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    Splints (Compatibility Mode)

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    wese87
    Bone fractures are either simple or compound. Treatment involves reduction, immobilization, and rehabilitation. Immobilization splints must be rigid, immobile, comfortable, and not harm teeth or surrounding structures. They should allow normal function and occlusion without interference. Acrylic and metal labiolingual splints are commonly used for dentulous or partially dentulous patients. They grip between teeth securely without needing cement. Gunning and Kingsley splints are used for edentulous patients, using wires to suspend the splint and provide intermaxillary fixation.

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    Splints (Compatibility Mode)

    Uploaded by

    wese87
    143 views14 pages
    Bone fractures are either simple or compound. Treatment involves reduction, immobilization, and rehabilitation. Immobilization splints must be rigid, immobile, comfortable, and not harm teeth or surrounding structures. They should allow normal function and occlusion without interference. Acrylic and metal labiolingual splints are commonly used for dentulous or partially dentulous patients. They grip between teeth securely without needing cement. Gunning and Kingsley splints are used for edentulous patients, using wires to suspend the splint and provide intermaxillary fixation.

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    Splinting

    Original Title

    Splints [Compatibility Mode]

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    Bone fractures are either simple or compound. Treatment involves reduction, immobilization, and rehabilitation. Immobilization splints must be rigid, immobile, comfortable, and not harm teeth or surrounding structures. They should allow normal function and occlusion without interference. Acrylic and metal labiolingual splints are commonly used for dentulous or partially dentulous patients. They grip between teeth securely without needing cement. Gunning and Kingsley splints are used for edentulous patients, using wires to suspend the splint and provide intermaxillary fixation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    143 views14 pages

    Splints (Compatibility Mode)

    Uploaded by

    wese87
    Bone fractures are either simple or compound. Treatment involves reduction, immobilization, and rehabilitation. Immobilization splints must be rigid, immobile, comfortable, and not harm teeth or surrounding structures. They should allow normal function and occlusion without interference. Acrylic and metal labiolingual splints are commonly used for dentulous or partially dentulous patients. They grip between teeth securely without needing cement. Gunning and Kingsley splints are used for edentulous patients, using wires to suspend the splint and provide intermaxillary fixation.

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    of 14

    Fixation of jaw fractues

    splints

    Bone fractures are either simple ( no


    open wound) or compound ( open
    wound). TTT consists of reduction,
    immobilization & rehabilitation

    Requirement
    It must be rigid & immobile
     It must be comfort
     It must not harm standing teeth &
    surrounding structures
     Does not disturb normal function
     Not interfere with occlusion
     Speed & ease of construction
    

    Advantages
    1- allows fixation for long times
     2- does not harm the teeth
     3-Allows early movement of mandible that
    prevent the onset of trismus
    

    Methods of immobilization splints


    1- for dentulous pt:
     1- wire splints
     Direct wiring ,interdental wiring ,arch bar,
    circumferential wiring
     2- labiolingual splints
     3- metal cap splintsd
    

    Labiolingual splint, stout sectional


    splint
    For dentulous or partialy edentulous pt
     for fracture without displacement or with
    minimum displacement
     Acc to materials
    

    Acrylic labiolingual splint

    Cast metal labiolingual splint

    Acrylic labiolingual splint


    
    

    
    

    Consists of 3 sections, right & left facial sections hinged to a lingual


    section by mean of 2 flexible half round wire
    Lower cast is sectioned through the fractured line if present &
    realigned into the correct anatomical position guided by opposing
    arch.
    Wax is applied to buccal & lingual surfaces of teeth, the wax should
    extend 3mm below the free gingival margin, & above the height of
    contour( leaving occlusal surface free) then forming an anterior
    projection in midline in form of button
    Wrought wire is bent around the most distal tooth on both sides,
    then flasked & processed
    The button is sectioned vertically to produce 2 separate buccal
    sections. 3 sections are brought together with light wire around 2
    halves of buttons

