SEARCH · PubMed Health

Results for “Splints”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 325 records · Page 18Linked to original sources

PubMed1991

Mandibular alveolar ridge extension method using a surgical splint with porous hydroxyapatite (HAP) particles.

The mandibular alveolar ridge extension method is a surgical technique to extend the alveolar ridge up to the required level. Using a surgical splint prepared to meet the clinical requirements establishes the desirable alveolar ridge extension with porous hydroxyapatite (HAP) particles. Before the operation, a working cast of the extremely resorpted mandibular alveolar ridge is remodeled into its desired shape with paraffin wax, and the extended surgical splint is cured by clear acrylic resin. After subperiosteal tunnel dissection, the surgical splint is fixed to the mandible with circummandibular ligatures; then the HAP particles are injected into the tunnel. After healing, a treatment denture is cured between the artificial dentition and the surgical splint with self curing resin. In this method, the HAP particles are injected into the subperiosteal tunnel that is created between the surface of alveolar bone and the periosteum covered by the surgical splint; the migration of HAP particles completes the extension of the alveoral ridge.

Alveolar Ridge Augmentation↗

PubMedDate not supplied

Effects of lateral rotation splinting on lower extremity bone growth: an in vivo study in rabbits.

To study the effect of lateral splinting on limb development, 14 immature rabbit femurs and tibias were marked with six parallel pins. Of these, the lower limbs of seven rabbits were splinted in lateral rotation for 3 weeks (1-year human equivalent). The static position of the foot in the splinted group was 23 degrees more lateral (p greater than 0.05) than in the control group. No significant difference was found in the axial alignment of the pins across the growth plate or diaphyses between the splinted or control groups. This study suggests that night splinting alters the joint relationships and not the shape of the femur or tibia.

Animals↗

PubMed1991

Carpal tunnel syndrome: objective measures and splint use.

One hundred five adults with carpal tunnel syndrome (CTS) were studied to assess the efficacy of a neutral-angle wrist splint, and to identify criteria for splint referral. Ten observations before and after treatment were analyzed with descriptive and inferential statistics. After splint use, 67% of the subjects reported symptom relief. T-test comparison of sensory latency of values before and after treatment indicated improvement for the total group. Chi-square and t-tests failed to reveal significant differences between relief and no-relief groups for gender, affected hand, presence of concomitant conditions, duration of symptoms before treatment, age, length of time between pretreatment and posttreatment nerve conduction testing, initial nerve latency of motor and sensory fibers, or the difference between pretreatment and posttreatment sensory latencies. A significant difference was found for motor latency; the relief group improved and the no-relief group deteriorated. Data suggest that splinting is most effective if applied within three months of symptom onset. Those with damage to the wrist structures or median nerve were least responsive to splinting.

Adult↗

PubMed1990

[Long-term splinting of a traumatic upper permanent incisor with root fracture: report of a case].

Splinting was administered in a case of a traumatic upper right permanent incisor with root fracture. The patient was a boy, 11 years and 10 months old. The radiographical examination indicated that the injured tooth, that had already completed the apical growth, fractured horizontally at the middle 1/3 part of root. Clinical findings showed severe mobility of the coronal fragment of the injured tooth and a small amount of bleeding from the gingival sulcus, but there was almost no disposition of the coronal fragment and it was found to be vital in the electric pulp test. Immobilizing the coronal fragment of the injured tooth with the resin splint bonded directly to the tooth surfaces was prescribed. After 31 months, the pulp of the injured tooth remained vital, and after the elimination of the line of fracture and no symptoms of ankylosis were radiographically confirmed, the splint was then removed. From the case reported above the following implications were obtained: Although the previous investigators reported that the term of splinting teeth with root fractures was for 2-3 months, and prognosis of the injured teeth with root fractures having severe mobility of the coronal segments might be unfavorable, it was also indicated that the healing process by calcification might be possible with the use of long term splinting, as the pulp remained vital. In this case, it was found that the repair by calcification appeared initially on the proximate portion of the pulp at the fractured line, and slowly proceeded into the direction of the site of the outer surface of the root along the fractured line.

