• Title/Summary/Keyword: Metal splint

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Open reduction and internal fixation of metacarpal fractures using a thermoplastic splint as a surgical instrument

  • Papavasiliou, Theodora;Park, Paul Dain;Tejero, Ricardo;Allain, Niklaas;Uppal, Lauren
    • Archives of Plastic Surgery
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    • v.48 no.4
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    • pp.384-388
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    • 2021
  • Adequate positioning of the hand is a critical step in hand fracture operative repair that can impact both the clinical outcome and the efficiency of the operation. In this paper, we introduce the use of a thermoplastic splint with an added thumb stabilizing component as a means to increase the surgeon's autonomy and to streamline the patient care pathway. The thermoplastic splint is custom fabricated preoperatively by the specialist hand therapist. The splint is used prior, during, and post operation with minimal modification. The thumb component assists maintaining the forearm in a stable pronated position whilst drilling and affixing metal work. This is demonstrated in the video of removal of metal work and open reduction and internal fixation of a metacarpal fracture.

The Effect of Glass Fiber Reinforcing Materials and Thermocycling on the Transverse Strength of Denture Base Resin (유리 섬유 의치상 레진 강화재와 열 순환이 의치상 굽힘 강도에 미치는 영향)

  • Jin, Sung-Eun;Cho, In-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.4
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    • pp.327-336
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    • 2013
  • This study aimed to investigate the reinforcing effect of two kinds of glass fiber, Quarts Splint$^{TM}$ Mesh and SES MESH$^{(R)}$ and to evaluate the effect of the thermocycling on the transverse strength of the denture base and on the reinforcing effect of the reinforcements. 20 specimens of the size of $2.5{\times}10.0{\times}65.0mm$ were fabricated for each group; control group, metal mesh reinforcement group, Quarts Splint$^{TM}$ Mesh reinforcement group and SES MESH$^{(R)}$ reinforcement group. To find the difference made by the thermocycling, 10 specimens of each reinforcement group were treated by thermocycling. 3-point bending test was performed to measure the transverse strength of the denture base resin. The specimens reinforced with SES MESH$^{(R)}$ and Quarts Splint$^{TM}$ Mesh showed significantly higher transverse strength than the control group (P<.05), and significantly lower transverse strength than the specimens reinforced with the metal mesh (P<.05). Thermocycled specimens were lower in transverse strength than non-thermocycled specimens in the control group, metal mesh group, Quarts Splint$^{TM}$ Mesh group and SES MESH$^{(R)}$ group, however significant difference (P<.05) was found only in the control group.

The Effect of Reinforcing Materials on the Transverse Strength of Denture Base Resin (의치상 레진 강화재가 의치상 굽힘강도에 미치는 영향)

  • Lee, Jun-Sik;Song, Young-Gyun;Cho, In-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.4
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    • pp.327-337
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    • 2012
  • The object of this study was to find out the effect of various reinforcing materials including Quarts Splint$^{TM}$ Mesh on the transverse strength of the denture resin. QC-20 and Lucitone199$^{(R)}$ were used as the denture resin, and polyethylene fiber Ribbond$^{(R)}$, light curing quarts fiber Quarts Splint$^{TM}$ Mesh, metal mesh were used as the reinforcing materials. Ten specimens were fabricated for each group and the size of specimens was $2.0{\times}10.0{\times}65.0mm$. To compare the effect of resin thickness, additional specimens of $2.5{\times}10.0{\times}65.0mm$, $3.0{\times}10.0{\times}65.0mm$ were fabricated. In the control group, the transverse strength of Lucitone199$^{(R)}$ was significantly higher than that of QC-20(p<0.05). Among the specimens of 2.0 mm thickness fabricated with $Lucitone199^{(R)}$ and QC-20, they showed high transverse strength in the order of metal mesh, Quarts Splint$^{TM}$ Mesh, Ribbond$^{(R)}$, and control group. In the specimens of 2.0 mm, 2.5 mm thickness, the transverse strength of Quarts Splint$^{TM}$ Mesh were significantly higher than that of QC-20(p<0.05). But in the specimens of 3.0 mm thickness, there was no significant difference.

