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[Evaluation of the treatment effect for bruxism by using myomonitor and occlusal splint].

OBJECTIVE: To evaluate the treatment effect of bruxism by using myomonitor and occlusal splint therapy. METHODS: By using EMG, audiocontrolled recorder and myollectronic recording device to record and analyse the muscles functional state before and after treatment. RESULTS: Splint therapy was more effective than the myomonitor did, such as teeth grinding stopped in 12 cases to 1 case, grinding time decreased in 13 cases to 10 cases and no significant effect in 2 cases to 17 cases. SPD and V/T curve slope of muscles decreased. CONCLUSION: This indicates that the functional state of masticatory muscles got improved. Splint therapy is one of the effective treatment method for bruxism.

Adult↗

Pneumatic splints: fabrication and use in neurorehabilitation.

Asymmetrical tone and weakness in antagonistic muscles often result in misalignment of joint, contractures and deformities. Traditional static splints used to prevent these complications are expensive, have to be custom made and cannot be used when deformities are marked. Authors describe fabrication and use of pneumatic splints, which are economic, safe and easy to apply. These splints have wide application in the management of common medical problems in neurological rehabilitation like hypotension, edema, pain, spasticity and early deformities.

Air↗

[Pneumatic medical splints made of polymeric materials for immobilizing the extremities].

For rendering temporary medical aid in various kinds of traumas pneumatic medical splints are of an ever wider use. These are inflated double-layer air-tight filmy chamber-like sheathes forming a slip-cover around injured limbs of the victims, or around their cervical vertebrae. A review of the existing foreign and Soviet-made specimens of the splints has shown that, as regards their functional purpose and film material employed, they form several types, including uni- or multisectional, shaped, split and solid, reinforced and non-reinforced, etc. The pneumatic splints have a number of advantages, the one of them being the fact that can be quickly used for rendering help or self-help in the field.

Air Pressure↗

A low-tech alternative to static progressive wrist extension splinting: the wrist extension strap.

The authors have found that for best results, a wearing time of 1 hour 3 to 4 times a day is desired. Similar to many splints designed to increase range of motion, there is some functional loss during wearing time. Application of the splint should be scheduled appropriately around functional activities. Based on clinical experience, the authors have found this splint is easy to fabricate, cost-effective, and relatively comfortable.

Equipment Design↗

Orthodontic finalization following therapy with an anterior repositioning splint.

After phase I splint therapy for the management of posterior condylar displacement, it is not unusual to find that a posterior open bite has been created. Finalization of a new occlusal position may be effected via occlusal equilibration, prosthodontics, orthodontics, orthognathic surgery, or a combination of these procedures. Stabilizing the occlusion with orthodontics in the new orthopedic jaw position requires a systemic approach. This article outlines a strategy for orthodontic finalization in phase II therapy. The splint-guided position is maintained while intra-arch and interarch malocclusions are corrected. The objective in treatment of posterior condylar displacement via splint therapy and orthodontics lies in the provision of a sound condylar position and the movement of the teeth and mandible into a stable and esthetic position.

Adolescent↗

[Experience with evicrol splints after eighteen months of use (author's transl)].

The authors, after discussing the general importance of the use of splints in parodontological therapy, give a detailed description of the manufacture of composite splints. The experience and results obtained after eighteen months of use of fifteen splints are discussed and compared with data reported in the international literature.

Acid Etching, Dental↗

The figure-of-eight splint for proximal interphalangeal joint volar plate injuries.

Volar plate disruption of the proximal interphalangeal (PIP) joint is a common hand injury. Management of this injury must provide stability and motion to avoid disabling instability or stiffness. In this study, 40 patients with closed PIP joint volar plate injuries were treated with the figure-of-eight splint, a custom made, thermoplastic splint that allows protected joint motion. At two-year follow-up, 95% of these patients experienced good or excellent results. The figure-of-eight splint offers a simple and effective method of treatment for volar plate injuries of the PIP joint.

Equipment Design↗

[Lesions of zone II flexor tendons: splints and rehabilitation].

Rehabilitation of the hand after flexor tendon injuries in zone 2 is a challenge for both surgeons and therapists. Prevention of adherences is based on early controlled motion programs. Two different and therefore often complementary protocols are presented: 1. Kleinert: an active extension--passive flexion method; 2. Duran: a controlled passive method, as well as the splints required at this early stage of reeducation. The angles of flexion for the wrist and the metacarpal joints are discussed. When the splint is removed, active exercises and activities are proposed according to the interval from the operation and up to return to work. Static splints used to promote analytic movements, and dynamic ones used against stiffness are shown. Treatment of scar is also demonstrated.

