New Method for Fabrication of Gunning Splint in Orthognathic Surgery for Edentulous Patients
Identifieur interne : 001D78 ( Pmc/Checkpoint ); précédent : 001D77; suivant : 001D79New Method for Fabrication of Gunning Splint in Orthognathic Surgery for Edentulous Patients
Auteurs : H. Siadat [Iran] ; M. Arshad [Iran] ; G. Shirani [Iran] ; M. Alikhasi [Iran]Source :
- Journal of Dentistry (Tehran, Iran) [ 1735-2150 ] ; 2012.
Abstract
Treatment planning poses difficulties in edentulous patients for orthognathic surgery prediction and fixation.
Treatment of severe class III malocclusion frequently requires orthognathic surgical procedures. For such patients, orthognathic surgery would be the only option before prosthetic rehabilitation.
This clinical report describes step-by-step fabrication of a surgical splint for an edentulous 22-year-old patient with a severe class III malocclusion.
The patient wound up in class I occlusions and stable prosthodontic rehabilitation.
Using splints for planning and guiding the surgery in edentulous patients facilitates accurate positioning of the jaws and saves time in the operating room.
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PubMed: 23119136
PubMed Central: 3484831
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">New Method for Fabrication of Gunning Splint in Orthognathic Surgery for Edentulous Patients</title><author><name sortKey="Siadat, H" sort="Siadat, H" uniqKey="Siadat H" first="H." last="Siadat">H. Siadat</name><affiliation wicri:level="1"><nlm:aff id="af1-jod-9-262">Associate Professor, Dental implant Research center and Dental Research Center, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Associate Professor, Dental implant Research center and Dental Research Center, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Arshad, M" sort="Arshad, M" uniqKey="Arshad M" first="M." last="Arshad">M. Arshad</name><affiliation wicri:level="1"><nlm:aff id="af2-jod-9-262">Assistant Professor, Dental Research Center and Department of Dental Implant, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Assistant Professor, Dental Research Center and Department of Dental Implant, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Shirani, G" sort="Shirani, G" uniqKey="Shirani G" first="G." last="Shirani">G. Shirani</name><affiliation wicri:level="1"><nlm:aff id="af3-jod-9-262">Assistant Professor, Department of Oral & Maxillofacial Surgery and Dental Research, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Assistant Professor, Department of Oral & Maxillofacial Surgery and Dental Research, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Alikhasi, M" sort="Alikhasi, M" uniqKey="Alikhasi M" first="M." last="Alikhasi">M. Alikhasi</name><affiliation wicri:level="1"><nlm:aff id="af4-jod-9-262">Associate Professor, Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Associate Professor, Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23119136</idno><idno type="pmc">3484831</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484831</idno><idno type="RBID">PMC:3484831</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001D84</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D84</idno><idno type="wicri:Area/Pmc/Curation">001D84</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001D84</idno><idno type="wicri:Area/Pmc/Checkpoint">001D78</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001D78</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">New Method for Fabrication of Gunning Splint in Orthognathic Surgery for Edentulous Patients</title><author><name sortKey="Siadat, H" sort="Siadat, H" uniqKey="Siadat H" first="H." last="Siadat">H. Siadat</name><affiliation wicri:level="1"><nlm:aff id="af1-jod-9-262">Associate Professor, Dental implant Research center and Dental Research Center, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Associate Professor, Dental implant Research center and Dental Research Center, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Arshad, M" sort="Arshad, M" uniqKey="Arshad M" first="M." last="Arshad">M. Arshad</name><affiliation wicri:level="1"><nlm:aff id="af2-jod-9-262">Assistant Professor, Dental Research Center and Department of Dental Implant, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Assistant Professor, Dental Research Center and Department of Dental Implant, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Shirani, G" sort="Shirani, G" uniqKey="Shirani G" first="G." last="Shirani">G. Shirani</name><affiliation wicri:level="1"><nlm:aff id="af3-jod-9-262">Assistant Professor, Department of Oral & Maxillofacial Surgery and Dental Research, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Assistant