TO COMPARE THE EFFECTIVENESS OF INTERMAXILLARY FIXATION USING ERICH ARCH BAR AND SCREWS IN MANDIBULAR FRACTURES – A RANDOMIZED CLINICAL STUDY.-Reference-Cited by-同舟云学术

TO COMPARE THE EFFECTIVENESS OF INTERMAXILLARY FIXATION USING ERICH ARCH BAR AND SCREWS IN MANDIBULAR FRACTURES – A RANDOMIZED CLINICAL STUDY.

Published:2021-07-01 Issue: Volume: Page:24-27
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Chaudhary Ayeshwarya¹,Deshmukh Aashish²,Bavaskar Manasi³,Bhoye Mehul⁴,Shinde Rajwardhan⁵

Affiliation:

1. MDS, Assistant Professor, Department of Oral and Maxillofacial Surgery, Y.M.T. Dental college and Hospital, Kharghar, Navi Mumbai.

2. MDS, Professor, Department of Oral and Maxillofacial Surgery, Y.M.T. Dental college and Hospital, Kharghar, Navi Mumbai.

3. Post Graduate Resident, Department of Oral and Maxillofacial Surgery, Y.M.T. Dental college and Hospital, Kharghar, Navi Mumbai.

4. Post Graduate Resident, Department of Oral and Maxillofacial Surgery, Y.M.T. Dental college and Hospital, Kharghar, Navi Mumbai

5. MDS, Consultant, Department of Oral and Maxillofacial Surgery, Y.M.T. Dental college and Hospital, Kharghar, Navi Mumbai.

Abstract

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.

Publisher

World Wide Journals

Reference12 articles.

1. Rodrigues DC, Falci SG, Lauria A, Marchiori ÉC, Moreira RW. Mechanical and photoelastic analysis of four different fixation methods for mandibular body fractures. J Craniomaxillofac Surg. 2015;43(3):306-11.

2. Aldegheri A, Blanc JL. The pearl steel wire: a simplified appliance for maxillomandibular fixation. Br J Oral Maxillofac Surg. 1999;37(2):117-8.

3. Arthur G, Berardo N. A simplified technique of maxillomandibular fixation. J Oral Maxillofac Surg. 1989;47(11).

4. Rai A, Datarkar A, Borle RM. Are maxillomandibular fixation screws a better option than Erich arch bars in achieving maxillomandibular fixation? A randomized clinical study. J Oral Maxillofac Surg. 2011;69(12):3015-8.

5. Cornelius CP, Ehrenfeld M. The use of MMF screws: surgical technique, indications, contraindications, and common problems in review of the literature. Craniomaxillofac Trauma Reconstr. 2010;3(2):55-80.