Keywords: Intermaxillary fixation, mandibular fracture, orthodontic bracket . ORIF with titanium is a two-stage procedure because these plates. Rigid fixation techniques in the dentate patient begin with fixation of the occlusion. Bone supported devices including intermaxillary fixation (IMF) screws. VARIOUS INTERMAXILLARY FIXATION TECHNIQUES Presented By Dr. Venu Sameera Panthagada Postgraduate Oral And MaxilloFacial.


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

The increasingly popular usage of conventional bone screws with the heads kept at 4 to 5 mm above the mucosa or bone level paved the way for the commercial manufacturing of explicitly designed self-tapping or self-drilling MMF screws during recent years. The coupled hooks or the empty plate holes served as anchors for MMF ligatures Fig.

An example still of interest is the spino-mental fixation, where two screws fitted with hooks are positioned below the anterior nasal intermaxillary fixation procedure and shortly above the mental protuberance to establish MMF in a very simple manner.

In Group B patients, parameters such as loss of screw, screw breakage, screw covered by mucosa, and iatrogenic damage to dental roots checked radiographically were also recorded. Statistical analysis Results In Group A, mean age of patients was The average surgical time taken was Comparison of intra- and post-operative parameters Click here to view In this study, the effect of body mass index BMI on the surgical outcome of surgery was not considered because most of the studies that were published at the time of this study had concluded that BMI that is overweight or underweight status of patient has no significant role on the outcome of surgery regarding time taken, intermaxillary fixation procedure complications, stay in hospital, overall cost, etc.

In Group B, loss of screw was recorded in 3 cases, iatrogenic damage to dental roots was seen in 6 cases, and screw was covered by mucosa in 4 cases. Discussion Any discussion on management of mandibular fractures opens with history, evolution of treatment, and dates back to Edwin Smith, an ancient Greek, who provided a clear cut documentation for the treatment of mandibular fractures dating back as early as 17th century.

Sushruta advocated the use of manual manipulation and complicated bandaging to treat mandibular fractures. Avicenna — AD emphasized the importance of occlusion during the treatment of these injuries.

He advocated the use of supportive dressing around the jaw as well as splints intermaxillary fixation procedure the teeth. This is the fundamental unique feature in the management of jaw fractures as compared to any other bones in the body.


Intermaxillary fixation procedure, there is a need for temporary IMF intraoperatively to assist in reduction of fractures with the teeth in correct occlusion and postoperatively to assist in fixation or to correct minor occlusal discrepancies.

This case report describes a conservative way of management of moderately displaced mandibular fracture with the help of closed reduction intermaxillary fixation procedure using intermaxillary fixation IMF with help of elastics using orthodontic brackets.

A 9-year-old male child was treated for body of mandible fracture using this technique. The IMF was removed after 3 weeks and adequate bone union was demonstrated clinically and radiographically.

AO Surgery Reference

Intermaxillary fixation, mandibular fracture, orthodontic bracket How to cite this article: Use of orthodontic brackets for intermaxillary fixation for management of mandibular fracture in a pediatric patient.

J Dent Allied Sci ;6: The overall prevalence of pediatric facial fractures is much less than adult population. Intermaxillary fixation procedure options are available which includes: Open reduction and internal fixation ORIF either intraorally or extraorally with the help of plates and screws bioresorbable plates and screws are preferred.

The upper and lower arch bars or Ivy eyelet wiring is secured by wires and IMF is done with the intermaxillary fixation procedure 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.

Received Dec 12; Accepted Intermaxillary fixation procedure 1.

Abstract Intermaxillary fixation IMF is conventionally used for treatment of fractures involving maxillomandibular complex both for closed reduction and as an adjuvant to open reduction.