Gardak Since time immemorial there is a constant quest of oral and maxillofacial surgeons to find a quick way for IMF. Holmes S, Hutchison I. 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 ]. Abstract Intermaxillary fixation IMF remains an important component in the management of many facial fractures. Then the wire is wound around the tip of the instrument four of five times.
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Corresponding author. Received Jan 8; Accepted Apr Abstract Conventionally intermaxillary fixation before fixation of fracture is done from the buccal or labial side. We present a technique of stabilization from both buccal and lingual side which gives three dimensional stability. Keywords: Intermaxillary fixation, Buccolingual stabilization Introduction Conventionally wire ligatures are applied in the maxilla and mandible; these are connected either directly by twisting the upper and lower wire ends together or with intermaxillary tie wires, to achieve intermaxillary fixation before fixing the fractures.
Interdental eyelet wiring [ 1 , 2 ], Ernstwire , [ 3 ], Direct interdental wiring Gilmer [ 4 ], Kazanjian button [ 5 ], continuous or multiple loop wiring [ 6 ] and prefabricated arch bar, Jelenko, Winter, Erich and Niro [ 7 , 8 ] are some of the commonly employed wiring technique for intermaxillary fixation. However with all these techniques the fixation with tie wire or otherwise is done towards buccal or labial region.
Technique We introduce three techniques of wire fixation which will brace or support the teeth from the lingual and palatal side as well. This will avoid the tipping which is associated with tightening only from the buccal side. Single Wire Snare Single 26G stainless steel wire 6 inches in length is taken and passed from buccal surface both mesially and distally through the interdental space in maxillary teeth.
Once it comes onto the palatal surface the wire is passed mesially and distally through the lingual interdental space of the mandibular teeth. The wire is tightened on the buccal surface after it comes through the interdental space on the lingual side to the buccal side Fig.
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