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David Schneider, Manuel Sancho-Puchades, Goran I Benic, Christoph Hf Hämmerle, Ronald E Jung
The objectives of this study were to compare conventional and computer-assisted implant planning and placement (CAIPP) protocols regarding surgical planning predictability, intraoperative complications, and patient-centered outcomes. Partially edentulous patients (N = 73) were randomly allocated to one of three treatment groups: control (C, n = 26), with preoperative planning based on conventional radiography and freehand implant placement; and test 1 (T1, n = 24) and test 2 (T2, n = 23), with two different CAIPP protocols...
2018: International Journal of Periodontics & Restorative Dentistry
Angela Pia Cazzolla, Graziano Montaruli, Nunzio Francesco Testa, Gianfranco Favia, Maria Grazia Lacaita, Lorenzo Lo Muzio, Domenico Ciavarella
Background: Mandibular condylar fractures commonly occur after trauma and account for 25 to 35% of all mandibular fractures; its appropriate therapy still remains a point of controversy in children. The purpose of this paper is to describe the treatment of an 11-years-old male patient affected by neck-condylar fracture as result of trauma in evolutive age. Methods: No surgical treatment was performed. A functional therapy was applied with a jaw splint. A closed treatment for mandibular condyle fractures was preferred because the amount of condylar displacement wasn't considerable...
April 2018: Journal of Oral & Maxillofacial Research
Thara Maria Joseph, R Ravichandran, S Lylajam, Prasanth Viswabharan, Kavitha Janardhanan, Smitha Rajeev
Background: Prosthesis misfit plays an important role in complications such as occlusal and abutment screw loosening and fracture in implant restorations. Reproducing the intraoral relationship of implants through impression procedures is the first step in achieving an accurate, passively fitting prosthesis to ensure maximum accuracy. Hence, splinting of multiple implants with most accurate material may be a valid option. Context: The results of splinting multiple implants are always inconsistent, and there is limited literature available to compare the accuracy of impression techniques as well as materials...
July 2018: Journal of Indian Prosthodontic Society
Céline Klein, Yassine Bulaid, François Deroussen, Marie-Christine Plancq, Camille Printemps, Richard Gouron
Congenital knee dislocation (CDK) is a rare condition, and its treatment is subject to debate. Here, we report on a new treatment for CDK (using a hexapod-type external fixator, HEF) in a three-year-old child with Larsen syndrome and grade III anterior dislocations of both knees. The left knee was treated with serial splints, whereas an HEF was used to treat an irreducible dislocation of the right knee. Two HEF aluminium rings were applied surgically. The procedure involved a distraction of the knee, then tibial posterior translation, and lastly progressive flexion...
August 12, 2018: Knee
Juan Antonio Garcia-Rodriguez, Peter David Longino, Ian Johnston
No abstract text is available yet for this article.
August 2018: Canadian Family Physician Médecin de Famille Canadien
Jakub Hadzik, Maciej Krawiec, Paweł Kubasiewicz-Ross, Agata Prylińska-Czyżewska, Tomasz Gedrange, Marzena Dominiak
BACKGROUND Short dental implants are considered an alternative method of treatment to the maxillary sinus elevation and bone augmentation procedure at the sites of a reduced alveolar ridge height. The aim of the study was to determine the most effective therapeutic approach for a single tooth replacement in a reduced maxillary alveolar crest. MATERIAL AND METHODS We enrolled 30 partially edentulous patients having a residual crestal height of 6 mm and a minimal width of the alveolar ridge of 6-7 mm: 15 patients received regular dental implants (OsseoSpeed™ L11 Ø4 mm and L13 Ø4 mm) and the implantation was preceded by the sinus lift procedure from a lateral window approach with the application of a xenogeneic bone graft, whereas the remaining 15 patients received short implants (OsseoSpeed™ L6 mm Ø4 mm) without the sinus lift and augmentation procedure...
