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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Discussion Normal aging process is associated with significant changes in the functional vascular supply of mandible. Department of Prosthodontics, Dr. Spliht to decrease in bone height, it is not suitable for screwing and plating the fracture site. If mandible is atrophic, then the fractured fragments will be more easily displaced. J Dent Tehran Summer 9 3: Close Enter the site.
An improved Gunning splint.
Bruce and Strachan advocated that open reduction be reserved for fractures of large edentulous mandible and not for atrophic mandible fracture. This article has ggunning cited by other articles in PMC. Also, open reduction of fracture site is not helpful due to compromised medical condition of the patient at older age. Ormand B An improved Gunning splint. Edentulous mandible fractures osteosynthesis.
On this altered cast, the record bases were fabricated and occlusal rims were made. On extra-oral examination, there was right mandibular deviation on opening the mouth and tenderness over left TMJ. The loss of bone mass and decreased vascularity decreases the strength of mandible and makes it vulnerable to fracture.
Considering the age of the patient and resorption level of mandibular alveolar ridge, closed reduction and stabilization was planned. How to cite this article: There was no laceration or hematoma on the mucosa. Management of the fractured edentulous atrophic mandible. Author information Article notes Copyright and License information Disclaimer.
Guning treatment with open reduction have more post operative complications.
After securing the splints vunning the underlying bone, intermaxillary fixation was done with arch wires to provide firm immobilization Fig.
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Instructions were given regarding oral hygiene maintenance. The major blood supply of mandible, subperiosteal plexus, may severely impair the vascularity during open reduction resulting in nonunion of fracture treated by open reduction.
It does not require surgical exposure of fracture site 2. Orthopantogram showed complete reduction of fractured segments Fig.
An improved Gunning splint.
Advanced age, vulnerability to perioperative complications and compromised bone mass contribute to favor conservative treatment as a practical option for management of atrophic edentulous mandible fracture.
History revealed that the patient had splnit in mandibular anterior region 8 days ago. Due to decreased vascularity and dense sclerotic nature of bone, open reduction of mandible will lead to slow and complicated healing process of the fracture site [ 6 ]. Due to edentulism, guidelines provided by occluding teeth for reduction and fixation of fracture, are absent.
Use of Gunning Splint for the Treatment of Edentulous Mandibular Fracture: A Case Report
Loss of teeth decreases mass of splibt which weakens it and susceptible to fracture. Keywords atrophic edentulous mandible, gunning splint, mandible fracture. Mandibular splint was fixed by circum-mandibular wiring.
There was no history of use of any removable dentures. Hence, it was decided to perform closed reduction of the fractured mandible with Gunning splint instead of open reduction. Normal aging process is associated with significant changes in the functional vascular supply of mandible [ 5 ]. Then the occlusal rims were altered.
Aust Dent J ; It is a minimally invasive technique. It does not require surgical exposure of fracture site 2. It is a minimally invasive technique.