    Advantages of labiolingual splint


    
    
    
    
    
    
    

    Securely retained as it grips the teeth in


    interproximal surfaces
    Cement is not necessary
    Occlusal surface is free
    Being made of clear acrylic resin
    A lthough it contacts free gingival tissues, it is
    tolerable
    It can be easily removed to test for clinical union
    Easy to construct, alter & repair

    Cast metal labiolingual splint


    Reassembled casts are duplicated in
    investment,& splint is waxed up on the
    duplicate cast
     In cases needed long term immobilization,
    immobilization,
    strength &rigidity.
    &rigidity. It offers superior fit,
    rigidity smooth, easier to clean & more
    comfortable
    

    Metal cap splint


    Efficient for reduction & immobilization
     Covers buccal , lingual & occlusal aspect
    of teeth on both sides of fracture.
     The splint is cemented.
     Types
    

    One piece metal cap splint ( no or little displacement)

    Two piece metal cap splint or with screw connecting bar(


    displacement)

    Alginate impression of both arch in shallow impression


    trays to obtain stone casts. Sectioned & reassembled
    plaster base is made to hold 2 sections together
    

    Interproximal buccal & lingual


    undercuts are obliterated& cast
    is duplicated then hand
    articulated with opposing one
    on simple hinge articulator
    The splint is waxed up by
    using casting wax which is
    very thin occlusally & carries
    imprints of opposing teeth.
    teeth.
    To control jaw separation cusp
    of posterior teeth project
    through splint& excess cement
    escape through vents.
    in case of 2 piece metal cast
    splint the female portion of
    screws or under plates may be
    waxed into wax pattern or
    soldered after casting

    Edentulous pt
    

    1- GUNNING SPLINTS

    In cases with vertical displacement


    only & not with horizontal one.
    upper & lower imp are made to obtain
    casts that are sectioned &
    reassembled guided by ridge contour.
    // bet. Ridges is used as guide to
    mount the casts at vertical dimension
    2layers of modeling wax are adapted
    2 mm short than depth of vestibule.
    vestibule.
    occlusion rims are adapted on
    premolars & molars region to create a
    space in anterior region to facilitate
    feeding & vomiting

    
    

    
    
    

    v-shaped grooves on occl surface of


    rims are done on one arch for
    anchorage of guttagutta-percha or self
    curing acrylic resin at time of fixation
    4 st.steel wire hoks are pepared, &
    placed on buccal flange of waxed
    splint
    Inner layer of wax is removed and wax
    is processed in acrylic resin
    Soft liner or tissue conditioning mat
    acts as cushion.
    For intermaxillary fixation the splints
    are wired together through hooks

    Circumferential wiring is used to fix mandibular


    splint in posirtion. Maxillary splint is suspended to
    zygomatioc arch
    extraoral fixation through the use of elastic chin
    bandage reduces mandibular movement &
    immobilization . After healing takes place
    intermaxilary wiring may be removed, while splint
    left for a while

    In presence of old denture


    
    
    
    

    Relieving fitting surface of denture to create


    space for soft liner
    Removing upper & lower anterior teeth to
    facilitate feeding & cleaning
    Hooks or arch bars are fixed to buccal surface
    used self cure acrylic resin for fixation
    Poor fit , inadequate base extension, & faulty
    occlusion should be corrected by soft liner or by
    having pt bites on soft compound placed
    between occlusal surfaces which is transferred
    into acrylic resin

    2-Kingsley splint
    

    
    

    Either jaws intraoral tray portion embracing teeth


    or edentulous alveolar ridge, to which stout wire
    arms are attached
    the wires are carried out around the face to
    provide attachment for bandage passing under
    the chin in mandible or over the head in maxilla.
    maxilla.
    The tray is filled with impression compound or
    cotton wool
    It provide ttt for fractures maxilla to prevent its
    falling on dorsum of tongue

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