Archbars & Buttons Removal
Arch-bars, Leonard Buttons and IMF Screws are used to
support and stabilise fractured jaws, both stabilising the
jaw and the opposing jaw.  With elastics between the
upper and lower jaw, it is hoped that the teeth and the way
they are aligned and bite together will also correct.
Removal of the archbars, Leonard buttons or IMF screws
is often done without the use of anaesthesia.  This is so, as
to numb up the mouth would entail multiple injections for
what benefit?  The procedure is quick and though can be
slightly sore at the time, but this settles quickly.

The archbars are wired to the teeth to keep them in place.  
This has the knock-on effect of:

  • Staining to teeth
  • Early decay around the necks of the teeth
  • Bleeding that is easily provoked with tooth brushing of
    bleeding from the gums
  • (Marked) Gum recession leading to dentine sensitivity
    to hot and cold
  • Extrusion of the teeth, with the occlusion needing time
    to bed in

After the archbars have been removed, you may need to
take painkillers for the following 24 - 36 hours, use
antiseptic mouthwashes until the gums appear healthy, and
when circumstances allow, maintain good oral hygiene.
Photos of Archbars that have been wired to teeth.  Elastics
or wires are used then to bring the archbars (and hence,
teeth and jaws) together.
Last Updated 11th August 2010