• Title/Summary/Keyword: splint

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ANALYSIS OF THE CLINICAL SYMPTOMS AND THE TEMPOROMANDIBULAR JOINT DISK BY MAGNETIC RESONANCE IMAGING AFTER CONSERVATIVE TREATMENT WITH ANTERIOR REPOSITIONING SPLINT (측두하악관절 환자의 전방재위치장치 치료 전후의 임상증상 및 자기공명영상을 이용한 관절원판 변화의 분석)

  • Myoung, Shin-Won;Park, Je-Uk
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.2
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    • pp.136-142
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    • 2006
  • Temporomandibular joint(TMJ) disorders have characteristic clinical findings such as pain, joint sound, and abnormal jaw function. With the rapid progress in TMJ imaging techniques, magnetic resonance imaging(MRI) especially provides the clinician and researcher with the ability to evaluate TMJ disorders(effusion, anterior disk displacement) and the hard and soft tissue of the TMJ. In order to manage the internal derangement of TMJ such as anterior disk displacement, the so-called appliance therapy is commonly used. This technique became the treatment of choice before surgical intervention by many practitioners. The purpose of the present study was to evaluate and determine the efficacy of anterior repositioning splint by means of the change of the position of the disk through pre- and post-treatment MRI. MRI and clinical symptom were carefully recorded in TMJ disorder patients. The relationship between TMJ symptoms such as pain, clicking sound, and disk displacement and effusion in MRI were analyzed. Then, splint therapy was applied for 3 months according to our protocol; at day 1, patients should wear 24 hours, in order to accomodate the splint and then, wearing time is reduced to 12 hours per day for one month. During next 2 months, it is tapered to 8 hours per day according to the evaluation of the clinical symptoms. Post-treatment MRI was obtained after 3 month protocol. This treatment strategy improved the clinical symptoms of TMJ disorder, and effusion and articular disk position showed a significant change. In conclusion, a treatment modality using an anterior repositioning splint therapy is an appropriate method for temporomandibular disorder patients.

Computerized analysis of occlusal contacts in bruxism patients treated with occlusal splint therapy

  • Gumus, Hasan Onder;Kilinc, Halil Ibrahim;Tuna, Suleyman Hakan;Ozcan, Nihal
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.256-261
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    • 2013
  • PURPOSE. Occlusal splints are commonly used to prevent tooth wear caused by bruxism. However, the effects of splints on occlusion are still unclear. Although it is rarely alluded in literature, splints can provoke severe occlusal alterations and other complications. This study was aimed to identify differences in the responses of individuals with bruxism and healthy individuals to a full-arch maxillary stabilization splint in terms of occlusal changes. MATERIALS AND METHODS. Occlusal contacts in 20 (5 male, 15 female) bruxism patients and 20 (5 male, 15 female) controls with normal occlusion were evaluated before and after occlusal splint therapy. T-Scan III, a computerized occlusal analysis system, was used to simultaneously measure occlusion and disclusion times as well as left-right and anterior-posterior contact distributions before splint therapy and 3 months after therapy. Wilcoxon and Mann-Whitney U tests were used for statistical analyses (${\alpha}$=.05). RESULTS. No differences were found in the posterior contact of bruxism patients before and after stabilization splint treatment. However, differences in posterior contact were observed between bruxists and normal individuals prior to treatment, and this difference disappeared following treatment. CONCLUSION. The results of this study showed the use of a stabilization splint may not have an effect on occlusion. However, the area of posterior occlusal contact among bruxists was found to be greater than that of normal individuals. According to this study, the clinical use of splints may be harmless.

Affect of gait with splint and crutch has on basal metabolism young women (부목과 목발을 이용한 보행이 20대 여성의 에너지대사량에 미치는 영향)

  • Lee, Ji-Yeun;Park, Jung-Seo;Lee, Dae-Hee;Han, Seul-Ki
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.9
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    • pp.4001-4007
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    • 2011
  • In this study, we selected ten normal women in their 20's and 4 weeks measured Exercise Intensity, Voluntary Ventilation, Respiratory Exchange Ratio, Oxygen and Calorie Consumption and Ventilation Equivalent of them during Normal Gait, Splint-equipped Gait and Crutch Gait With Splint in order to find out whether the movement limitation and the weight of orthosis could have an effect on energy consumption. Each gait was conducted at a comfortable speed, 2.74 km/h for 30 minutes equipped with splint whose average weight is 1.2 kg. In the result of the study, The Crutch Gait With Splint showed high Exercise Intensity compaired to Normal Gait and Splint-equipped Gait. In addtion, in The Voluntary Ventilation and Oxygen Consumption, The Crutch Gait showed higher figures than two the others and the difference was significant as well(p<0.05). As for The Calorie Consumption, it also showed higher figures than two the others but the difference was not statistically significant. Finally, in The Respiratory Exchange Ratio and The Ventilation Equivalent, there was no significant difference among three conditional variables.

