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Assessment of Pocket Depth Changes in Treatment with Arch Bars: A Prospective Clinical Study

Hamidreza Arabion, Reza Tabrizi, Hooman Khorshidi, Naghmeh Niroomand




Introduction: It is suggested that arch bars act as plaque-retentive ligatures and therefore exert effects on periodontal tissues health. The aim of the present study was to assess pocket probing depth prior to placing arch bars and following their removal. Materials and Methods: Pocket probing depths were studied in the subjects who had arch bars for one month due to condylar fracture. Pocket depths were measured before placing arch bars, one month and 12 months after removing them. The mean of pocket depth was measured for each tooth. Periodontal probing depth was measured in six sites of each tooth .The mean pocket depth was calculated by the division of the sum of the pocket depths by the number of teeth for anterior and the posterior teeth in all subjects. Results: Eleven males and nine females were included in this study. No significant pocket depth differences was detected among the anterior and posterior of the mandible and maxilla before and after placing the arch bars. Results demonstrated a significant pocket depth increase in the anterior and posterior of both jaws one month following removal of the arch bars .The pocket depths were decreased following 12 months which were indicative of relative improvement at the sites. Conclusion: Arch bars can affect periodontium and pocket depths increased one month after releasing the arch bars. However, a significant improvement was detected following 12 months that suggested a partial reversible change in the pocket depths.


Jaw fracture; Periodontium; Periodontal Pocket; Dental Plaque


Bowers DG, Jr., Lynch JB. Management of facial fractures. South Med J. 1977;70(8):910-8.

Kearns GJ, Perrott DH, Kaban LB. A protocol for the management of failed alloplastic temporomandibular joint disc implants. J Oral Maxillofac Surg. 1995;53(11):1240-7; discussion 8-9.

Harle F, Krekeler G. [Reaction of the periodontium to the wire ligature splint (Stout-Obwegeser)]. Dtsch Zahnarztl Z. 1977;32(10):814-6.

Ainamo J, Tervonen T, Ainamo A. CPITN-assessment of periodontal treatment needs among adults in Ostrobothnia, Finland. Community Dent Health. 1986;3(2):153-61.

Ngassapa DN, Freihofer HP, Maltha JC. The reaction of the periodontium to different types of splints. (I). Clinical aspects. Int J Oral Maxillofac Surg. 1986;15(3):240-9.

Lindhe J, Berglundh T, Ericsson I, Liljenberg B, Marinello C. Experimental breakdown of peri-implant and periodontal tissues. A study in the beagle dog. Clin Oral Implants Res. 1992;3(1):9-16.

Liu H, Sun J, Dong Y, Lu H, Zhou H, Hansen BF, et al. Periodontal health and relative quantity of subgingival Porphyromonas gingivalis during orthodontic treatment. Angle Orthod. 2011;81(4):609-15.

Lello JL, Lello GE. The effect of interdental continuous loop wire splinting and intermaxillary fixation on the marginal gingiva. Int J Oral Maxillofac Surg. 1988;17(4):249-52.

Thor A, Andersson L. Interdental wiring in jaw fractures: effects on teeth and surrounding tissues after a one-year follow-up. Br J Oral Maxillofac Surg. 2001;39(5):398-401.

Kavak G, Aksoy N. Periodontal Effects of Arch Wire Used for Fixation of the Mandibulary Fractures. TURKISH JOURNAL OF MEDICAL SCIENCES. 1996;26(3):303-6.

Phelps-Sandall BA, Oxford SJ. Effectiveness of oral hygiene techniques on plaque and gingivitis in patients placed in intermaxillary fixation. Oral Surg Oral Med Oral Pathol. 1983;56(5):487-90.

Baurmash H. Bonded arch bars in oral and maxillofacial surgery. An update. Oral Surg Oral Med Oral Pathol. 1993;76(5):553-6.

Karlis V, Glickman R. An alternative to arch-bar maxillomandibular fixation. Plast Reconstr Surg. 1997;99(6):1758-9.

Otten JE. [Modified methods for intermaxillary immobilization]. Dtsch Zahnarztl Z. 1981;36(2):91-2.

Please cite this paper as: Tabrizi R, Arabion H, Khorshidi H, Niroomand N. Assessment of Pocket Depth Changes in Treatment with Arch Bars: A Prospective Clinical Study. Regen Reconstr Restor. 2016; 1(1): 25-28. DOI: 107508/rrr.2015.01.005.

DOI: https://doi.org/10.22037/rrr.v1i1.9809


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