Comparison of Arch Bar, Eyelets and Transmucosal Screws for Maxillo Mandibular Fixation in Jaw Fratcure
karthick Sekar1, Prabhu Manickam Natarajan2 and Arva Kapasi3

1Saveetha dental college Saveetha university Chennai 600077 Tamilnadu, India.

2College of dentistry Gulf medical university UAE.

3Faculty of Dentistry, University Malaya 50603 Kuala Lumpur, Federal Territory of Kuala Lumpur.

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Abstract: The application of tooth supported appliances of various types to the jaws and immobilization by intermaxillary fixation is the customary form of treatment in the management of fracture of the mandible and maxilla. Wire ligatures, arch bars and splints aide in the treatment of jaw fractures. They are applied to the teeth, alveolar processes and skeletal parts of the face or cranium. They function in the fixation of injured skeletal parts among one another and to the uninjured portions as well as the immobilization of fractured or loosened teeth. To Compare Arch Bar, Eyelets and Transmucosal Screws for Maxillomandibular Fixation in Jaw Fractures. Various modalities such as wire ligatures, arch bars and splints have been recommended but they have their associated morbidity including periodontal damage, decalcification under the splints and loosening and extrusion of the supporting teeth. 36 patients requiring maxillomandibular fixation who had jaw fractures are divided into three groups (arch bar, eyelets and transmucosal screws) the duration maxillomandibular fixation is 3-4 weeks. The plaque accumulation index (primary outcome) showed significant difference between all three groups. Mucosal damage time of fixation and time of removal (secondary outcome) showed significant between all three groups. For our study of maxillomandibular fixation comparing all three groups transmucosal screws has significantly less plaque accumulation less traumatic and less operating time.

Keywords: Application intermaxillary; treatment; fractures

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