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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These splints take form of modified dentures with bite block placed in posterior region and a space in incisal area to facilitate feeding.
An improved Gunning splint.
Intermaxillary splinting can be done by connecting two splints with wire loops or elastic bands [ 34 ]. Atrophy of mandible is most important factor.
Gunning and his splints. For edentulous patients, treatment planning poses greater difficulties during reduction and fixation of fractured gunnning mandible. Impressions were immediately poured in dental stone to obtain casts. Oral and Maxillofacial Trauma, vol 2. Received Mar 25; Accepted Jun 4.
J Oral Maxillofac Surg ; Bean introduced customized oral splints for fixation. 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 s;lint.
Bruce and Strachan advocated that open reduction be reserved for fractures of large edentulous mandible and not for atrophic mandible fracture. He gunnkng splint with extraoral wings for treating fracture in edentulous cases. A simple technique of using bite block splint, maxillomandibular fixation screws, and intermaxillary fixation has been presented to enable healing of fracture of mandible in such cases.
Moodie F Mr. Impressions were immediately poured in dental stone to obtain casts Fig 5. Considering the age of the patient and resorption level of mandibular alveolar ridge, closed reduction and stabilization was planned.
Close reduction of mandibular segments were carried out with hand manipulation of two fracture segments to their approximate position. In edentulous cases, even the previous dentures can also be used as splints to stabilize the fractured segments, if the fracture line is present in the denture bearing area 4.
An improved Gunning splint.
The splints may become foul, if proper oral hygiene is not maintained. It holds together fractured segments of mandibular bone and immobilizes the jaws in occlusion. It is an acrylic, single unit prosthesis with gap in the anterior region to allow food intake.
Gunning splint, Edentulous patient, Mandibular fracture, Intermaxillary fixation.
Temporary record bases were prepared with self polymerizing acrylic resin and occlusal rims were fabricated on them accommodating the single natural tooth present.
Due to decrease in bone height, it is not suitable for screwing and plating the fracture site. Close reduction with Gunning splint is advantageous because, not only it preserves the periosteal blood supply, but also provides firm mandibular fixation and immobilization.
Inadequately secured splints—if circummandibular wires placed too close to the fracture site 2. It does not require surgical exposure of fracture site 2. Transmucosal fixation of the fractured edentulous mandible. J Cancer Res Ther. Results of treatment of fractures of the atrophic edentulous mandible by compression plating: Due to decrease in bone height, it is not suitable for screwing and bunning the fracture site.
Spontaneous fracture of the gunninf following gunninv molar removal.
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, gunnin adequate interocclusal space.
J Dent Tehran Summer 9 3: If mandible is atrophic, then the fractured fragments will be more easily displaced. Fracture management of an edentulous mandible in a geriatric osteoporotic patient.