August 14, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Daniel Neu, Grégory Nawara, Johan Newell, David Bouchez, Olivier Mairesse
We report the case of obstructive sleep apnea in a 19-year-old, otherwise healthy male presenting with persistent daytime sleepiness and nonrestorative sleep after velo- and uvuloplasty. An individually tailored prototype of an orally inserted pharyngeal stenting device was proposed in the framework of a first clinical feasibility trial. The noninvasive, easily self-administered device is mounted on a simple inferior dental guard. Baseline total apnea-hypopnea index (AHI) was 15.5 and 24.4 per hour of rapid eye movement (REM) sleep...
August 10, 2018: Laryngoscope
Karthik Rao, Mohan Jagade, Vitthal Kale, Dev Kumar, Amol Hekare
BACKGROUND: Pseudocyst of the auricle is a common benign disease. Many treatment modalities have been described for this benign condition ranging from simple aspiration to complex cutaneous surgeries involving skin de-roofing and debridement with diamond burr. the aim of treatment is to successfully resolve the seroma without damaging the underlying healthy cartilage, thus maintaining the normal contour of the auricle, and to prevent its recurrence. METHODS: In this study we describe incision and drainage of the pseudocyst with auricular splinting...
May 2018: World Journal of Plastic Surgery
Amândio Dias, Luís Redinha, Gonçalo V Mendonça, Pedro Pezarat-Correia
OBJECTIVE: The aim of this study was to conduct a systematic review on the effectiveness of occlusal splints for improving muscle strength. Occlusal splints are oral appliances that cause joint stabilization. METHODS: A mix of medical and sports science terms was used to perform the search on several databases (Web of Science, Science Direct, SPORT Discus, PubMed, and Springer). RESULTS: Twelve studies were reviewed, and their analysis indicates a trend pointing toward a limited interaction between the use of occlusal splints and improved muscle strength...
August 5, 2018: Cranio: the Journal of Craniomandibular Practice
Bonnie Y Chien, Kristen L Stupay, Christopher P Miller, Jeremy T Smith, Jorge Briceno, John Y Kwon
BACKGROUND: Displaced ankle fractures are initially closed reduced and splinted with the goal of restoring gross ankle alignment. The benefits of an exact closed reduction are unclear and possibly detrimental and unnecessary if multiple attempts are made. The purpose of this study was to determine whether the quality of preoperative closed reduction in patients with operative ankle fractures affects post-operative wound complications. METHODS: A retrospective analysis was performed of patients with isolated, closed, operative ankle fractures treated at two level 1 trauma centers who had an initial closed reduction performed on presentation...
July 23, 2018: Injury
Wenceslao Piedra Cascón, Marta Revilla-León
This article describes a step-by-step digital protocol for the design and fabrication, through additive manufacturing, of a splinted framework and a custom tray for the impression of a complete-arch prosthesis supported by multiple implants. The protocol presented uses open source software to control the thicknesses of the custom tray, splinting material, and impression material during the procedure, reducing laboratory and chairside time and costs.
June 29, 2018: Journal of Prosthetic Dentistry
Michelle Jackman, Iona Novak, Natasha Lannin, Elspeth Froude, Laura Miller, Claire Galea
BACKGROUND: Functional hand splinting is a common therapeutic intervention for children with neurological conditions. The aim of this study was to investigate the effectiveness of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach over and above conventional functional hand splinting, and in combination with splinting, for children with cerebral palsy or brain injury. METHODS: A multisite, assessor-blinded, parallel, randomized controlled trial was conducted in Australia...
July 31, 2018: BMC Pediatrics
Douglas T Hutchinson, Stephanie Sueoka, Angela A Wang, Andrew R Tyser, Kathleen Papi-Baker, Nikolas H Kazmers
BACKGROUND: The purpose of this study was to evaluate the hypothesis that an increased duration of immobilization following trapeziectomy with ligament reconstruction and tendon interposition (LRTI) leads to improved patient-reported outcomes compared with an early mobilization protocol. METHODS: At 2 institutions, we prospectively randomized 223 patients (238 thumbs) undergoing LRTI to receive 1 of 2 postoperative rehabilitation protocols. The immobilization protocol consisted of use of a postoperative forearm-based thumb-spica splint for 7 days followed by a forearm-based thumb-spica cast for 5 weeks and then by a custom forearm-based thermoplastic thumb-spica splint for an additional 6 weeks...