Combined Modality Therapy↗

The use of a resin-bonded fixed splint in periodontally compromised mandibular anterior teeth: a case report.

In the treatment of patients with severe periodontal disease, it is becoming possible to re-establish a healthy and well-functioning dentition through interdisciplinary dental teamwork. This article presents a case using a resin-bonded splint for stabilizing periodontally compromised mandibular anterior teeth after orthodontic treatment. A 30-year-old woman came to the authors with severe periodontitis, which had resulted in spacing of the anterior teeth and tipping of the posterior teeth. Periodontal-orthodontic treatment was combined with prosthodontic reconstruction, and a resin-bonded splint extending from canine to canine was placed for postorthodontic stabilization of the periodontally compromised teeth. No debonding of the splint occurred, and no further periodontal invasion was found in this case after 4 years of follow-up.

Adult↗

Splinting for adaptation of musical instruments.

Classic instrument design does not always match the physical capacity of the musician, as instruments are often chosen because of the pleasing sound and not the ease of play. Devices that are commercially available to create a more ergonomic structure may not address the specific needs of a musician with a chronic condition. Through basic splinting of the musician with an injury, these physical stressors can be reduced, allowing the continuation of musical practice and performance. Appropriate design modification requires a solid understanding of upper extremity anatomy, splint design technique, and the biomechanic principles of playing the instrument. Through knowledge of music theory and appreciation, one may modify the instrument while protecting tonal flexibility, resonance, mechanical freedom, and sound quality. Two case studies present a range of splint design, from small to large, static to dynamic, and for congenital or chronic conditions.

Adaptation, Physiological↗

[Delayed sternal closure; a simple sternal splint].

A simple and inexpensive sternal splint for delayed sternal closure was described. Sternal edges were splinted open using an edge-cut disposable syringe. This method has been employed successfully in 10 patients (one adult, 9 children). This syringe splint is a simple, inexpensive and effective method for delayed sternal closure.

Child, Preschool↗

[Heat-moulded plastic splint for the nose].

The authors present a very simple and very comfortable splinting device for use after rhinoplasty. It consists of a splint made from malleable plastic which can be moulded by soaking in water at 60 degrees C, allowing perfect modelling to the shape of the nose. This splint is held in place by means of Velcro bands which offer remarkable flexibility of use.

Hot Temperature↗

Tips of the trade #41. Modified coaptation splint for humeral shaft fractures.

A technique for applying a modified coaptation splint for humeral shaft fractures is presented. Using this method, the splint extends from the base of the neck, passes over the shoulder and along the front and back of the arm, and returns toward the axillary fold. To prevent slippage, the proximal end of the splint is secured to the chest with a strap.

Humans↗

Abutment teeth with extracoronal attachments: the effects of splinting on tooth movement.

This in vitro study investigated the effects of splinting on abutment tooth movement when loads were applied to a removable partial denture framework with extracoronal attachments. The abutment tooth movements occurring in the vertical, frontal, and sagittal planes were measured with a kinesiograph modified for the purpose. It was demonstrated that splinting abutment teeth resulted in a significant decrease in the mesiodistal and buccolingual movements of the distal abutment under vertically applied loads. The direction of the abutment tooth movement was related to the type of loading and was unaffected by splinting. Bilateral loading produced significantly less movement of the single abutment tooth mesiodistally and buccolingually than unilateral loading.

Chi-Square Distribution↗

[Conservative therapy of mandibular fractures in children with operatively secured splints].

In the treatment of mandibular fractures in children offering no adequate possibility for attaching splints to the teeth, we use prosthetic splints fixed with four circumferential wires. This monomaxillary fixation is sufficient to stabilize fractures of the mandibular anterior segment. Fractures situated distal to the canines require additional intermaxillary fixation, i.e. zygomaticomaxillary suspension of the mandible. When functional therapy is needed at the same time, we use an activator instead of the prosthetic splint. 59 patients treated in this way were reevaluated within a period of 10 years. The results of this reevaluation are reported.

Child↗

[New methods for splint construction for dysfunctional patients].

The use of the splint is a very important step in the treatment of the dysfunctional patient. Considering the construction of the bite, beside the two usual procedures: a direct and indirect method with the different steps of the laboratory, we can realize a mixed one which all the advantages without the defects of both. That is made possible by the use of the new photopolimerizing resins, and by using the articulator with rapidity in the manufacturing and high quality of the splint, avoiding the steps of the laboratory. The methods are described in the different aspects until the final preparation of a repositioning splint.

Acrylic Resins↗