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Had jaw wired shut. Having 3 fractures, hurting. What to do?

Hello, I had my jaw wired shut last week due to 3 fractures to my mandible, right now my jaw is wired shut but i got a follow up with my surgeon. There is currently a wire that fell pretty deep into my gumline and hurting to the point I want to cut my wires off but then I would have to be rushed to the hospital to get them rewired. What do I do? I have a 8 pain rating.
Asked On : Thu, 28 Feb 2013
Answers:  5 Views:  89
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Dentist 's  Response

Thanks for posting your query.

The wiring has done to immobilise the mandible to enhance healing .

I would suggest you to visit your surgeon if the wires are hurting.

Please do not cut them by yourself.

you can withstand the pain of wiring associated with gumline if possible.Slight discomfort occurs usually.

Avoid wide opening of mouth as well as jaw movements.

Hope this helps.
Answered: Fri, 1 Mar 2013
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Dentist, Oral and Maxillofacial Surgery Dr. Manmeet Singh's  Response
thnk u for the query,
iam a maxillofacial surgeon and can understand ur query very well.
to make is really simple to understand i would first say that Ur dealing with a case of Fracture which is always painful. in ur situation Ur having 3 fractures and thus are wired for the same.
Its going to be slightly diffcult 2 debate on the treatment provided to U as i havnt seen u nor the xrays.
Its a week only and still ur pain has not reduced. The reason is that Its still a fresh fracture, although a week long, Pain will remain but will regress in the coming week. Advise U to continue the analgesic that has been adivsed to U by ur surgeon. As far as the wire tht is impinging and hurting U further, U may go and get ur wires rechecked so as to get them corrected if required.
U may also Look forward for a change in analgesics if possible for pain management.
At the sametime i advise U to improve ur Nutrition which will further hasten ur Healing and thus combat pain otherwise.
Dr. Manmeet
Answered: Sat, 2 Mar 2013
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Dentist Dr. Anshumala Singh's  Response
dear friend.

thanks for sharing your concern.

i can very well understand your pain problem,but in this case you will have to revisit your dentist so that the tissue impingement can be relived.

meanwhile you can take tab combiflam 500 mg every six hourly.

i would also suggest you to visit your dentist soon as excessive undue pressure may damage the soft tissue as well as the bone.

hope you recover soon.

take care
Answered: Sat, 2 Mar 2013
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Feb 2014
Welcome to the forum.
the mandible is commonly broken down into different regions which are roughly based upon where fractures occur. The mandible regions include the following areas: the condyle, the ramus, the angle, the body, the parasymphysis and the symphysis.
CT scans are quite good at showing mandible injuries. Once the injury is documented, a number of different consultations may be requested. In general, plastic surgeons, otolaryngologist- head and neck surgeons, or oral and maxillofacial surgeons are the types of doctors and dentists that take care of jaw fractures.
One of the key problems with wiring the jaws shut is that if this is done for about a month, it becomes harder for the jaw joint to work again. The joint can become stiff and this can lead to difficulty with jaw function after the IMF hardware is removed. This is called TMJ (temporomandibular joint) ankylosis. If TMJ ankylosis occurs, a lot of physical therapy is necessary to overcome the problem – a process that can take many months. There is a special device called a TheraBite that can be used to facilitate rehabilitation after jaw fractures
I hope this information has been both informative and helpful for you.
Answered: Sat, 2 Mar 2013
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Dentist Dr. Farah Hussain's  Response
hello and welcome to HCM,

Presence of an foreign body in the periodontal tissue may lead to infection and formation of abscess so you really need to concern about it.

please do not cut any wiring at home as the wiring has been done to stabalize the fractured fragments of jaw bone , any attempt done to disturb the apparatus may distabalize the fractured parts and may worsen the condition and delay healing.

instead i would suggest you to consult your Oral surgeon and get the broken piece of wire removed by his surgical skills .

you should not avoid this the tissue impingement by the wire may lead to infection and abscess formation.

i hope this helps,

take care.

Answered: Sat, 2 Mar 2013
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