Comparative Evaluation of Modified Erich’s Arch Bar, Conventional Erich’s Arch Bar and Intermaxillary Fixation Screws in Maxillo-Mandibular Fixation: A Prospective Clinical Study
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: Intermaxillary fixation is commonly employed in maxillofacial trauma to utilize functional occlusion as a tool to perform open reduction and internal fixation of maxillary and mandibular fractures. This new technique seems to be a simple, efficient and rapid modality to achieve intermaxillary fixation. Arch bars and intermaxillary fixation (IMF) screws are the most popular ways to achieve IMF in oral and maxillofacial surgery. Both techniques have their own advantages and limitations. The author proposes a simple modification of the conventional arch bar by fixing it to alveolar bone with 1.5 mm screws which is quicker, efficient and safer method of IMF compared to conventional methods. Materials and Methods: Ninety patients of either gender with age group between 18-60 years who had reported to the Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Srinagar (Jammu and Kashmir) for treatment of maxillofacial fractures requiring IMF under local or general anesthesia were included in the study. Results: Results showed better oral hygiene in patients with modified arch bars and the results were statistically significant. Conclusion: It can be concluded from the present study that modified arch bar is a quiker, safer and an efficient method of intermaxillary fixation when compared with the exixting techniques.
Authors and Affiliations
Shahid Hassan, Muneet Kapoor, Ajaz Shah
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