August 1, 2018: Journal of Bone and Joint Surgery. American Volume
Paulo Ribeiro, Mariano Herrero-Climent, Carmen Díaz-Castro, José Vicente Ríos-Santos, Roberto Padrós, Javier Gil Mur, Carlos Falcão
PURPOSE: The aim of this study was to compare the accuracy of digital dental impressions with the accuracy of impressions obtained via conventional techniques. METHODS: Two different master models were created, one with parallel implants (model 1) and the other with non-parallel implants (model 2). These reference master models included 4 Klockner KL RP implants (Klockner Implant System SA, Barcelona, Spain), which were juxta-placed and equidistant in the intermentoneal region...
July 27, 2018: International Journal of Environmental Research and Public Health
Po-Kuei Wu, Yu-Chung Shih, Chao-Ming Chen, Geng Chen, Wei-Ming Chen, Li-Ying Huang, Yu-Cheng Hung, Te-Han Wang, Wen-Chan Yu, Chin-Kang Chang, Bao-Chi Chang, Pei-Hsin Lin, Shyh-Jen Wang
Three-dimensional (3D) printing technology can generate objects in almost any shape and geometry. This technique also has clinical applications, such as the fabrication of specific devices based on a patient's anatomy. A demonstration study is presented of a 54-year-old man who needed a thermoplastic splint to limit arm movement while a dehisced left shoulder wound healed. The patient's upper extremity was scanned using the appropriate noncontact scanner and 3D technology software, and the polylactic acid splint was printed over the course of 66 hours...
July 2018: Ostomy/wound Management
Ebru İspirgil, Sinem Burcu Erdoğan, Ata Akın, Olcay Şakar
OBJECTIVE: The aim of this study was to investigate the hemodynamic effects of occlusal splint therapy on masseter muscles of patients with myofascial pain accompanied by bruxism with near-infrared spectroscopy (NIRS). METHODS: Twenty-four patients were randomly divided into two groups, where the study group (n = 12) received occlusal splint therapy and the control group (n = 12) underwent no therapy. Measurements were categorized into four subgroups: painful or painless control and painful or painless splint...
July 26, 2018: Cranio: the Journal of Craniomandibular Practice
Joey A LaMartina, Brian C Lau, Liane Miller, Madeleine A Salesky, Brian T Feeley, C Benjamin Ma, Alan L Zhang
Background: There is no standard method for the surgical treatment of acromioclavicular (AC) joint separations. Current techniques have associated complications, including need for device removal, coracoid fracture, and inadequate reduction. Purpose: To evaluate the clinical outcomes of an internal splint technique without graft augmentation or rigid fixation to treat acute Rockwood type IV and V AC joint injuries. Study Design: Case series; Level of evidence, 4...
July 2018: Orthopaedic Journal of Sports Medicine
George Mouzopoulos, Christos Vlachos, Margarita Ampadiotaki, Anastasia Tsembeli
Dynamic splinting is a well-known method for maintaining finger movement after ruptures of the extensor tendons. We describe a simple, inexpensive and easy-to-construct modification of a dynamic splint, called the "Sparti" splint, suitable for a six-week period of rehabilitation of injured extensor tendons in zones V-VII.
June 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Wolfgang Paul Lenze, Jörg Pattke
No abstract text is available yet for this article.
June 2018: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
Pamela B Lachniet, Jeffery A Taylor-Haas, Mark V Paterno, Christopher A DiCesare, Kevin R Ford
Background: Lower extremity overuse injuries, including bone stress injuries (BSI), are common in runners and may result in prolonged recovery and time off from running. Identifying risk factors for running-related overuse injuries may have a clinically relevant role in prevention of these injuries. Purpose: The purpose of this study was to compare an adolescent and young adult population of male runners known to have a history of BSI with an injury-free cohort and retrospectively assess for kinematic differences that may differentiate the two cohorts...
June 2018: International Journal of Sports Physical Therapy
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