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Journal of Dental Specialities


Effects of interdental/intermaxillary wiring on teeth and periodontal tissues in the management of dentoalveolar and jaw fractures


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Author Details: Akshat Mediratta

Volume : 4

Issue : 1

Online ISSN : 2393-9834

Print ISSN : 2320-7302

Article First Page : 10

Article End Page : 13


Abstract

Objectives: To evaluate immediate and late probable side effects of interdental/intermaxillary wiring used in treatment of jaw fractures on gingival and other deeper structures.
Methods: 30 patients undergoing wiring procedure as an aid for treatment of jaw fractures were selected. The immediate and late effects with a six month follow up were studied using various parameters that were Plaque index, Modified gingival index, Ramfjord’s periodontal disease index, tooth mobility (graded as ‘normal or pathological’), tooth vitality using gutta-percha hot stick and checking for ankylosis or root resorption clinically as well as radiographically.
Results: Immediate effects noticed after placement of wiring were increased accumulation of plaque, inflammatory gingival hyperplasia with bleeding on probing, deepening of gingival sulcus and increased tooth mobility. Most of the changes had totally reversed after 6 months follow up.
Conclusions: The late deleterious effects on teeth and periodontal tissues from interdental wiring in the treatment of jaw fractures are minimal and hardly of any significance.

Key words:
Interdental/Intermaxillary Wiring, Jaw Fractures, Modified Gingival Index, Plaque Index, Ramford’s Periodontal Index.