GUNNING SPLINT PDF

T. B. Gunning (–89), American dentist] n. A solid metal splint linking the mandible and maxilla together to provide fixation for a fractured mandible. A splint is. Undisplaced or minimally displaced fractures of the mandible in elderly patients are usually treated by closed reduction. Gunning-type splints or. Gunning splint is a prosthetic aid designed to stabilize the reduced fractured mandibular segments. It is a viable treatment option for atrophic edentulous.

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Spontaneous fracture of the mandible following third molar removal.

Use of Gunning Splint for the Treatment of Edentulous Mandibular Fracture: A Case Report

Close reduction with Gunning splint is advantageous because, not only it preserves the periosteal blood supply, but also provides firm mandibular fixation and immobilisation [ 7 ]. If mandible is atrophic, then the fractured fragments will be more easily displaced. Then finishing and polishing of splints was carried out and they were disinfected in glutaraldehyde solution. The Internet Journal of Geriatrics and Gerontology. Can be used in both dentulous and edentulous splont 3.

An improved Gunning splint.

Loss of teeth decreases mass of bone which weakens it and susceptible to fracture. J Cancer Res Ther. Split fracture of an atrophic edentulous mandible treated without fixation. Moodie F Mr. Fractures of the atrophic mandible–our experience at Tel-Aviv Medical Center. Less precise alignment in edentulous patients may be acceptable as no opposing teeth and occlusion is involved.

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Conclusion In almost all the selected and planned cases of fractured atrophic edentulous mandible, a satisfactory union of the fractured segments can be obtained with Gunning type of splint. When complete dentures do not exist, the stabilization gujning reduced fracture segments can be achieved by employing Gunning splint.

An improved Gunning splint.

External fixation appliance or Joe Hall Morris appliance may be used for edentulous mandible fracture. Due to decrease in bone height, it is not suitable for ghnning and plating the fracture site. There was history of trauma four days back.

Atrophic edentulous mandible has a reduced cross-sectional area as compared to dentate mandible. The splints are easy to fabricate, are cost effective and minimally invasive for the treatment of fractured jaw segments.

Use of Gunning Splint for the Treatment of Edentulous Mandibular Fracture: A Case Report

In the present case report, the vertical dimension of occlusion for the splint was determined using the lone standing tooth as reference before its extraction, providing adequate interocclusal space. Also, open reduction of fracture site is not helpful due to compromised medical condition of the patient at older age.

There is inadequate evidence gunjing support the effectiveness of a single approach, whether open or closed reduction should be used as no eligible randomized controlled trial has been identified. Considering the age of the patient and resorption level of mandibular alveolar ridge, closed reduction and stabilization spllint planned.

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Abstract Fractures of edentulous mandible are common in elderly persons. Bean introduced customized oral splints for fixation. Also, open reduction of fracture site is not helpful due to compromised medical condition of the patient at older age. After securing the splints to the underlying bone, intermaxillary fixation was done with arch wires to provide firm immobilisation Fig.

The lone standing tooth was mobile and had calculus deposits.

Gunning type spliny, when properly designed and planned for a particular case; prove to be a very good treatment option gunnint fractured atrophic edentulous mandible. Br J Oral Surg 7: The arch bar was incorporated on buccal side of each splint within the modeling wax. Philip L, David R Spontaneous mandibular fracture in a partially edentulous patient: Short conservative procedure without general anesthesia involves less risk than open surgical procedure under general anesthesia.

An analysis of 2, cases. These arch bars were used for intermaxillary fixation of the splints.

Due to decrease in bone height, it is not suitable for screwing and plating the fracture site. Orthopantomograph of patient showing displaced fractured segments. Figure 3 Showing the edentulous mandibular arch.