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Tie and Tucker: A Technical Note from Surgeons View.

V Venugopalan¹, R Sathyanarayanan¹, S Duraimurugan²

¹Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry, India.

Journal of Maxillofacial and Oral Surgery

|April 13, 2026

Summary

Erich arch bars secure maxillofacial trauma repairs with interdental wires. An orthodontic tie and tucker tool simplifies bending these wires for consistent loops, improving oral surgery efficiency.

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Area of Science:

Oral and Maxillofacial Surgery
Orthodontics
Biomedical Engineering

Background:

Intermaxillary fixation with Erich arch bars is standard for maxillofacial trauma.
Securing arch bars involves twisting, cutting, and bending interdental wires, often posing challenges.

Purpose of the Study:

To introduce an improved method for manipulating interdental wires used in Erich arch bar fixation.
To enhance the efficiency and consistency of loop formation in maxillofacial trauma fixation.

Main Methods:

Evaluation of traditional tools (wire twisters, artery forceps) for wire manipulation.
Assessment of the orthodontic tie and tucker as a novel tool for bending arch bar wires.

Main Results:

Keywords:

Tie and tucker Twisted wires

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Traditional methods present difficulties in bending and forming consistent wire loops.

The orthodontic tie and tucker facilitates easier and more consistent loop creation.

Conclusions:

Incorporating the orthodontic tie and tucker into oral surgery can streamline the process of Erich arch bar fixation.
This tool offers a practical solution for improving wire manipulation in maxillofacial trauma management.