A case study on the application of new hand splint using 3D printing (3D 프린팅을 사용해 제작한 새로운 손 보조기 적용 사례연구)

  • Shin, Su-Jung;Ahn, Cho-Keun;Park, Kyoung-Young
    • Journal of Convergence for Information Technology
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    • v.7 no.2
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    • pp.25-29
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    • 2017
  • The purpose of this study was to investigate the effect of a new designed splint on the hand function. A new design splint that enlarges the area between thumb and index finger was manufactured using 3D printing. After wearing a new splint the patient was possible to open thumb and hold a small object. She showed improvement in overall hand function and could move eight blocks in box and block test. But grasping a cup without a handle has become more difficult than before. Also there is a disadvantage that it could not be fixed by water. This study is meaningful in that it is the first splint application study using 3D printing. In the future, we expect that various patient-specific splints will be developed through 3D printing in the field of occupational therapy.

Proposal of finger splint design using design guidelines to reflect user requirements - Using FDM 3D printing technology - (사용자의 요구조건을 반영 할 수 있는 디자인 가이드라인을 이용한 손가락 보조기 디자인 제안 - FDM 방식의 3D 프린팅 기술을 이용하여 -)

  • Shin, I Yeol;Oh, Kwang Myung
    • Design Convergence Study
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    • v.18 no.3
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    • pp.1-14
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    • 2019
  • General finger splint manufactured and sold domestically could have been of great help to patients with disabilities due to damage to the body's. However, it reminded the wearer of his disability that he wanted to hide. This has had a negative effect on the psychological side of self-absorption and depression. If this avoids or rejects wearing, the role of ancillary rehabilitation is lost. This does not meet the user's requirements. Thus, in this study, 3D printing was used to better reflect user requirements. Next, the study examined existing prior studies to identify the characteristics and criteria of each study. It also examined medical finger aids that were being sold in the auxiliary device market. The assessment criteria were derived by compiling and interpreting user surveys of each finger splint device. Based on the evaluation criteria derived, the design guidelines for finger splint were presented using FDM-style 3D printers. Finally, we proposed a finger splint design according to the proposed design guideline.

Effect of occlusal balance on center of gravity in body (교합균형이 자세 중심(重心)에 미치는 영향에 관한 연구)

  • Lee, Yun;Choi, Dae-Kyun;Lee, Sung-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.2
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    • pp.57-67
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    • 2003
  • Suppose that dental occlusion is related to body posture. We want to find out that improving occlusal balance may affect vibration and distribution of C.O.P. in which way, by measuring change of posture and center of gravity (center of pressure, C.O.P.) which plays important role in measuring balance sensation. Total 11 students at Kyung Hee dental college students, 4 females and 9 males (age: 23-30) participated in this test, who have normal occlusion (Angle's classification I), no TMJ problems. All of the participants have no tooth loss except 3rd molar, no prosthesis over single tooth restoration, no orthopedic problems which affect balance sensation, and no otorhinolaryngological problems. First, we registrated bite by centric relation, and then fabricated stabilization splint that is increased 3.5mm vertical dimension around premolar region. By F-scan (Tekscan Inc., Boston, Mass), we measured discrepancy of average contact pressure of left and right foot. And we also measured discrepancy of vibration of C.O.P(center of pressure). before setting stabilization splint and after wearing stabilization splint at intervals of 1 week, 2 weeks, 3 weeks after. In normal human beings, improved occlusal balance by stabilization splint leads to decrease of vibration of C.O.P. (P<0.05). One week after wearing stabilization splint, vibration of C.O.P. decreased reliably (P<0.05), two weeks after wearing stabilization splint, vibration of C.O.P. decreased similarly comparing to before wearing and one week after wearing. (P<0.05) After two weeks and three weeks, however, it was hard to find reliability. (P>0.05) Difference between average contact pressure of right and left foot also decreased. (P<0.05) We could find decrease after one week of wearing stabilization splint (P<0.05) and two weeks after, the decrease was more reliable than one week after. (P<0.05) After two weeks and three weeks, however, it was hard to find reliability. Improvement of occlusal balance leads to decrease of vibration of C.O.P. and decrease of difference between right and left average contact pressure.

