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At least 1,027 records · Page 57Linked to original sources
PubMed1996

A dynamic nostril splint in the surgery of the nasal tip: technical innovation.

Some types of surgery performed on the tip of the nose, such as secondary rhinoplasty on cleft lip and palate (CLP) patients, may have an uncertain end-result due to the difficulty in maintaining the surgically created status constant over time. This is precisely the reason behind the multiple proposals and surgical techniques presented by various authors through the years, in order to produce a long lasting, valid, surgical result. The problem has been approached by implementing varied and creative methods and still remains partially unsolved. Experience has shown that the application of a dynamic nasal splint has contributed efficiently to maintaining the surgical results by opposing healing contraction.

Adult↗
PubMed1998

A simple nasal splint to assist the stability of nasopharyngeal tubes in the Pierre Robin sequence associated airway obstruction: technical innovation.

Upper airway obstruction in association with the Pierre Robin sequence presents at or shortly after birth. The airway difficulty can be managed in a number of ways from postural nursing to surgical intervention with tracheostomy, however, each method has its disadvantages. A technique is described whereby the airway obstruction is relieved with the use of paediatric nasopharyngeal airways which are stabilized with an individually constructed acrylic nasal splint. This technique has been successfully applied in two cases of the Pierre Robin sequence presenting with airway obstruction.

Acrylic Resins↗
PubMed2001

Effects of Johnstone pressure splints combined with neurodevelopmental therapy on spasticity and cutaneous sensory inputs in spastic cerebral palsy.

The purpose of this study was to investigate the effectiveness of Johnstone pressure splints (JPSs) on spasticity and cutaneous sensory inputs in children with spastic cerebral palsy (CP). Thirty-four children with spastic diplegic CP participated in this study. Children whose motor development levels were similar were divided into a treatment and a control group. Each group consisted of 17 participants (six females and 11 males). Mean age of the treatment group was 48.82 months (SEM 4.42), and the control group, 47.52 months (SEM 5.27). The treatment group underwent Bobath's neurodevelopmental therapy (NDT) combined with JPSs. The control group underwent NDT alone five days a week for three months. Before and after treatments, lower-extremity passive range of motion (ROM) by goniometric measurements, spasticity by Modified Ashworth Scale (MAS), and somatosensory evoked potentials (SEPs) were measured. Passive ROM showed significant improvements in both groups (p<0.01). In the treatment group, all MAS scores increased. In the control group, the difference was significant except for values of internal rotator muscles. Improvements in passive ROM in the treatment group were significantly higher than the control group except in hip abduction and external rotation (p<0.05). MAS scores of the treatment group were significantly higher than the control group (p<0.05). SEP values increased in both groups but values of the treatment group were significantly higher than the control group (p<0.05).

Cerebral Palsy↗
PubMed1989

Treatment of auricular haematoma by silicone rubber splints.

A modification of existing techniques for the treatment of auricular haematoma is described. This method employs incision, drainage and the application of silicone rubber splints (Silastic). Existing methods of treatment are reviewed and discussed. A retrospective review of 16 cases using this technique showed a satisfactory cosmetic result in all cases.

Adult↗
PubMed2003

Morphological study of reparative processes in the gingiva during therapy of chronic periodontitis with energostim and application of orthopedic splinting constructions.

We studied morphological characteristics of the regenerative process in gingival tissues during therapy of chronic periodontitis. Energostim stimulated macrophageal reaction and promoted neoangiogenesis in the inflammatory infiltrate. It was not observed after traditional drug therapy. Energostim promoted vascularization in regenerating tissues, normalized the structure at a greater area of the lamina propria of the gingiva, and prevented fibrous and sclerotic changes. The volume of histiolymphocytic infiltrates in regenerating gingival tissues decreased after application of intradental splints.

Capillaries↗
PubMed1998

A 5-year randomized clinical trial on the influence of splinted and unsplinted oral implants in the mandibular overdenture therapy. Part I: Peri-implant outcome.

