Maxillo Mandibular Fixation

The treatment of mandibular angle fractures presents several possibilities for fixation methods and surgical approaches which can be intraoral or can be accessed through the skin. An important point would be intraoperative occlusal restoration. We present a method that replaces the traditional form using an erich bar and which, in our view, is a fast and effective method for intraoperative occlusal restoration.Descriptors: Inter Maxillary Fixation (IMF); Occlusion; Arch Bar Fixation.ReferencesJohnson AW. Dental occlusion ties: A rapid, safe, and non-invasive maxillo-mandibular fixation technology. Laryngoscope Investig Otolaryngol. 2017;2(4):178-83.Abbasi AJ, Parvin M. New method of arch bar fixation. Br J Oral Maxillofac Surg. 2017;55(6):631-32.Shinohara EH, Mitsuda ST, Miyagusko JM, Horikawa FK. Mandibular fracture reduction without intraoperative intermaxillary fixation: a technique using two modified reduction forceps. J Contemp Dent Pract. 2006;7(1):150-56.

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Early treatment of symphysis mandibular fracture in 12 years old children using erich arch bar: a case report

Journal of Dentomaxillofacial Science ◽

10.15562/jdmfs.v2i1.456 ◽

2017 ◽

Vol 2 (1) ◽

pp. 58

Author(s):

Syahril Samad ◽

Winarno Priyanto

Keyword(s):

Case Report ◽

Early Treatment ◽

Mandibular Fracture ◽

Fracture Line ◽

Wound Area ◽

The Third ◽

Arch Bar ◽

Good Healing ◽

Maxilla And Mandible ◽

Oral Area

Objective: To explain the management of symphysis mandibular fracture in pediatric using erich arch bar.Methods: A 12 years old boy has fracture in mandible due to the accident occurred when his chin hit the touching motorcycle tank. Clinically a deformity at the anterior of mandible and malocclusion has occurred. Patient also complained a pain with swelling and bleeding at the region of fracture and lip. Suturing had been done in wound area for both intra and extra oral area followed by the application of arch bar in maxilla and mandible. Doing evaluation at the third day, a vague fracture line was found in panoramic radiograph.Results: The following treatment done was the application of erich arch bar for mobility reducing the fracture of mandibular symphysis. A good healing act management to symphysis mandibular fracture of 12 years old children with full eruption of teeth has been given to the teeth to develop retention and to stabilize the erich arch bar.Conclusion: Management of pediatric symphysis mandibular fracture for 12 years old children with full eruption of teeth using erich bar revealed a healed fracture.

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