THE STUDY ABOUT THE CHANGES OF MASTICATORY SYSTEM SUBSEQUENT TO RANDOMLY INCREASING THE VERTICAL DIMENSION (교합고경의 인위적인 증가에 따른 저작계의 반응에 관한 연구)

  • Kim, Nam-Jung;Lee, Sung-Bok;Choi, Dae-Gyun;Park, Nam-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.33 no.4
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    • pp.731-752
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    • 1995
  • This study was performed to research the changes of masticatory system subsequent to randomly increasing the vertical dimension. The subjects were twenty seven persons, twenty two men and five women, with a mean age of 24.3(age ranged from 22 to 26). The subjects had a complete or almost complete set of natural teeth and reported no subjected symptoms of pain or dysfunction in the masticatory system. The occlusal splint increased vertical dimension was made on semiadjustable articulator. The subjects were randomly divided to three groups according to the vertical dimension, at which the occlusal splint was made. Group I occlusal splints were made at 2mm form the occlusal vertical dimension, group II occlusal splints at 5mm, group III occlusal splints at 8mm. The occlusal splints were almost weared for 2 weeks except meal-time. Clinical examination, muscle activity, changes of free-way space, movement of mandible and articular condyle were recorded and analyzed by means of biopak system(Bioresearch Inc, Millwakee Wisconsin.) and radiograph. 1. In clinical examination, various symptoms were reported by all subjects immediately after the placement of occlusal splint. At the end of experiment, symptoms were lasted by 1 subject in Group I, 2 subjects in Group II, 6 subjects in Group III. At the other subjects, the most of symptoms were disappered within 2-4 days after the placement of occlusal splints. 2. The average free-way space before the startof experiment was 1.77mm in all twenty seven subjects. Immediately after the placement of occlusal splints, 0.67mm at Group I, 0.49mm at Group II, 0.41mm at Group III, At 2 weeks after the placement of occlusal splint 0.93mm, 0.79mm, 0.78mm each other, 1.94mm, 1.77mm, 2.3 mm at immediately after the removal of occlual splint. At 1 week after the removal of occlusal splint, free-way space was recovered to the pre-experimental state 3. In cephalometric radiograph, following either the placement or the removal of the occlusal splints, the movements of mandible in an antero-posterior direction were not statistically significant(p>0.05). 4. In transcranial radiograghs of TMJ, 1 week after the placement of occlusal splint the movement of most superior position on condyle in all group shoed antero-inferior position than before the experiment(p<0.001) and also showed antero-inferior position in mandibular postural rest position than in certric occlusion(p<0.001). Following either the placement or the removal of the splints, the amount of movement of most superior position on condyle was group III. group II and group I in order(p<0.001). 5. In anterior temporal and superficial masseter muscle, muscle activity at postural rest position decreased at 2 weeks after the placement of occlusal splint in group I and group II (p>0.05), but significantly increased in group III(p<0.001). At 1 week after the removal of the occdusal splint, muscle activity at postural rest position was recovered preconditional state 6. In anterior temporal and superficail masseter muscle, muscle activity at clenching in all group was significantly decreased after placement of the occlusal splint, slightly increased during experimental period and recovered to the original state at 1 week after removal of the occlusal splint. But was not statistically significat(p>0.05)s.

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Resin-Bonded Splint와 직접 복합레진 비니어를 이용한 전치의 심미적 수복

  • 김현경;조영곤
    • Proceedings of the KACD Conference
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    • 2002.05a
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    • pp.318-319
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    • 2002
  • 심미적으로 고안된 resin-bonded splint와 직접 복합레진 비니어 수복의 병행은 심한 치주질환으로 인한 심미적인 불편감과 기능적인 문제를 호소하는 증례에서 적절히 사용된다면, 치아의 심미성과 기능성을 다소 해결재 줄 수 있는 방법으로 고려할 수 있을 것이다.

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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.