Modified Cross-Interdental Wiring Technique for Intermaxillary Fixation

The management of maxillofacial fractures relies on fracture reduction, fixation, immobilisation, and restoration of occlusion. Intermaxillary fixation (IMF) is conventionally achieved using arch bars and circumdental wiring; however, these methods are time-consuming and may cause periodontal injury, particularly when only temporary intraoperative stabilisation is required. This study proposes a modified cross-interdental wiring technique for temporary IMF. The method utilises 26-gauge stainless steel wires passed obliquely between maxillary and mandibular molars to achieve buccolingual stabilisation, with twisted ends forming secure rosettes. The technique is indicated in minimally displaced fractures, orthognathic procedures, and paediatric cases where prolonged postoperative IMF is unnecessary. It is contraindicated in severely displaced fractures and edentulous patients. This approach is simple, minimally invasive, requires less operative time, and maintains adequate occlusion. Although challenges exist in compromised dentition and wire removal, the technique offers an efficient alternative to conventional IMF methods for intraoperative stabilisation.