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
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, this settles quickly.

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 to
bring the
archbars (and hence, teeth and jaws) together.
Last Updated 10th May 2011