Child↗

PubMed1990

[Biomechanically optimized construction of occlusal splints and subjective evaluation by probands].

In a double blind study twelve class I probands received occlusal splints with six different customized anterior guidances. The subjective feelings were rated using a psychologic scale. It was shown, that splints with a large "a" were better rated than splints with a small "a". "a" is the radius of the maximal curvature of the sagittal anterior tooth curvature. The transition between positive and negative ratings was very sharp and localized at the individual "a". These results suggest that occlusal splints can be optimized by including customized anterior guidances. A detailed technical description of the manufacturing of these splints is given.

Consumer Behavior↗

PubMed1990

Postoperative splinting of the pediatric upper extremity.

The protective splint described above provides appropriate immobilization and protection for our postoperative pediatric population. The major advantages of this splint over plaster of paris include direct access to the wound, easy reapplication, and unnecessary use of the plaster-cast saw. In addition, thermoplastic splints are lightweight, less bulky, more durable, water-resistant, and easily remolded. The therapist's approach to the patient and parents is of utmost importance and will affect the outcome of the splint. In conclusion, postoperative pediatric splinting can be a challenging experience that requires a significant amount of patience, knowledge, and creativity on the part of the hand therapist.

Age Factors↗

PubMed1989

[Application of occlusal splint for the patient with temporomandibular joint dysfunction. An application of silane coupling treatment: a case report].

The bite plane therapy has been one of the most useful treatment methods for patients with temporomandibular joint (TMJ) dysfunction. But the bite plane usually causes esthetic and articulation disturbances and it is occasionally difficult to use during mastication. The authors have fabricated a new type of bite plane, named occlusal splints, which covers each side of the premolars and molars. The occlusal splint was constructed by a hard-resin for the occlusal part and cast clasps for the retentive part and these parts were adhered after a pre-treatment of metal by the use of a silane coupling agent (Silicoater system). The patient was a 35 year-old man, with a chief complaint of left side reciprocal TMJ clicking. The anterior repositioning type of bite plane was applied for the treatment with the diagnosis of anterior disk displacement with reduction. But he complained of esthetic and articulation disturbances especially during working and eating. After four months we fabricated an occlusal splint that can be used for a long period of time. The patient was satisfied to use this occlusal splint and no symptoms of TMJ dysfunction were found with this appliance. It is suggested that the occlusal splint consisting of a hard-resin and cast clasps is a useful appliance especially for the purpose of use during working and eating, and for evaluating the properness of mandibular position.

Adult↗

PubMedDate not supplied

[A new method of dental splinting].

A wire splint and the technique of its application for jaw immobilization is described. Stainless steel wires 0.7 to 1 mm in diameter are used to form the smooth and looplike parts applied to dentition in such a manner that loops be located closer to gingival margin and smooth part be situated in the vicinity of incisive margins of the teeth. Usually, the smooth part is an extension of looplike part of the splint and serves to embrace the lateral teeth into the splint. Both ends of the smooth part can be twisted together. The results of clinical application of the splint are compared to most common techniques and suggest major advantages of the novel splint.

Dental Occlusion↗

PubMed1983

Splint therapy for trigger finger in children.

During the last 9 years, 83 trigger digits in 65 children were treated using a modified coil spring splint which maintains the interphalangeal (IP) joint in neutral extension or hyperextension. Sixty-two digits (75%) were completely healed following splint therapy alone, after an average period of splinting for 9.4 months. Eight digits which did not improve with splinting were surgically treated. Splint therapy to maintain the IP joint in neutral extension or hyperextension proved markedly effective in our series.

Child↗

PubMed1995

A randomized clinical trial of intraoral soft splints and palliative treatment for masticatory muscle pain.

