{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:48:05Z","timestamp":1788875285527,"version":"build-2803163510"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Dentoalveolar fracture involves injuries to the dentition, periodontium and alveolar bone, which may occur individually or concurrently. The International Association of Dental Traumatology (IADT) guidelines recommend the use of flexible splints for a shorter duration in cases of dentoalveolar trauma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To compare and evaluate the intraoperative and postoperative outcome of the arch bar splinting and wire composite splinting in the management of Clark\u2019s Class II dentoalveolar fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Patients were randomized by Envelope method of randomization. Equal number of patients were randomly allocated to two groups, irrespective of age, gender, type, and severity of fractures. The study population was divided equally into two groups. Group A- Patients in whom dentoalveolar fractures were managed by arch bar splinting. Group B- Patients in whom dentoalveolar fractures were managed by wire composite splinting. All patients were managed by a single maxillofacial surgeon.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean time for splinting in group B was 7.52\u00b10.76 min. No glove perforation or intraoperative blood loss was observed in group B. No soft tissue injury in terms of mucosal ulcerations and gingival trauma was noted in patients of group B. The pain intensity recorded was mild on the VAS scale on postoperative day 1. This resulted in better patient comfort\/acceptance of the treatment in patients of group B. Oral hygiene status evaluated by using Modified Turesky Gilmore Plaque Index was significantly better in group b as compared to group A(p=0.018).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Dentoalveolar fractures are mostly managed by closed treatment. The type and time of splinting depends on the type of injury and the amount of stabilization needed for the specific injury. The use of wire composite splint proved to be an ideal treatment option for Clark\u2019s Class II dentoalveolar fractures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njms.njms_154_23","type":"journal-article","created":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T06:01:40Z","timestamp":1756620100000},"page":"292-297","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of intraoperative and postoperative outcomes of arch bar splinting versus wire composite splinting in the management of patients with dentoalveolar fractures"],"prefix":"10.4103","volume":"16","author":[{"given":"Mrinalini","family":"Mathur","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin","family":"Bhola","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajanikanth","family":"Kambala","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anchal","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyatam","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,30]]},"reference":[{"key":"R1-20260420","doi-asserted-by":"crossref","first-page":"203","DOI":"10.3109\/00016359409029047","article-title":"Influence of arch bar splinting on periodontium and mobility of fixed teeth","volume":"52","author":"Oikarinen","year":"1994","journal-title":"Acta Odontol Scand"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"199","DOI":"10.5005\/jp-journals-10005-1746","article-title":"Management of traumatic dental injuries using different types of splints: A case series","volume":"13","author":"Goswami","year":"2020","journal-title":"Int J Clin Pediatr Dent"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1111\/adj.12398","article-title":"Splinting of teeth following trauma: A review and a new splinting recommendation","volume":"61","author":"Kahler","year":"2016","journal-title":"Aust Dent J"},{"key":"R4-20260420","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1111\/j.1600-9657.1990.tb00426.x","article-title":"Tooth splinting: A review of literature and consideration of the versatility of a wire-composite splint","volume":"6","author":"Oikarinen","year":"1990","journal-title":"Endod Dent Traumatol"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1007\/s12663-011-0191-3","article-title":"Self-tapping screws v\/s Erich arch bar for inter maxillary fixation: A comparative clinical study in the treatment of mandibular fractures","volume":"10","author":"Nandini","year":"2011","journal-title":"J Maxillofac Oral Surg"},{"key":"R6-20260420","first-page":"124","article-title":"Composite wire splint, an economical, maintainable and flexible option, in stabilizing luxated, avulsed and intruded teeth: A prospective study","volume":"18","author":"Gautam","year":"2016","journal-title":"Nepal Med Coll J"},{"key":"R7-20260420","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s12663-010-0081-0","article-title":"Comparative evaluation of the resin bonded arch bar versus conventional Erich arch bar for intermaxillary fixation","volume":"9","author":"Chandan","year":"2010","journal-title":"J Maxillofac Oral Surg"},{"key":"R8-20260420","doi-asserted-by":"crossref","first-page":"25","DOI":"10.4103\/2231-0746.186129","article-title":"Intermaxillary fixation screws versus Erich arch bars in mandibular fractures: A comparative study and review of literature","volume":"6","author":"Qureshi","year":"2016","journal-title":"Ann Maxillofac Surg"},{"key":"R9-20260420","doi-asserted-by":"crossref","first-page":"e79","DOI":"10.1016\/j.joms.2018.06.166","article-title":"The Omnimax MMF System: A cohort study for clinical evaluation. Preliminary results of an ongoing study","volume":"76","author":"Morio","year":"2018","journal-title":"J Maxillofac Oral Surg"},{"key":"R10-20260420","first-page":"85","article-title":"Management of dentoalveolar fracture by using rigid wire and composite splint: A case report","volume":"9","author":"Firstyananda","year":"2018","journal-title":"Intisari Sains Medis"},{"key":"R11-20260420","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3126\/jnspoi.v4i1.30904","article-title":"Splinting with composite and wire: Cheap, flexible option for stabilizing traumatized teeth","volume":"4","author":"Shah","year":"2020","journal-title":"J Nepal Soc Perio Oral Implantol"},{"key":"R12-20260420","first-page":"92","article-title":"Effectiveness of wire composite splints in managing pain and mobility in different luxation injuries of permanent anterior teeth: Wire composite splints in managing pain","volume":"4","author":"Khan","year":"2023","journal-title":"Pak J Health Sci"}],"container-title":["National Journal of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_154_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:27:20Z","timestamp":1787837240000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_154_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/njms.njms_154_23","relation":{},"ISSN":["0975-5950","2229-3418"],"issn-type":[{"value":"0975-5950","type":"print"},{"value":"2229-3418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2023-08-29","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}