Gaujac, CristianoCeccheti, Marcelo M.Yonezaki, FredericoGarcia Júnior, Idelmo Rangel [UNESP]Peres, Maria Paula S. M.2014-05-272014-05-272007-10-01Journal of Oral and Maxillofacial Surgery, v. 65, n. 10, p. 1922-1925, 2007.0278-2391http://hdl.handle.net/11449/69900Purpose: This study was conducted to comparatively evaluate, in a prospective and randomized manner, 2 techniques for providing double-gloving protection during arch bar placement for intermaxillary fixation. Materials and Methods: A total of 42 consecutive patients in whom application of an Erich bar was indicated for intermaxillary fixation were equally divided into 2 groups. In group 1, 2 sterile surgical gloves were used; in group 2, a nonsterile disposable inner glove was used under a sterile surgical glove. Wilcoxon, Mann-Whitney, Kruskal-Wallis, and binomial statistical tests were used to analyze the findings. Results: A total of 103 perforations were found in the outer gloves (47 in group 1 and 56 in group 2), along with 5 perforations in inner gloves in both groups (α = .01). No significant statistical difference was found between groups in terms of inner glove perforations (α = .05). The nondominant hand presented with 70.9% of the perforations, statistically significant to 1%. Conclusions: Both double-gloving techniques were found to provide effective clinician protection. The use of a nonsterile disposable glove under the surgical glove is possible for less-invasive procedures, offering the same safety as using 2 sterile surgical gloves while decreasing operational costs. This method does not eliminate the need to change gloves when a perforation is suspected or noted during the surgery, however. © 2007 American Association of Oral and Maxillofacial Surgeons.1922-1925engalveolar bonearch bar placementclinical trialcontrolled clinical trialcost controldisposable equipmentdouble gloving techniqueequipment designglove perforationiatrogenic diseaseinstrument sterilizationintermaxillary fixationminimally invasive surgeryprospective studyprotective equipmentrandomized controlled trialstatistical analysissurgical glovesurgical techniqueDisease Transmission, Patient-to-ProfessionalDisease Transmission, Professional-to-PatientEquipment FailureFracture Fixation, InternalGloves, SurgicalInfection ControlMaxillaMotor SkillsOral Surgical ProceduresProspective StudiesStatistics, NonparametricWounds, StabArtigo10.1016/j.joms.2006.06.311WOS:000249939000003Acesso restrito2-s2.0-345486810078843503367647381