The angulation and the position change of the planned implant after tomographic imaging (단층촬영상에서 계획된 임플랜트 매식 각도 및 위치에 대한 스텐트 핀의 상대적 각도 및 위치에 대한 평가)

  • Kang, Byung-Cheol
    • Imaging Science in Dentistry
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    • v.37 no.3
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    • pp.127-131
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    • 2007
  • Purpose: To measure the differences of the splint pin angulation and the position of the planned implant site after conventional tomographic analysis. Materials and Methods: The angulation and the location of the metal splint pin retained in acrylic stent were compared with the corrected angulation and the location of the implant fixture on the 331 tomographic images. Results: The stent pins were located buccal in 40%, lingual in 10% to the corrected implant site after analysis of the conventional tomographic image. The angle and the location of the maxillary splint pin were mainly directed buccal on incisor and canine regions. The angle and the location of the splint pins in premolar and molar regions needed less corrections in both maxilla and mandible. Conclusions: This study demonstrated that the use of tomographs was essential for successful dental implant planning.

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EFFECT OF BITE RAISING METAL SPLINT ON DEVELOPMENT OF CHILDREN'S OCCLUSION (교합 거상 금관이 어린이 교합 발육에 미치는 영향)

  • Shin, Jeong-Geun;Kim, Jae-Gon;Yang, Yeon-Mi;Lee, Sun-Young;Baik, Byeoung-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.1
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    • pp.101-108
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    • 2005
  • Children are in mixed dentition during 6 years after 3 years old. this time is very important for sound permanent dentition. There are many factors of influence to tooth eruption stage ; adjacent teeth, tooth resorption, early loss or retention of deciduous tooth, local lesion, lip and tongue, masticatory muscles, ect. These factors should be in balance, if not, relation of adjacent teeth is changed, then severe malocclusion is occurred maybe. These cases revealed influences of resin bonded metal splint on occlusal surface of children's molar to mixed dentition. Splints interfere with falling off of deciduous tooth, tooth eruption, normal occlusion formation, and development of mixed dentition and occlusion. Therefore we removed the metal splint from teeth, follow-up checked occlusion and tooth eruption.

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A STUDY FOR THE MEASUREMENTS OF THE RESIDUAL STRESS AND THE DISTORTIONS IN THE CERAMO-METAL BRIDGE OF Pd-Ag ALLOY (팔라듐-은 합금 도재소부전장 가공의치의 잔류응력과 변형에 관한 연구)

  • Jeon, Young-Chan;Lee, Ho-Yong
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.2
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    • pp.53-78
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    • 1989
  • This study was taken to observe the changes of the residual stress in the alloy and to measure 3 dimensional distortions of the long span ceramo-metal bridge. The materials used in this study were Pors-on 4 (Pd-Ag alloy), and Ceramco and Vita VMK 68 powders. The residual stress of the alloy was measured on the six specimens (dia. 8m/m) by the X-ray diffraction stress analyzer according to the kind of ceramic powder and different measuring stages. And, for the measurement of the distortions, fifteen specimens of the anterior 8-unit ceramo-metal brige were fabricated and subjected to the 3-D coordinate measuring machine. Variables included the 2 kinds of a ceramic powder and the presence or absence of a splint bar at the cast metal framework. The measuring stages in both were after casting, after degassing and after glazing. The following conclusions were obtained : 1. The residual stress of the alloy showed increasing tendency for the tension by the ceramic fusing, but there was not significance. 2. The tendency of the distortions in the cast metal frameworks were decrease of the width, the anterior displacement and sagging. 3. The amount of the distortions at the degassing stage were greater than that at the ceramic fusing stage. 4. The splint bar was effective to control the distortion only at ceramic fusing stage. 5. The sagging distortion in the Ceramco firing were even through all measuring stages, but in the Vita firing, pronounced at degassing stage.

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IMMOBILIZATION OF LOWER MANDIBULAR ALVEOLAR BONE FRACTURE USING RESIN-WIRE OPEN CAP SPLINT (하악 유전치부 치조골 골절시 resin-wire open cap splint를 이용한 고정)

  • Kwon, Joung-Hyun;Choi, Byung-Jai;Choi, Hyung-Jun;Kim, Seong-Oh;Son, Heung-Kyu;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.175-180
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    • 2008
  • Traumatic injuries to the primary dentition are commonly encountered problems in dental practice. It is found that 30% of the children had injuries to the primary dentition and 22% to the permanent dentition. The greatest incidence of trauma to the primary dentition occurs at the ages of 2 and 3 as children start to learn motor coordination. Because teeth and alveolar bone are traumatized simultaneously, alveolar bone fractures are likely to occur when multiple teeth are involved in injuries. Dental splints are indicated for the management of maxillofacial fractures. They enable anatomic reduction of fractured segments and help immobilization and maintenance of the fragments after reduction. They also act as a stabilizer during rehabilitation. Various types of dental splints are available. In this case, routine resin-wire splint technique could not be applied because of the child's uncooperative behavior. Oral sedation was not indicated because N.P.O. had not been preceded. Therefore, we decided to use open-cap acrylic splint instead. Stabilization using open cap acrylic splint requires minimum chair time with reduced discomfort to both patient and dentist. It is an effective means of splint for uncooperative children and especially useful when other means of fixation have been failed. Because trauma on the primary dentition can affect the underlying permanent tooth germ, it is important to monitor eruption process of the permanent dentition.

