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At least 973 records · Page 54Linked to original sources

A randomised clinical trial on the influence of splinted and unsplinted oral implants in mandibular overdenture therapy. A 3-year report.

A randomised clinical trial was performed to investigate whether there is a need or advantage to splint two implants in the mandible retaining a hinging overdenture. Furthermore, patient satisfaction was evaluated for different attachment systems retaining the overdenture. Thirty-six edentulous patients were randomised into three groups of equal size and treated with either magnets, ball attachments or straight bars (reference group). After 3 years of observation no implants were lost in any of the groups. Besides, no statistically significant differences were noted for the peri-implant outcome. Although the bar group presented the highest retention force, the general satisfaction of the patients in the three groups did not differ. The patients with bar retentions showed less prosthetic complications of the retention elements but more at the level of the denture-supporting mucosa. Finally, the clinical outcome of all groups confirms that overdenture treatment demands regular controls with limited time intervals.

Adult↗

The efficacy of a mandibular advancement splint in relation to cephalometric variables.

The efficacy of a titratable mandibular advancement splint (MAS) for the management of obstructive sleep apnea (OSA) was investigated in relation to supine cephalometric variables. Fourteen adults with diagnosed OSA were recruited following an initial polysomnogram. Supine cephalographic radiographs were taken at baseline and subjects wore the MAS nightly for 6 to 8 weeks. The polysomnogram and cephalogram were repeated with the MAS at maximal titration. The MAS resulted in complete or partial treatment response in all subjects as measured by the improvement in mean apnea/hypopnea index (AHI) (baseline AHI 34 +/- 22/hr, with MAS 10 +/- 5/hr; p = 0.001). The perpendicular distance between the hyoid bone and the mandibular plane (HYML) measured in awake subjects decreased with the MAS (baseline HYML 25.3 +/- 7.8 mm, with MAS 16.5 +/- 9.6 mm; p = 0.002). Baseline HYML was the only cephalometric variable associated with a successful clinical outcome. It was strongly linked to improvements in AHI (adjusted R(2) = 0.37, p = 0.012) and arousals (adjusted R(2) = 0.455, p = 0.005). We conclude that the MAS is an effective therapy for OSA and baseline HYML is an important predictor of improvement. Improvements in AHI may be explained by the MAS maintaining the new or existing relationship of the hyoid and its surrounding structures, thus preventing obstruction in the upper airway during sleep.

Adult↗

Resinous plate for permanent sternal splinting in patients with extracardiac conduits.

During operations on patients with extracardiac conduits, sternal reapproximation occasionally results in critical compression of the conduit and serious deterioration in hemodynamic function. Permanent splinting of the sternum with a methyl methacrylate resinous plate provides an adequate substernal space for the extracardiac conduit.

Adolescent↗

A splint for correction of congenital ear deformities.

Fourteen non-hypoplastic congenitally deformed ears were treated with a simple splint with satisfactory results in all but one. These deformities can be treated non-surgically in the early neonatal period, effectively, without anaesthetic, and with minimal cost. We confirm other reports that better results are obtained and a shorter duration of splintage is needed if treatment is started early in the neonatal period. Our neonatal paediatric colleagues and midwives should be encouraged to manage these deformities in this way, and the need for surgical correction may be largely avoided in the future.

Age Factors↗

The Fisk splint--description and assembly.

The Fisk splint, the usefulness and adaptability of which have stood the test of time is described. Assembly and maintenance are easy, and serious difficulties are seldom encountered. I recomment its more widespread use.

Fractures, Bone↗

Early weight bearing in tibial shaft fractures protected with wooden splints.

Evaluation of the rate of union of 40 adult tibial shaft fractures treated in below-knee wooden splints together with early weight bearing showed that fractures healed faster and patients returned to normal activity earlier than patients who were allowed early weight bearing in above-knee casts. Shortening was not increased.

Adolescent↗

Fabrication of a maxillary occlusal treatment splint.

A technique has been described which results in a high-quality occlusal splint by duplicating the centric relation record in acrylic resin. Each fabrication step has been thoroughly controlled. The major advantage of the technique is a reduction in clinical appointment time.

Acrylic Resins↗

Correction of anterior cross-bite using segmental osteotomies and a fixed splint.

A brief review of methods used in treating anterior crossbites has been outlined. Another approach was also presented using interdental segmental osteotomies to mobilize individual teeth and fixed splints to stabilize the realigned segments. The advantage of this treatment is the expedience with which final results can be obtained and the relative ease in accomplishing the surgical and prosthodontic procedures.

Adult↗

Cross-arch splinting with resin-bonded retainers.

The procedure described can provide innovative cross-arch splinting for patients. The longevity of resin-bonded restorations has not been determined, but the procedure is promising, economical, and reversible. These facts should be made available to patients during presentation of the treatment plan.

Composite Resins↗

Evaluation of arthrographically assisted splint therapy in treatment of TMJ disk displacement.

Eighty-two patients with audible clicking were evaluated and treated with splints made by using arthrographic assistance. In the course of this study, it became apparent that the later the opening click, the earlier the closing click. It was not always possible to auscultate or palpate either an opening or a closing click in many patients with arthrographic findings of disk displacement with reduction. Since the opening click was the only audible sound in some patients, clinical judgment alone cannot be used to replace the displaced disk at an optimal mandibular position. The elimination of the opening click does not always signify recapture of the disk. Maxillomandibular and incisal relationships limit the amount of protrusion possible to recapture the displaced disk.

Adolescent↗

Cast connectors as cores for ceramometal pontics on removable partial dentures and for splinting anterior crowns.

A cast connector is a solderless union between two metal components, an alternative to soldering. Cast connectors depend upon mechanical retention for their strength and integrity and are mostly used in repairing or adding to prostheses cast in base metal alloys. Two techniques using cast connectors are described. One is for a removable partial denture that requires the replacement of an anterior tooth or teeth incorporating diastemas or unusual surface anatomy and color variations. Stock denture teeth may not adequately replicate such teeth. A solution to the problem is to extend a porcelain-compatible base metal cast connector from the removable partial denture framework onto the pontic site. A ceramometal pontic reproducing the unusual characteristics of the natural teeth may then be placed by vacuum-firing porcelain directly onto the framework. A second technique is described whereby multiple ceramometal anterior crowns may be splinted together by creating interproximal retentive zones in the frameworks, casting connectors into the retentive zones, and proceeding with porcelain application.

Acrylic Resins↗

The use of transcranial stimulation in the fabrication of an occlusal splint.

An alternative method for fabricating occlusal splints by means of electric transcortical stimulation is presented. Ensuing results in one patient suggest neuromuscular benefits. However, the centric occlusal position determined by this method is a painful procedure because of electric stimulation on the scalp. Further and extensive investigations must be carried out to assess the clinical benefits and limits of this method.

Dental Occlusion↗

Intracoronal incisal splint.

An intracoronal incisal splint for the stabilization of mobile anterior teeth is described. Advantages of the technique are good esthetics, open embrasures and no disturbance of occlusion.

Dental Enamel↗