. The Dental cosmos. ng over Bartonbandage. by padding and trimming the cut pieces can again be fastened in placewith adhesive strips or by means of abandage. WIRE LIGATURES. Wire ligatures passed around the teethis the next form of treatment, in pointof simplicity, employed to a considerableextent by the general surgeon. Gilmerof Chicago first advocated in 1887 fixa-tion of the fragments by attaching thelower to the upper teeth by means ofwires. Methods of intermaxillary lacingare described by Pickerill and have the advantage of ease of ap-plication, and are no doubt eff
. The Dental cosmos. ng over Bartonbandage. by padding and trimming the cut pieces can again be fastened in placewith adhesive strips or by means of abandage. WIRE LIGATURES. Wire ligatures passed around the teethis the next form of treatment, in pointof simplicity, employed to a considerableextent by the general surgeon. Gilmerof Chicago first advocated in 1887 fixa-tion of the fragments by attaching thelower to the upper teeth by means ofwires. Methods of intermaxillary lacingare described by Pickerill and have the advantage of ease of ap-plication, and are no doubt efficient inthe hands of their advocates, but theiruse seems to be limited to cases in whichthe teeth and occlusion approach perfec- IVY.—FIXATION IN TREATMENT OF FRACTURES OF THE MANDIBLE. 263 tion. and in which there is no difficulty Arbuthnot Lane for fractures of otherin reducing the fragments. bones. In my experience such methods Angles bands can be readily applied, have no place in the treatment of frae- Fig. Radiograph of double fracture of mandible in front of the first molar on each side, show-ing Lanes steel plates in position. (Note the failure to adjust the fragments, as shownby position of first molar.) and adequate fixation secured wherethere is little tendency to displacement. WIRES AND PLATES. Holding the fragments by means ofwires passed through holes drilled in thebone is advocated by seme sometimes employ silver platesor the steel plates devised by Mr. tures of the jaw. and I can rememberseeing at least three cases in which thesemeans failed in the hands of competentsurgeons; the wires or plates had to beremoved without union having takenplace, and the cases were complicated byextensive infection. Success in thesecases followed treatment by intermax-illary splints, though the cure was con-siderably delayed owing to the first 2f>4 THE DENTAL COSMOS. method of treatment. The mandible, ascontrasted with oilier bones, cannot besufficiently i
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