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Full mouth rehabilitation with fixed prostheses by increased vertical occlusal dimension using 3D printed splint in a patient with excessive tooth wear (과도한 치아 마모 환자의 3D 프린팅 교합안정장치를 이용한 수직 교합 고경 증가를 동반한 고정성 보철물 전악 수복 증례)

  • Se-Young Kim;Soo-Yeon Shin
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.215-226
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    • 2023
  • Severe wear of the anterior teeth facilitates the loss of anterior guidance, which protects the posterior teeth from wear during excursive movement. Additionally, when treating patients with collapsed occlusion due to multiple tooth loss and tooth wear, it is important to determine the presence of vertical dimension loss through accurate clinical and radiographic examinations and diagnostic wax-up. The patient of this case is a 44-year-old female patient who complained of overall tooth wear and loss of posterior teeth due to bruxism and clenching habits, visited the hospital with the address of restoring masticatory function and improving aesthetic appearance through prosthetic treatment. Through model analysis and diagnostic wax-up, an increase in vertical dimension was determined, and full mouth restoration with fixed prostheses was planned. The degree of adaptation to the vertical dimension was confirmed step by step using an occlusal splint designed with CAD (Computer aided design) software and 3-D (3-Dimensional) printed, and then restored with provisional restoration and after a 4-month adaptation period, the entire dentition was restored with metal ceramic crowns and implants. Through this procedure, satisfactory treatment results were obtained in terms of function and aesthetics.

A STUDY ON THE BOND STRENGTH OF RESIN-RETAINED PROTHESIS WITH VARIOUS CAST RETAINER DESIGNS (주조체의 설계 변화에 따른 수지접착형 보철물의 접착강도에 관한 연구)

  • Joo Dae-Won;Chang Ik-Tae;Kim Kwang-Nam
    • The Journal of Korean Academy of Prosthodontics
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    • v.30 no.4
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    • pp.508-525
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    • 1992
  • The purpose of this study was to evaluate the effect of some resistance form designs on the bond strength of resin-retained prosthesis. Six sub-groups are designed in natural teeth group and resin teeth group . The framework designs in natural teeth group: 1) no groove preparation 2) groove at the center of distal surface 3) groove at the distobuccal line angle 4) 45 degree lateral load with no groove 5) 45 degree lateral load with center groove 6) splint two teeth with no groove. The framework designs in resin teeth group: 1) no groove preparation 2) groove at the center of distal surface 3) groove at the distobuccal line angle 4) metal covered the 1/2 of distal surface 5) metal covered the 1/2 of mesial surface 6) metal extended over the 114 of buccal surface. Specimens were treated electrolytic etching by Oxy-Etch and cemented with Panavia EX. Failure load was measured by Instron. Another 30 specimens were carried out fatigue tests by MTS 810 fatigue testing machine for 5000 cycles at different load level. The following results were obtained from this study. 1. The failure load was significantly increased by resistance forms. 2. The failure load was not increased by increase of total surface area bonded with teeth. The distal surface area played an important role in failure load. 3. In 45 degree lateral load group, the failure load was decreased significantly than that of in vertical load group. 4. Bond failure modes between static test and fatigue test exhibited no differences.

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The evaluation of maximum bite force in the occlusal rehabilitation of patient with Angle Class III malocclusion: a case report

  • Karakis, Duygu;Kaymak, Dilek;Dogan, Arife
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.364-368
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    • 2013
  • The case report describes the occlusal rehabilitation of a male patient with Angle Class III malocclusion and its effect on maximum bite force. The main complaints of patient were masticatory difficulty and poor esthetic. The patient's expectations from the treatment were a good esthetic and function with a less invasive and relatively promptly way. Therefore, increasing of the occlusal vertical dimension (OVD) and then restoring the maxillary and mandibular teeth was chosen by the patient among the treatment options. At the beginning of treatment maximum bite force of patient was measured. Then an occlusal splint was provided to evaluate the adaptation of the patient to the altered OVD. Full mouth rehabilitation with metal ceramic restorations was made. After the completion of full mouth restoration, bite force measurement was repeated and patient exhibited increased maximum bite force. Full mouth restorative treatment in a patient with Class III malocclusion could be an effective treatment approach to resolve esthetic concern and to improve masticatory function related to maximum bite force.