Thirty-six completely edentulous patients were enrolled for a 5-year prospective study testing the treatment outcome between splinted and unsplinted implants retaining a mandibular hinging overdenture. The patients were randomized into 3 groups of equal size depending on the attachment system used such as: magnets, ball attachments or bars (reference group). Only 1 implant out of the 72 had failed at the abutment stage. Not a single implant failed during the 5-year loading period. The accumulation of plaque was significantly higher for the Magnet than for the Ball group. Bleeding on probing, as well as marginal bone level, attachment level and Periotest values did not statistically differ among the groups, neither at year 1 nor at year 5. However, the Periotest values were significantly lower at year 5 compared to year 1 for all groups, which indicates a higher rigidity at the bone-implant interface. No correlation was found between bleeding on probing and marginal bone loss. We conclude that the connection state of 2 implants retaining a hinging overdenture did not influence the peri-implant outcome.

Adult↗
PubMed1999

Occlusion and splint therapy.

Control of occlusal contacts is important to the success of restorative dentistry. Tooth surface loss can contribute to a loss of stability in the occlusion. An occlusal splint is often part of pre-restorative management and can also have a valuable role in protecting both teeth and restorations from excessive loads and further wear.

Dental Materials↗
PubMed2005

[Individualized clinical evaluation of tooth movement. Treatment of Class II: molar splints and structural effects].

The presentation of a synoptic chart allowing a dental arch analysis and Class II correction strategy is presented and followed by a study on 30 patients in mixed dentition and 37 growing patients in permanent dentition. These patients presenting a Class II malocclusion have been treated by Class II mechanics and lower molar individualised splint enhancing the vertical lower face height and skeletal Class II correction. This study shows a good vertical stabilization of the facial planes during the treatment, a significant growth of the lower face but it is noticed a posterior rotation of the occlusal plane in the mixed dentition sample.

Adolescent↗
PubMed2001

The use of vacuum-formed splints for temporary intermaxillary fixation in the management of unilateral condylar fractures.

We report a simple, effective method of managing displaced unilateral condylar fractures with occlusal disruption using vacuum-formed thermoplastic foil splints with bonded wire cleats. The cleats enable intermaxillary fixation in the form of orthodontic elastics to be used, which guide then maintain the occlusion in centric relation. A case is presented in which this technique was used successfully.

Accidents, Traffic↗
PubMedDate not supplied

[Ultrasound control of the repositioning of hip dislocation in a child in the unstable phase of splint retention (Hanausek position)].

In CDH ultrasound control of reduction in the unstable period of the first 3 months has to be performed by an inguinal access, as the splint can not be removed for the reason of high risks of redislocation. Controls are possible whenever required, according to anglo-american techniques. Thus treatment within the first year of life may be controlled by ultrasound imaging alone. Criteria for detection of posterior and cranial redislocation as well as for the anterior positioning of the femoral head are given.

Follow-Up Studies↗
PubMed2003

Long-term stability of skeletal Class III patients treated with splints, Class III elastics, and chincup.

Long-term results from orthopedic management of skeletal Class III malocclusions are sparse. The purpose of this study was to evaluate the stability of results after facial growth and treatment with splints, Class III elastics, and chincup (SEC III) and to investigate the main determinants of relapse. Data from pretreatment, posttreatment, and long-term (at least 3 years after retention) serial cephalograms of 52 patients who received SEC III treatment were studied: only those with long-term data when growth had ceased (women over 18 and men over 21 years of age) were selected. At the end of the follow-up period (an average of 9 years), only 6 of the 52 patients had clinical relapse (overjet <or= 0). Low Wits appraisal, ANB angle, and overbite, and high SNB angle were the best predictors of relapse at the end of the treatment. Significantly greater decreases of the Wits appraisal and increases of ramus length during the follow-up were further associated with relapse. SEC III is a reliable treatment for skeletal Class III malocclusions. Long-term stability can be enhanced by a deeper overbite and the best possible skeletal correction. The results suggest that the correction occurs with no mandibular rotation but might be better with forward rotation.

Adolescent↗
PubMed2000

Guidelines for splinting implants.