Professor, Department of Oral & Maxillofacial Surgery and Dental Research, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Alikhasi, M" sort="Alikhasi, M" uniqKey="Alikhasi M" first="M." last="Alikhasi">M. Alikhasi</name><affiliation wicri:level="1"><nlm:aff id="af4-jod-9-262">Associate Professor, Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Associate Professor, Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Dentistry (Tehran, Iran)</title><idno type="ISSN">1735-2150</idno><idno type="eISSN">2008-2185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Treatment planning poses difficulties in edentulous patients for orthognathic surgery prediction and fixation.</p><p>Treatment of severe class III malocclusion frequently requires orthognathic surgical procedures. For such patients, orthognathic surgery would be the only option before prosthetic rehabilitation.</p><p>This clinical report describes step-by-step fabrication of a surgical splint for an edentulous 22-year-old patient with a severe class III malocclusion.</p><p>The patient wound up in class I occlusions and stable prosthodontic rehabilitation.</p><p>Using splints for planning and guiding the surgery in edentulous patients facilitates accurate positioning of the jaws and saves time in the operating room.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Fonseca, Rj" uniqKey="Fonseca R">RJ Fonseca</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Walker, F" uniqKey="Walker F">F Walker</name></author><author><name sortKey="Ayoub, Af" uniqKey="Ayoub A">AF Ayoub</name></author><author><name sortKey="Moos, Kf" uniqKey="Moos K">KF Moos</name></author><author><name sortKey="Barbanel, J" uniqKey="Barbanel J">J Barbanel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sharifi, A" uniqKey="Sharifi A">A Sharifi</name></author><author><name sortKey="Jones, R" uniqKey="Jones R">R Jones</name></author><author><name sortKey="Ayoub, A" uniqKey="Ayoub A">A Ayoub</name></author><author><name sortKey="Moos, K" uniqKey="Moos K">K Moos</name></author><author><name sortKey="Walker, F" uniqKey="Walker F">F Walker</name></author><author><name sortKey="Khambay, B" uniqKey="Khambay B">B Khambay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Williams, Wp" uniqKey="Williams W">WP Williams</name></author><author><name sortKey="Becker, Lh" uniqKey="Becker L">LH Becker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nattestad, A" uniqKey="Nattestad A">A Nattestad</name></author><author><name sortKey="Vedtofte, P" uniqKey="Vedtofte P">P Vedtofte</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Koh, Ch" uniqKey="Koh C">CH Koh</name></author><author><name sortKey="Chew, Mt" uniqKey="Chew M">MT Chew</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Epker, Bn" uniqKey="Epker B">BN Epker</name></author><author><name sortKey="Stella, Jp" uniqKey="Stella J">JP Stella</name></author><author><name sortKey="Fish, Lc" uniqKey="Fish L">LC Fish</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Liaw, Yc" uniqKey="Liaw Y">YC Liaw</name></author><author><name sortKey="Kuang, Sh" uniqKey="Kuang S">SH Kuang</name></author><author><name sortKey="Chen, Yw" uniqKey="Chen Y">YW Chen</name></author><author><name sortKey="Hung, Kf" uniqKey="Hung K">KF Hung</name></author><author><name sortKey="Tsai, Hc" uniqKey="Tsai H">HC Tsai</name></author><author><name sortKey="Kao, Sy" uniqKey="Kao S">SY Kao</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Dent (Tehran)</journal-id><journal-id journal-id-type="iso-abbrev">J Dent (Tehran)</journal-id><journal-title-group><journal-title>Journal of Dentistry (Tehran, Iran)</journal-title></journal-title-group><issn pub-type="ppub">1735-2150</issn><issn pub-type="epub">2008-2185</issn><publisher><publisher-name>Tehran University of Medical Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23119136</article-id><article-id pub-id-type="pmc">3484831</article-id><article-id pub-id-type="publisher-id">jod-9-262</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>New Method for Fabrication of Gunning Splint in Orthognathic Surgery for Edentulous Patients</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Siadat</surname><given-names>H.</given-names></name><xref ref-type="aff" rid="af1-jod-9-262"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Arshad</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="af2-jod-9-262"><sup>2</sup></xref><xref ref-type="corresp" rid="c1-jod-9-262"></xref></contrib><contrib contrib-type="author"><name><surname>Shirani</surname><given-names>G.</given-names></name><xref ref-type="aff" rid="af3-jod-9-262"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Alikhasi</surname><given-names>M.