Thirty subjects seeking treatment for masticatory muscle pain at a university-based TMJ clinic were randomly assigned to soft-splint, palliative-treatment, and no-treatment groups. After 4 to 11 weeks of treatment, subjects were evaluated for changes from their baseline levels of symptoms, maximum pain-free opening, pain thresholds measured by a pressure algometer, and occlusal contacts. With the use of the multivariate analysis of variance and analysis of covariance, the results suggest that the soft-splint group had statistically significant improvement (P < .01), the palliative-treatment group had improvement that was not statistically significant, and the no-treatment group had a slight aggravation of symptoms. The soft-splint group had fewer occlusal contact changes assessed with shimstock compared to the palliative-treatment and no-treatment groups. The findings of this study suggest that the soft splint is an effective short-term treatment for reducing the signs and symptoms of masticatory muscle pain in patients, and the soft splint does not cause occlusal changes.

Adolescent↗

PubMed1995

Retention of teeth with reduced root length through use of a resin-bonded splint: a case report.

Orthodontic relapse and tooth migration are commonly observed in patients with severe postorthodontic root resorption. If conventional removable retention is not adequate, fixed splint retention is necessary. Proponents of flexible splints suggest that the difference in mobility between natural teeth and the rigid systems is responsible for the loss of cement seal in the rigid systems. Proponents of rigid splints suggest that the flexibility that allows physiologic movement of the teeth also contributes to fatigue and subsequent failure of the material in the flexible splint systems. A clinical technique for increasing retention, consequently improving the prognosis of a resin-bonded fixed splint, is described.

Adolescent↗

PubMed1995

Evaluation of acupuncture and occlusal splint therapy in the treatment of temporomandibular joint disorders.

One hundred patients showed signs and symptoms of temporomandibular joint disorder, were participated in a one year follow up study. The patients were randomly divided into four groups: Acuhealth treatment (group A), occlusal splint therapy (group B), Acuhealth and occlusal splint therapy (group C), and control (group D). Each group comprised 25 patients. The patients were examined before and 3, 6, and 12 months after treatment. At the three month evaluation, the patients who were not satisfied with the treatment outcome were offered additional treatment. The result showed that 87% of the patients treated by Acuhealth unit, 77.3% of the patients treated with occlusal splint therapy, and 91.3% of the patients received Acuhealth and occlusal splint therapy were improved subjectively and clinically after 3 months follow-up. The patients who responded well to treatment initially also responded well in the long run. The study showed that the Acuhealth unit proved to be an ideal early therapy for TMD, and complemented later with occlusal splint.

Acupuncture Points↗

PubMed1997

Suture splint: an alternative for luxation injuries of teeth in pediatric patients--a case report.

Stabilization of replanted tooth "splinting" is done to prevent further damage to the pulp and periodontal structure during the healing period. Suture and bonded resin splint is passive, semirigid and functional splint. It is easy to fabricate directly in mouth without lengthy laboratory procedures. A case is presented in which suture and bonded resin splint was performed on laterally luxated maxillary central incisor and avulsed lateral incisor. The splint was removed after one week and sufficient periodontal and gingival healing was observed.

Adolescent↗

PubMed1998

[Short-term effects of the Michigan splint on muscular and joint pain].

BACKGROUND: In 1966 Ramfjord and Ash proposed the Michigan's splint that, at present, is one of the splints widely accepted for the treatment of craniomandibular disorders (CMD). METHODS: For this study, thirty-one subjects were examined according to the protocol of the European Academy of CMD; each patient indicated the intensity of pain using a Visual Analogue Scale (VAS). After therapy with Michigan's splint, the visit was repeated and the patient indicated again the VAS. RESULTS: The results showed that the splint has short-term benefit effects on the muscular and articular pain, even if the effects are lesser on the articular pain. CONCLUSIONS: The Michigan's splint is a valid device for therapy of CMD, moreover it is very cheap, very easy to use and without contraindications.

Craniofacial Dysostosis↗

PubMed1984

EMG response to alteration of tooth contacts on occlusal splints during maximal clenching.

