Construction of a gunning splint; Case report on the handling of mandibular fractures in edentulous patients

Sharma, Bhumika; Sharma, Poonam; Goswami, Roma; Jain, Shailesh; Samra, Rupandeep Kaur

doi:10.4103/ijds.ijds_92_19

Cited by 3 publications

(3 citation statements)

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“…Sharma and colleagues reported the use of gunning splints for stabilization after closed reduction of condylar fracture. The advantages of this treatment include the prevention of certain operation-related complications, such as nerve injuries, and its cost effective 10 . However, this minimally invasive technique might not be suitable for patients with unfavorably displaced fracture, as reduction with stabilization might not be well secured.…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of this treatment include the prevention of certain operation-related complications, such as nerve injuries, and its cost effective. 10 However, this minimally invasive technique might not be suitable for patients with unfavorably displaced fracture, as reduction with stabilization might not be well secured. As a result, if severely dislocated condylar fracture with a decreased height of mandible was observed, ORIF was the preferred option.…”

Section: Discussionmentioning

confidence: 99%

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Three-Dimensional Navigation-Assisted Open Reduction and Internal Fixation of a Subcondylar and Ramus Fracture on a Maxillary Oligodontia Patient

NG,

Liu,

Lee

2023

Journal of Craniofacial Surgery

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Treatment of condylar fractures in patients with edentulous mandibles or no-occlusion reference is particularly challenging due to the absence of important anatomical structures and landmark for occlusion analysis. In this case, a 69-year-old female maxillary oligodontia victim suffered from a traumatic accident with a right facial contusion, resulting in a right-side subcondylar and mandibular ramus fracture with right ramus height loss. In the preoperative planning, the 3-dimensionalimage of the left-side mandible was highlighted by the navigation software. A mirror image of the left-side mandible was made and superimposed on the right side of the face. Surgical intervention with an endoscope and 3-dimensional navigation-assisted open reduction and internal fixation of the right-side subcondylar and ramus fracture was performed. The patient recovered well with no restriction in mandibular movement, no limitation in mouth opening, and a satisfied esthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Three-Dimensional Navigation-Assisted Open Reduction and Internal Fixation of a Subcondylar and Ramus Fracture on a Maxillary Oligodontia Patient

NG,

Liu,

Lee

2023

Journal of Craniofacial Surgery

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“…There is no means of retention or stabilization in an edentulous patient therefore the maxillary denture is secured to the maxilla through per alveolar wiring and the mandibular denture is secured to the mandible with circum-mandibular wiring. The two splints are connected with wire loops or elastics and intermaxillary fixation is achieved [24].…”

Section: Management Of Geriatric Condylar Fracturementioning

confidence: 99%

Diagnosis and Management of Mandibular Condyle Fractures

Sriraam¹,

Vignesh²

2021

Oral and Maxillofacial Surgery

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In the maxillofacial region, mandibular condyle fracture accounts for about 10–40% of the trauma spectrum. This chapter deals with the etiology, classification, clinical features, diagnosis, and contemporary management of mandibular condyle fractures. Along with the regular management strategies, treatment protocols for geriatric and pediatric patients have also been discussed. The indications and contraindications of closed as well as open reduction and fixation of condyle fractures are analyzed in detail.

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Partially Edentulous Arches and Bilateral Mandibular Fracture: Application of Condensation-Silicone Bite Block-Splint, Mandibulo-Maxillary Fixation Screws, and Elastics for Intraoral Immobilization

Fesenko,

Rybak,

Mastakov

2024

J. Diagn. Treat. Oral Maxillofac. Pathol.

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Each mandibular fracture is unique. It requires individual treatment solutions due to different number of fracture sites, fracture terms, level of dislocation, presence/absence of the infection, number, location, and condition of teeth, etc. Management of jaw fractures in partially edentulous arches are even more complicated and typically can involve assistance of a dental technician. Published English language literature lacks information about application of condensation silicone (C-silicone) bite block-splint with mandibulo-maxillary fixation (MMF) screws and elastics for management of bilateral mandibular fracture. This is why we present this novel technique developed by our team based on fracture treatment in a 38-year-old male partially edentulous patient. Also, we introduce a Kyiv’s Modification of the Kennedy Classification System of the partially edentulous arches useful for mandible fracture cases. The Kennedy–Kyiv Classification System considers the non-treated teeth roots as supporting locking points (temporary additional retention points) that increase the stability of the bite block-splint and decrease probability of micromovements. Moreover, it contraindicates extracting such teeth roots immediately before the block-splint fixation as extraction of such roots can provoke the alveolar osteitis upon the fracture site(s) healing and immobilization period what will increase the risk of the block removal for the treatment of osteitis. A review of published MMF techniques and appliances designed for mandible fracture treatment is performed. Multiple appliances for partially and totally edentulous mandibles are considered as well as for the dentulous jaws. The Gunning-type splints and its modifications were considered. An in-chair fabrication of C-silicone bite block-splint and its combined application with MMF screws and elastics is a novel alternative for the Gunning splint. This appliance allows to decrease the time typically required for the Gunning splints fabrication, decreases number of the involved specialists, decreases cost of treatment, and easy for performance.

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Construction of a gunning splint; Case report on the handling of mandibular fractures in edentulous patients

Cited by 3 publications

References 0 publications

Three-Dimensional Navigation-Assisted Open Reduction and Internal Fixation of a Subcondylar and Ramus Fracture on a Maxillary Oligodontia Patient

Three-Dimensional Navigation-Assisted Open Reduction and Internal Fixation of a Subcondylar and Ramus Fracture on a Maxillary Oligodontia Patient

Diagnosis and Management of Mandibular Condyle Fractures

Partially Edentulous Arches and Bilateral Mandibular Fracture: Application of Condensation-Silicone Bite Block-Splint, Mandibulo-Maxillary Fixation Screws, and Elastics for Intraoral Immobilization

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