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[Treatment of dysfunction of the temporomandibular joint by an occlusion splint].

At present we include under the term arthropathy of the temporomandibular joint a large group of affections of this joint. In recent years the term myofacial painful dysfunction syndrome was defined in mode detail. It is a condition characterized by its polyaetiological nature and is linked to the area of the temporo-mandibular joint and its surroundings. It is associated with pain without apparent destructive changes on the X-ray picture. In the submitted paper attention is paid to conservative treatment of painful dysfunctional muscular syndrome by means of an occulsion splint. In a group of 32 patient the advantages of the method are demonstrated.

Humans↗

[Influence of the height of the occlusion splint in the treatment of dysfunctional articular syndrome].

The authors subjected 30 patients of both sexes aged on average 35.5 years with dysfunctional syndrome of the mandibular joint to clinical and X-ray examination. As monotherapy they used a temporary occlusion splint made from resin with a vertical dimension of 2, 4 and 6 mm and investigated its effect on the regression of complaints. The best therapeutic effect and most rapid regression of complaints was recorded in the group of patients with a 6 mm spleen.

Adult↗

The postoperative nasal dressing. A new intranasal splint.

A new intranasal dressing is presented, which helps avoid discomforts caused by intranasal packings. The splint, made of polypropylene, is introduced into the nasal cavity folded like a tent, achieving a good readaptation of the mucosa and permitting breathing immediately after surgery of the septum.

Equipment Design↗

[Studies on the cybernetic aspects of occlusal splint therapy].

This study was focussed on the effects of changes in interocclusal clearance on the activity of oral muscles. Two types of occlusal splints were incorporated in 20 subjects without TMJ-syndrome. Their muscle reactions were recorded electromyographically in the masseter muscle. The results show 5 groups of muscle reaction correlated with the mean postural face height. The changed height of the postural position has a significant influence on the control pattern of the masticatory system.

Adult↗

[The treatment of mallet finger: Stack splint or tenodermodesis].

In a retrospective study the results of conservative and operative treatment of mallet fingers (n = 86) were evaluated. The results of Stack splint therapy (n = 59) were disappointing. There was a good result in only 32%. Mallet fingers associated with avulsion fracture (n = 24) give better results (42% 'good') than mallet fingers due to tendon rupture (n = 35) (26% 'good'). With operative treatment (n = 27), consisting of tenodermodesis in combination with internal Kirschner wire fixation, there was a good result in 89%. Surgery was used not only if conservative treatment failed, but also as primary therapy. In case of tendogenous mallet finger the results of surgery are significantly better than those of conservative therapy (p less than 0.00001). Based on our retrospective study we suggest that the tenodermodesis with K-wire fixation be considered not only in cases where conservative treatment fails, but also as primary treatment of tendogenous mallet finger. In mallet finger with avulsion fracture conservative treatment appears to be the treatment of choice.

Adolescent↗

Closed reduction by two-phase skin traction and functional splinting in mitigated abduction for treatment of congenital dislocation of the hip.

A method of a two-phase closed reduction using longitudinal skin traction followed by abduction was employed by the authors for treatment of children with congenital dislocation of the hip (CDH). Longitudinal traction was used for two to four weeks, depending on the child's age and the degree of dislocation. Traction in abduction required two weeks. Splinting after reduction was used with an intermediate abduction device, which allowed immediate hip function and motion without the risk of redislocation. The results of 1178 treated hips, with follow-up examinations in 809 cases, demonstrate the efficacy of this method even for completely dislocated hips. The procedure is nonaggressive, results in a low incidence of femoral head osteonecrosis (3.4%), and is suitable for children with CDH aged six weeks to about 2.5 years.

Child, Preschool↗

[Repositioning splints or bite guards: their use].

It is well known that organic and organized occlusion should be according to the patterns of mandibular motions, which are determined for T.M.J. Presence of syntomatolojy either muscular or articular must be analysed before making any definite procedure. Knowledge and application of splints is essential to odontologist of general practice, to solve that syntomatolojy.

Acrylic Resins↗

[Early functional treatment of rupture of the fibular ligament with a personally developed ankle splint].

The inversion trauma of the ankle joint is one of the most important and frequent injuries. The treatment of recent rupture of the fibular ligament is now a point for discussion. Operative or conservative treatment is possible. The clinical evaluation of instability requires radiological control and stress test. With a new ankle splint we reduce pathological inversion of the ankle joint, so that we introduce a functional treatment. Our experience with this method will be demonstrated. 45 patients more than a half year after trauma reported good-to-excellent results. The objective evaluation shows in 95% good-to-excellent results. A secondary ligament reconstruction was not necessary.

Adult↗

Occlusal splint therapy in MPD and internal derangements of the TMJ.

Although occlusal splints are useful in the treatment of MPD and internal derangements, they must be used in a rational manner. Two basic appliances are employed in Phase I palliative therapy: a maxillary full coverage (MAR) and a mandibular orthopedic repositioning appliance (MORA). The MAR is used in MPD patients primarily to disengage the occlusion and reduce parafunctional activity. In many cases of internal derangement, protrusive mandibular repositioning is indicated. By using the MORA during the day and the MAR at night, the disadvantages of each appliance are minimized.

Humans↗

Adhesive resin splint.

A technique to splint mobile anterior teeth with a chemically adhesive composite is presented.

Composite Resins↗

[The use of an intermediate splint in surgical correction of facial asymmetry].

Facial asymmetries often presents maxillary and mandibular involvement. The surgical repositioning of the maxilla in three planes of space is a must that guarantees the achievement of good function and skeletal symmetry. The Authors, looking for a more precise and correct way to quantify the maxillary movements, suggest to use an acrylic splint that guarantees the reproduction of the skeletal movements decided during the treatment planning procedures. The technique proposed, that is based on a very precise work during the model surgery, offers, as reported by the authors, good results and a significant reduction in surgery time.

Adult↗

[The occlusal bite splint and its effect on the centric relation of the maximal opening and closing movement in cases of temporomandibular joint syndrome].

Nine patients presenting temporo-mandibular joint pain-dysfunction syndrome were treated with occlusal bite splints made of acrylic resin, which eliminated premature contacts and occlusal interferences. Results were obtained with an extra-oral apparatus, of personal conception, which allowed to amplify and register maximum opening and lateral deviation in the frontal plane. The study has shown that this treatment brings: - an elimination of pain and muscle spasms - an increase in maximum opening - a decrease in lateral deviation - a marked but partial decrease in articular noises.

Dental Occlusion, Centric↗

[The use of miniature plastic splints in dentistry].

The use of the miniature plastic splint, manufactured by means of deep-drawing, is illustrated by some examples: immobilization of subluxated teeth, treatment of fractures in the maxillofacial region, wound protection.

Alveolar Process↗

[PDS splint in the treatment of fractures].

Polydioxanon-splints have been used instead of Kirschner-wires in 13 cases for the treatment of fractures of the base or head of phalanges and metacarpals and also, in conjunction with intraosseous suture wires, to stabilize the bones in replantation surgery.

Bone Wires↗

[Specific modification of Weber's splint].

The author has presented his own modification of Weber's splint. He has described its construction, he has given indications and contraindications for its utilization and he has emphasized its advantages and shortcomings.

Equipment Design↗