Comparison Between Occlusal Versus Apical Bent Wires in Patients on Erich Arch Bar
NCT ID: NCT05801328
Last Updated: 2023-04-06
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
24 participants
INTERVENTIONAL
2023-04-01
2024-07-01
Brief Summary
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This study aims to determine if a change in the placement of the wire by directing it to the occlusal direction will reduce the incidence of mucosal trauma, plaque accumulation and if the stability of the Erich arch bar will be affected by this intervention.
The patients' teeth will be divided into left and right side and randomized into control side (wires end apically) and interventional side (wires end occlusally)
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
SINGLE
Study Groups
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Occlusal ending of wires
The wires will be bent occlusally for the interventional side
Ending of the wires on Erich arch bar in the occlusal direction
The wires of the Erich arch bar will be placed on the occlusal direction
Apical ending of wires
The wires will be bent apically for the control side.
No interventions assigned to this group
Interventions
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Ending of the wires on Erich arch bar in the occlusal direction
The wires of the Erich arch bar will be placed on the occlusal direction
Eligibility Criteria
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Inclusion Criteria
* Full Glasgow coma scale.
* Facial fractures requiring Erich arch bar for 4 weeks duration
* No functional deficit that will prevent tooth brushing.
Exclusion Criteria
* Medical conditions that contraindicate the usage of arch bars (Epilepsy, Asthmatics)
18 Years
60 Years
ALL
No
Sponsors
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Universiti Sains Malaysia
OTHER
Responsible Party
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Ng Kar Tsyeng
Principal investigator
Locations
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Universiti Sains Malaysia
Kota Bharu, Kelantan, Malaysia
Countries
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Central Contacts
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Facility Contacts
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References
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Adeyemo WL, Ladeinde AL, Ogunlewe MO, James O. Trends and characteristics of oral and maxillofacial injuries in Nigeria: a review of the literature. Head Face Med. 2005 Oct 4;1:7. doi: 10.1186/1746-160X-1-7.
Qureshi AA, Reddy UK, Warad NM, Badal S, Jamadar AA, Qurishi N. Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A comparative study and review of literature. Ann Maxillofac Surg. 2016 Jan-Jun;6(1):25-30. doi: 10.4103/2231-0746.186129.
Bali R, Sharma P, Garg A. Incidence and patterns of needlestick injuries during intermaxillary fixation. Br J Oral Maxillofac Surg. 2011 Apr;49(3):221-4. doi: 10.1016/j.bjoms.2010.04.010. Epub 2010 May 21.
de Queiroz SB. Modification of arch bars used for intermaxillary fixation in oral and maxillofacial surgery. Int J Oral Maxillofac Surg. 2013 Apr;42(4):481-2. doi: 10.1016/j.ijom.2012.11.003. Epub 2012 Dec 12.
Farber SJ, Snyder-Warwick AK, Skolnick GB, Woo AS, Patel KB. Maxillomandibular Fixation by Plastic Surgeons: Cost Analysis and Utilization of Resources. Ann Plast Surg. 2016 Sep;77(3):305-7. doi: 10.1097/SAP.0000000000000592.
Fasoulas A, Pavlidou E, Petridis D, Mantzorou M, Seroglou K, Giaginis C. Detection of dental plaque with disclosing agents in the context of preventive oral hygiene training programs. Heliyon. 2019 Jul 10;5(7):e02064. doi: 10.1016/j.heliyon.2019.e02064. eCollection 2019 Jul.
Fernandes IA, Lopes ABS, Fonseca PG, da Silva Torres A, Rodrigues AB, Galvao EL, Falci SGM. Comparison between Erich arch bars and intermaxillary screws in maxillofacial fractures involving the dental occlusion: a meta-analysis. Int J Oral Maxillofac Surg. 2021 Jan;50(1):83-95. doi: 10.1016/j.ijom.2020.07.022. Epub 2020 Aug 12.
Garra G, Singer AJ, Taira BR, Chohan J, Cardoz H, Chisena E, Thode HC Jr. Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency department patients. Acad Emerg Med. 2010 Jan;17(1):50-4. doi: 10.1111/j.1553-2712.2009.00620.x. Epub 2009 Dec 9.
Gilardino MS, Chen E, Bartlett SP. Choice of internal rigid fixation materials in the treatment of facial fractures. Craniomaxillofac Trauma Reconstr. 2009 Mar;2(1):49-60. doi: 10.1055/s-0029-1202591. No abstract available.
Haggard P, de Boer L. Oral somatosensory awareness. Neurosci Biobehav Rev. 2014 Nov;47:469-84. doi: 10.1016/j.neubiorev.2014.09.015. Epub 2014 Oct 2.