STATEMENT OF PROBLEM: Teeth and implants have different mobility patterns. Thus, it has been believed that implant-supported restorations should not be connected to natural teeth. However, this is not always the case. PURPOSE: This article presents guidelines for connection of restorative components when implant abutments and natural teeth are involved. METHODS: Methods of connection are discussed. CONCLUSION: This article presents options for splinting of prosthetic components.

Clinical Protocols↗
PubMed1978

Hand orthosis for various finger impairments--the K U finger splint.

The K U (Kumamoto University) finger splint has been manufactured for the purpose of developing an effective hand orthosis for various finger impairments using simple parts and materials. By combining the W type orthosis for which piano wire is mostly used, and the S type for which fishing line is mainly used, it has been used to good effect on patients with several kinds of finger impairments. The fabrication and adjustment of the orthosis is simple and if the material is in kit form, a doctor or an occupational therapist can at once construct one and give it to a patient. For this reason, the patient will not lose the chance of timely treatment.

Fingers↗
PubMed1989

The bonded visible light cured appliance intermediate splint therapy for the temporomandibular joint patient.

The purpose of this article is to trace the history of cemented segmental occlusal splints and to show how the visible light cured (VLC) materials available today remove the disadvantages caused by the material used in the past. The author felt that the advantages of these VLC materials make this appliance a viable choice when repositioning appliances are part of a treatment plan. Because of the technique sensitivity of all procedures involving VLC materials, a step by step technique outline was included in the article. Three cases are shown to help the reader visualize the use of this generation of fixed TMJ appliances.

Dental Bonding↗
PubMed1990

Correction of mandibular asymmetry with the ligated anterior repositioning splint.

Mandibular asymmetry may be the result of unequal ramus height, unequal corpus length, or a combination of both problems. The diagnosis of asymmetry is essential in treatment planning, since a number of therapeutic options must be considered in the treatment to a seated condylar position in the glenoid fossa. When asymmetry exists, it may be necessary to: accept finished treatment with the mandibular midline to the right or left of the maxillary midline, finish the molars and canines in an end-to-end relationship on the short side, treat with asymmetric extractions, intervene surgically, or use functional appliances to enhance greater growth or remodeling of the mandible on the short side. The purpose of this study was to assess the effect of the ligated anterior repositioning splint, or LARS, in the correction of mandibular asymmetry in Class II patients.

Activator Appliances↗
PubMed1993

The significance of posterior open bite after anterior repositioning splint therapy for anteriorly displaced disk of the temporomandibular joint.

Spontaneous posterior open bite was observed in 15 patients after the application of anterior repositioning splints in the treatment of anteriorly displaced disk. Recapture of the disk after treatment was clinically diagnosed in five patients. Arthrography performed on 10 patients with open bite revealed a completely recaptured disk in four patients, an anteriorly displaced disk without reduction in four patients, and an anteriorly displaced disk with reduction in two patients. This suggests that recapture of the disk in the correct position at mouth closing should be a major cause of the posterior open bite in patients who have a relatively short duration of locking and successful mandibular manipulation. Although the cause of posterior open bite with the persistently displaced disk is still unclear, an increase in the posterosuperior joint space by the posterior open bite appears to eventually produce favorable effects to joints with anteriorly displaced disks.

Adolescent↗
PubMed1994

The use of magnetic resonance imaging to determine splint position in the management of internal derangements of the temporomandibular joint.

Internal derangements of the temporomandibular joint (TMJ) can elicit symptoms of pain, clicking and noises described subjectively as popping, grinding or grating. These symptoms may be the precursor of a more severe disease process such as degenerative joint disease (DJD) or osteoarthritis. The most common factor predisposing to degenerative changes within the TMJ is a displaced meniscus. Maintenance of a proper anatomic meniscal-condylar relationship is essential in preventing DJD. In the past, non-surgical treatment utilizing intraoral orthotic devices has been attempted to "recapture" the meniscus. The position of the meniscus was then evaluated merely by clinical examination due to the lack of modalities available to verify the meniscal position. The advent of magnetic resonance imaging (MRI) has changed this scenario. The meniscal position can now be visualized, thus enabling the practitioner to treat patients more effectively. Three case reports are presented in this study demonstrating the use of splint therapy utilizing MRI to determine meniscal position.

Adult↗