INTERMAXILLARY FIXATION TECHNIQUES PDF

Intermaxillary Fixation Techniques An EACMFS workbook on keying occlusion and restoring bony anatomy by intermaxillary fixation techniques. Editors. José M . Objective: Various techniques have been employed from time to time to achieve maxillomamdibular fixation. Although arch bars provide an. The utilization and technique of placement for Erich arch bars, Ivy loops, Ernst fixation;. Mandible fracture;. Intermaxillary fixation;. Ivy loops;. Ernst ligatures.

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In the treatment of maxillofacial fractures, Inter-maxillary fixation IMF is an important.

The upper and lower arch bars or Ivy eyelet wiring is secured by wires and Fixqtion is done with the help of box wiring. Typical indications for its use are minimally displaced fractures, deep bite cases, stabilization of fracture during open reduction and internal fixation, orthognathic surgeries and in tumor resection surgeries.

A New Simplified Technique for Intermaxillary Fixation by Loop-Designed Wire

Inter-maxillary fixation IMF is an important contrivance in the treatment of maxillofacial fractures, and is usually applied by wiring together the fixed upper and lower arch bars or Ivy eyelet [ 12 ]. Different IMF methods, including prefabricated arch bars, direct interdental wiring, continuous or multiple loop wiring, and IMF screws, have been reported [ 12 ]. However, these techniques are time consuming, complicated, costly, need laboratory support, extend surgery time [ 3 ].

Here we present a new IMF technique using single loop-designed wires, providing bucco-lingual stabilization. In this technique, single 26 gauge stainless steel wire of 6 inches is taken, which is shaped as Ivy loop. The loop wire is passed around the neck of the upper first molar tooth, both ends of loop wire going from buccal to palatal, one along the mesial surface and other end along the distal surface of tooth Fig. Then both ends of wire are passed back around the lower first molar from lingual to buccal aspect in a similar approach Fig.

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Same procedure is repeated on the premolar teeth and on the contralateral side molar and premolar regions. After achieving the occlusion, the ends of wire are twisted together on the buccal surface of the lower premolar and molar teeth on both sides Fig. At the end of treatment, holding and pulling the loop wire can easily remove IMF with minimum trauma to the adjacent soft tissue.

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It can be used for both intra-operatively to keep the mandible in the desired position especially in deep bite cases where the arch bar placement is not possible, Fig. A good IMF technique should be easy and quick, low cost, secure desired occlusion, avoidance of unwanted forces on anterior teeth, minimally invasive, safe for fixayion patient, possess an emergency quick release system.

Some authors have used single wires for IMF with bucco-lingual stabilization [ 12 ].

The disadvantage of this technique is that removal of the wires after completion of procedure is very difficult, as we cannot hold the wires for retrieval. So, we have modified the technique by using loop wire. Loop of the wire can be held for easy and swift removal of wires. It is an easy, simplified, economical and minimally invasive technique.

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It firmly maintains the desired occlusion. It lends support to the fractured fragment from both buccal and lingual surfaces. No specialized instrument or laboratory work is required.

Typical indications for its use are conservative management of minimally displaced fractures, maxillofacial fractures in deep bite cases, stabilization of fracture during open reduction and internal fixation, orthognathic surgeries and in tumor resection surgeries. National Center for Biotechnology InformationU. J Maxillofac Oral Surg.

Spiral Intermaxillary Fixation

Published online Jul Author information Article notes Copyright and Tdchniques information Disclaimer. Received Jan 4; Accepted Jul 1. This article has been cited by other articles in PMC. Maxillofacial fractures, Inter-maxillary fixation, Loop-designed wire. Technique In this technique, single 26 gauge stainless steel wire of 6 inches is taken, which is shaped as Ivy loop.

Open in a separate window. Loop design IMF technique in a patient of mandible fracture with deep bite.

Discussion A good IMF technique should be easy and quick, low cost, secure desired occlusion, avoidance of unwanted forces on anterior teeth, minimally invasive, safe for the patient, possess an emergency quick release system. Intermaxillary fixation with buccolingual stabilization.

A new and easy technique for maxillomandibular fixation.

A New Simplified Technique for Intermaxillary Fixation by Loop-Designed Wire

Natl J Maxillofac Surg. The effect of interdental continuous loop wire splinting and intermaxillary fixation on the marginal gingiva. Int J Oral Maxillofacial Surg. Support Center Support Center.

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