{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T07:33:05Z","timestamp":1778139185395,"version":"3.51.4"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T00:00:00Z","timestamp":1491955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>For decades, Erich arch bars have been a standard in establishing maxillo\u2010mandibular fixation (MMF). While reliable, the approach risks sharps injury, consumes operating room time, and inflicts gingival trauma. Newer technologies including screw\u2010based techniques and \u201chybrid\u201d techniques have improved MMF by reducing sharps injuries and operating room time, but risk injury to tooth roots, nerves, and gingiva. This study aims to establish the application, strengths, and limitations of dental occlusion ties as a novel alternative in maxillo\u2010mandibular fixation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective, non\u2010blinded, human feasibility clinical trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>An iterative prototyping process was used to invent dental occlusion ties (brand name: Minne Ties). Development included 3D printing, cadaver prototype testing, human apical embrasure measurement, and ultimately non\u2010significant risk human clinical trial testing. In the IRB\u2010approved feasibility clinical trial, the devices were applied to mandible and maxilla fracture candidates with fractures amenable to intra\u2010operative MMF with open reduction with internal fixation. The ties were removed prior to extubation. Pre\u2010teens, comminuted fracture patients, and patients requiring post\u2010operative MMF were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Manufactured, sterile prototypes secured MMF successfully in management of unilateral and bilateral mandible and maxilla fractures. All patients reported correction of pre\u2010operative malocclusion. Application times were typically 12\u201315 minutes for a single surgeon to achieve MMF. Patients incurred negligible gingival trauma from the technology as the ties require no tissue penetration for application.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Dental occlusion ties offer a non\u2010invasive solution featuring operating room efficiency, minimized sharps risk, and less bony and soft tissue trauma than current commercialized solutions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Therapeutic, IV<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.77","type":"journal-article","created":{"date-parts":[[2017,4,12]],"date-time":"2017-04-12T06:42:45Z","timestamp":1491979365000},"page":"178-183","source":"Crossref","is-referenced-by-count":12,"title":["Dental occlusion ties: A rapid, safe, and non\u2010invasive maxillo\u2010mandibular fixation technology"],"prefix":"10.1002","volume":"2","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0035-9959","authenticated-orcid":false,"given":"Alan W.","family":"Johnson","sequence":"first","affiliation":[{"name":"Altru Health System, Grand Forks, North Dakota; and Department of Surgery, University of North Dakota School of Medicine &amp; Health Sciences Grand Forks North Dakota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,12]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"295","volume":"79","author":"Ivy RH.","year":"1922","journal-title":"Observations of fractures of the mandible. JAMA"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199705000-00061"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1177\/000313480707300701","article-title":"Occupational risks of blood exposure in the operating room","volume":"73","author":"Fry DE.","year":"2007","journal-title":"Am Surg"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.1998.0018"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2002.36100"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.06.209"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0746.186129"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otot.2008.04.003"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2010.12.015"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-200301000-00026"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2007.04.022"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2014.08.025"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000001920"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3182a21163"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.2001.0625"},{"key":"e_1_2_6_17_1","unstructured":"Information Sheet Guidance For IRBs Clinical Investigators and Sponsors Significant Risk and Nonsignificant Risk Medical Device Studies. Available atwww.fda.gov\/downloads\/RegulatoryInformation\/Guidances\/UCM126418.pdf. Accessed December 11 2016."},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000592"}],"container-title":["Laryngoscope Investigative Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flio2.77","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lio2.77","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T01:20:09Z","timestamp":1696382409000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lio2.77"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,12]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1002\/lio2.77"],"URL":"https:\/\/doi.org\/10.1002\/lio2.77","archive":["Portico"],"relation":{},"ISSN":["2378-8038","2378-8038"],"issn-type":[{"value":"2378-8038","type":"print"},{"value":"2378-8038","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,12]]}}}