Why do some oral surgeons wire a jaw shut and other rubber band them after double jaw surgery?

Question

A surgeon I interviewed wires jaw shut for 6-8weeks after double jaw surgery. I've heard others simple are banded shut 1 week or so and then have rubber bands after. Is there a difference?

Sunil P. Sinha, DDS · Answer

This is a great question. In general it depends on how well the plates hold the bones together. In my practice we will usually place rubber band and try to plan for the plates and screws to be placed in strong bone.

Gerald Wittenberg, MSc, DMD (retired) · Answer

There is no reason at all to wire jaws anymore. Elastics are also a bit of overkill since the new techniques (20 years + in existence) fix the bones back together with pins/screws/plates. Therefore the jaws are 'solid' unless special circumstance. The surgeon has to be comfortable with his experience and approach however.

Why do some oral surgeons wire a jaw shut and other rubber band them after double jaw surgery?

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