</given-names></name><xref ref-type="aff" rid="af4-jod-9-262"><sup>4</sup></xref></contrib></contrib-group><aff id="af1-jod-9-262"><label>1</label>Associate Professor, Dental implant Research center and Dental Research Center, Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</aff><aff id="af2-jod-9-262"><label>2</label>Assistant Professor, Dental Research Center and Department of Dental Implant, Tehran University of Medical Sciences, Tehran, Iran</aff><aff id="af3-jod-9-262"><label>3</label>Assistant Professor, Department of Oral & Maxillofacial Surgery and Dental Research, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</aff><aff id="af4-jod-9-262"><label>4</label>Associate Professor, Dental Research Center and Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran</aff><author-notes><corresp id="c1-jod-9-262">Corresponding author: M. Arshad, Department of Implant, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran, <email>mehrnazarshad@yahoo.com</email></corresp></author-notes><pub-date pub-type="epub"><day>30</day><month>9</month><year>2012</year></pub-date><pub-date pub-type="ppub"><season>Summer</season><year>2012</year></pub-date><pub-date pub-type="collection"><year>2012</year></pub-date><volume>9</volume><issue>3</issue><fpage>262</fpage><lpage>266</lpage><history><date date-type="received"><day>14</day><month>3</month><year>2012</year></date><date date-type="accepted"><day>30</day><month>6</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © Dental Research Center, Tehran University of Medical Sciences</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.</license-p></license></permissions><abstract><p>Treatment planning poses difficulties in edentulous patients for orthognathic surgery prediction and fixation.</p><p>Treatment of severe class III malocclusion frequently requires orthognathic surgical procedures. For such patients, orthognathic surgery would be the only option before prosthetic rehabilitation.</p><p>This clinical report describes step-by-step fabrication of a surgical splint for an edentulous 22-year-old patient with a severe class III malocclusion.</p><p>The patient wound up in class I occlusions and stable prosthodontic rehabilitation.</p><p>Using splints for planning and guiding the surgery in edentulous patients facilitates accurate positioning of the jaws and saves time in the operating room.</p></abstract><kwd-group><kwd>Occlusal Splint</kwd><kwd>Gunning Splint</kwd><kwd>Orthognathic Surgery</kwd><kwd>Edentulous Patient</kwd><kwd>Class III Malocclusion</kwd></kwd-group></article-meta></front><floats-group><fig id="f1-jod-9-262" position="float"><label>Fig 1</label><caption><p>Clinical and radiographic examination of the patient with class III deformity,a. Lateral view of the patient, b. Intraoral frontal view, c. Panoramic view</p></caption><graphic xlink:href="jod-9-262f1"></graphic></fig><fig id="f2-jod-9-262" position="float"><label>Fig 2</label><caption><p>Anterior tooth set-up in class III occlusion</p></caption><graphic xlink:href="jod-9-262f2"></graphic></fig><fig id="f3-jod-9-262" position="float"><label>Fig 3</label><caption><p>The cephalometric radiography with bariumsulfate-coated anterior acrylic teeth</p></caption><graphic xlink:href="jod-9-262f3"></graphic></fig><fig id="f4-jod-9-262" position="float"><label>Fig 4</label><caption><p>Intermediate splint was made with self cure acrylic resin in the articulator</p></caption><graphic xlink:href="jod-9-262f4"></graphic></fig><fig id="f5-jod-9-262" position="float"><label>Fig 5</label><caption><p>Fixing final splints with screws in the maxilla (a) and circummandibular wiring in the mandible (b)</p></caption><graphic xlink:href="jod-9-262f5"></graphic></fig><fig id="f6-jod-9-262" position="float"><label>Fig 6</label><caption><p>Fixing the final splint with an arch bar for stabilizing the maxilla and the mandible after surgery. An intermediate splint was sited between the two jaws</p></caption><graphic xlink:href="jod-9-262f6"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Iran</li></country></list><tree><country name="Iran"><noRegion><name sortKey="Siadat, H" sort="Siadat, H" uniqKey="Siadat H" first="H." last="Siadat">H. Siadat</name></noRegion><name sortKey="Alikhasi, M" sort="Alikhasi, M" uniqKey="Alikhasi M" first="M." last="Alikhasi">M. Alikhasi</name><name sortKey="Arshad, M" sort="Arshad, M" uniqKey="Arshad M" first="M." last="Arshad">M. Arshad</name><name sortKey="Shirani, G" sort="Shirani, G" uniqKey="Shirani G" first="G." last="Shirani">G. Shirani</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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