Hamid ST, Bede SY. The Use of Screw Retained Hybrid Arch Bar for Maxillomandibular Fixation in the Treatment of Mandibular Fractures: A Comparative Study. Ann Maxillofac Surg. 2021 Jul-Dec;11(2):247-252. doi: 10.4103/ams.ams_35_21. Epub 2022 Feb 1.
Jain A, Taneja S, Rai A. What is a better modality of maxillomandibular fixation: bone-supported arch bars or Erich arch bars? A systematic review and meta-analysis. Br J Oral Maxillofac Surg. 2021 Oct;59(8):858-866. doi: 10.1016/j.bjoms.2021.01.004. Epub 2021 Jan 18.
Kirk D, Whitney J, Shafer D, Song L. Tight Placement of Erich Arch Bar While Avoiding Wire Fatigue Failure. J Oral Maxillofac Surg. 2016 Mar;74(3):562-8. doi: 10.1016/j.joms.2015.10.008. Epub 2015 Oct 19.
Koshy JC, Feldman EM, Chike-Obi CJ, Bullocks JM. Pearls of mandibular trauma management. Semin Plast Surg. 2010 Nov;24(4):357-74. doi: 10.1055/s-0030-1269765.
Loe H. Oral hygiene in the prevention of caries and periodontal disease. Int Dent J. 2000 Jun;50(3):129-39. doi: 10.1111/j.1875-595x.2000.tb00553.x.
Tracy K, Gutta R. Are embrasure wires better than arch bars for intermaxillary fixation? J Oral Maxillofac Surg. 2015 Jan;73(1):117-22. doi: 10.1016/j.joms.2014.08.020. Epub 2014 Aug 27.
Uhthoff HK, Poitras P, Backman DS. Internal plate fixation of fractures: short history and recent developments. J Orthop Sci. 2006 Mar;11(2):118-26. doi: 10.1007/s00776-005-0984-7.
Vadepally AK, Sinha R. Is it better to bend wires occlusally or apically during placement of arch bars for intermaxillary fixation? Br J Oral Maxillofac Surg. 2018 Jan;56(1):67-69. doi: 10.1016/j.bjoms.2017.11.006. Epub 2017 Dec 6.
van den Bergh B, Blankestijn J, van der Ploeg T, Tuinzing DB, Forouzanfar T. Conservative treatment of a mandibular condyle fracture: Comparing intermaxillary fixation with screws or arch bar. A randomised clinical trial. J Craniomaxillofac Surg. 2015 Jun;43(5):671-6. doi: 10.1016/j.jcms.2015.03.010. Epub 2015 Mar 27.
Kaura S, Kaur P, Bahl R, Bansal S, Sangha P. Retrospective Study of Facial Fractures. Ann Maxillofac Surg. 2018 Jan-Jun;8(1):78-82. doi: 10.4103/ams.ams_73_17.
Saperi BS, Ramli R, Ahmed Z, Muhd Nur A, Ibrahim MI, Rashdi MF, Nordin R, Rahman NA, Yusoff A, Nazimi AJ, Abdul Rahman R, Abdul Razak N, Mohamed N. Cost analysis of facial injury treatment in two university hospitals in Malaysia: a prospective study. Clinicoecon Outcomes Res. 2017 Feb 7;9:107-113. doi: 10.2147/CEOR.S119910. eCollection 2017.
Rothe TM, Kumar P, Shah N, Shah R, Mahajan A, Kumar A. Comparative Evaluation of Efficacy of Conventional Arch Bar, Intermaxillary Fixation Screws, and Modified Arch Bar for Intermaxillary Fixation. J Maxillofac Oral Surg. 2019 Sep;18(3):412-418. doi: 10.1007/s12663-018-1110-7. Epub 2018 Apr 19.
Rai A, Jain A, Datarkar A, Bhawalkar A. Use of oral screen for preventing soft tissue injuries associated with use of arch bars: a prospective randomized clinical study. Oral Maxillofac Surg. 2019 Sep;23(3):291-295. doi: 10.1007/s10006-019-00780-3. Epub 2019 May 16.
Pedemonte C, Valenzuela K, Gonzalez LE, Vargas I, Noguera A. Types of Intermaxillary Fixation and Their Interaction With Palatine Fracture Reduction. J Oral Maxillofac Surg. 2019 Oct;77(10):2083.e1-2083.e8. doi: 10.1016/j.joms.2019.06.006. Epub 2019 Jun 21.
Related Links
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The Acute Management of Facial Fractures
Other Identifiers
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USM/JEPeM/22110704
Identifier Type: -
Identifier Source: org_study_id
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