Maximum clenching on an equilibrated occlusal splint yielded an increase of 17% in overall muscle activity over that of maximum intercuspation contributed mainly by masseter muscles. Maximum clenching on an anterior occlusal splint yielded a decrease of 13% in overall muscle activity compared with that of an equilibrated occlusal splint. When maximum clenching was performed with six left-sided teeth removed from contact while the left second molar remained in contact, there was no significant change in muscle activity when compared with that of an equilibrated occlusal splint. When left-sided muscles were compared with right-sided muscles for the same situation, there was no significant change. When maximum clenching was performed with all left-sided teeth removed from contact, there was a decrease of 21% in overall muscle activity compared with that of an equilibrated occlusal splint. When left-sided muscles were compared with right-sided muscles for the same situation, there was no significant change. Changes in the number of tooth contacts did not cause changes in the overall muscle activity during maximum clenching. Changes in the position of the tooth contacts altered the overall muscle activity during maximum clenching. Changes in occlusal contact symmetry did not cause changes in symmetry of muscle pairs during maximum clenching. Unilateral support produced the subjective response of pressure on the contralateral TMJ during maximum clenching.

Bite Force↗

PubMed1999

Optimum duration of splinting after endopyelotomy.

OBJECTIVE: Endopyelotomy is a well-accepted modality of treatment for pelviureteral junction (PUJ) obstruction, but the time period of stenting is debatable. The present study was aimed at evaluating the optimum duration and effectiveness of splinting after endopyelotomy. PATIENTS AND METHODS: Twenty-nine consecutive patients with primary PUJ obstruction were randomized to have an external splint (for economic reasons) for 2 weeks or 4 weeks. Thirteen patients in each group were available for evaluation. The groups were comparable in age, sex, symptoms, and preoperative glomerular filtration rate (GFR). All patients underwent antegrade endopyelotomy with placement of an 8F-12F polyethylene splint across the PUJ. A nephrostogram was performed after removal of splint at 2 or 4 weeks. Nondraining units were managed by putting in a 6F double-J stent for 6 weeks and considered failures. Patients were evaluated at 3, 6, and 12 months for symptomatic improvement, change in GFR, and drainage pattern on a diuretic renogram. RESULTS: At 1 year, a nonobstructed curve pattern was seen in 70% and improvement in GFR in 54% of the patients in the 2-weeks group, whereas in the 4-weeks group, these values were 54% and 39%, respectively. All patients in the 4-weeks group and 90% of those in the 2-weeks group were symptom free at 1 year of follow-up. Morbidity in terms of tube-related complications was comparable. CONCLUSION: Two weeks of splinting is as effective as 4 weeks in the successful outcome of endopyelotomy.

Adolescent↗

PubMed1984

Distal splint bone fractures in the horse: an experimental and clinical study.

An experimental and clinical study to investigate the aetiology of distal splint bone fractures is described. In vitro, extension of the fetlock did not appear to alter the position of the distal ends of the splint bones, although tension in the interosseous tendons increased. Flexion of the fetlock resulted in slight outward displacement of the distal ends of the splint bones. It is suggested that concurrent desmitis of the suspensory ligament can cause movement of the ends of the splint bones thus predisposing to a fatigue fracture. In a clinical study of 87 horses, 114 splint bone fractures were identified. In at least 70 per cent of horses, suspensory desmitis was present. Follow up information was available in 24 horses in which more than 80 per cent of the fractures healed spontaneously. Non-union fractures were not painful and did not cause lameness.

Animals↗

PubMed1981

Microscopical splint epididymovasostomy.

Splint epididymovasostomy is a new approach in operative andrology. In 23 rats, a microscopical splint epididymovasostomy was done in two groups 40 days after sterilization using 5/0 polyglactic acid and 5/0 plain-catgut as a splint. 28 anastomoses could be evaluated. 3 months later, in 2 of the 16 animals (12.5%), spermatozoa were detected in the ejaculate after electro-ejaculation. In six of the specimens (27.3%), the methylene blue given from the vas deferens passed into the epididymis. The patency of these was also proved histopathologically. The catgut splints were absorbed within 3 months. Microscopical splint epididymovasostomy shows that this method can lead to a free passage of the spermatozoa.

Animals↗