An arch bar
system for maxillomandibular fixation is disclosed. A contourable, trim-to-fit bar includes a series of elongated oval apertures oriented substantially parallel to the bar axis. The apertures guide wire, coated suture, or other ligatures at varied approach angles, limit vertical clearance to
resist slippage, and cooperate with intervening structural columns to distribute loads while the bar is cinched to teeth. Low-profile depending attachment features—cleats and / or J-hooks—project below the lower edge to receive interarch wire loops, guiding elastics, or other connectors. All patient-facing edges and transitions are radiused to minimize gingival and mucosal trauma. Bars may be
metal or engineered
polymer and segmentable for partial-arch use. Methods include threading ligatures through successive apertures to secure each bar and joining opposing bars at the depending features. Kits include paired bars, ligatures, interarch connectors, and tools.