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https://read.qxmd.com/read/30773553/-preliminary-clinical-application-of-complete-digital-workflow-of-design-and-manufacturing-occlusal-splint-for-sleep-bruxism
#1
S M Wang, Z Li, G B Wang, H Q Ye, Y S Liu, D Tong, W H Gao, Y S Zhou
OBJECTIVE: To establish a complete workflow of digital design and manufacturing occlusal splint for sleep bruxism, which can be preliminarily applied in clinical use, thus observe the clinical efficacy. METHODS: Twenty-four patients with sleep bruxism were recruited in the study and randomly divided into two groups by using random number tables. Digital-occlusal-splint (experimental group) treatment plan and traditional-occlusal-splint (control-group) treatment plan were carried out for each group, respectively...
February 18, 2019: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://read.qxmd.com/read/30768662/influence-of-transmucosal-area-morphology-on-peri-implant-bone-loss-in-tissue-level-implants
#2
Rubén Agustín-Panadero, Nuria Martínez-Martínez, Lucía Fernandez-Estevan, Joan Faus-López, M Fernanda Solá-Ruíz
PURPOSE: To analyze peri-implant bone loss around two types of tissue-level implants (convergent and divergent transmucosal morphology) placed in the same region of either the maxilla or mandible in a single surgical session. MATERIALS AND METHODS: This prospective study included 21 patients who each received two implants, one with a convergent transmucosal collar (n = 21) the other with a divergent collar (n = 21). Implants were placed in a single surgical session, by the same clinician, in the same clinical setting at the Prosthodontic and Occlusion Unit, University of Valencia (Spain)...
February 15, 2019: International Journal of Oral & Maxillofacial Implants
https://read.qxmd.com/read/30768580/an-alternative-to-plaster-cast-treatment-in-a-pediatric-trauma-center-using-the-cad-cam-technology-to-manufacture-customized-three-dimensional-printed-orthoses-in-a-totally-hospital-context-a-feasibility-study
#3
Pasquale Guida, Antonio Casaburi, Teresa Busiello, Daniela Lamberti, Antonio Sorrentino, Luigi Iuppariello, Marietta D'Albore, Francesco Colella, Fabrizio Clemente
The aim of this study is to implement the clinical use of the three-dimensional (3D) design and printing technology in pediatric pathologies requiring immobilization. We describe the manufacturing process of the 3D device in place of the plaster cast usually applied to a child 48/72 h after the access to the Trauma Center Traumatology Hub. This procedure had already been performed at Level II, Trauma Center, Campania Region, Orthopaedic Division of Santobono Children's Hospital, Naples, Italy. The operative phase was performed by two 3D printers and a scanner in the bioengineering laboratory of the hospital's outpatient area...
February 12, 2019: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/30767366/clinical-and-radiographic-peri-implant-health-status-around-narrow-diameter-implant-supported-single-and-splinted-crowns
#4
Khulud Abdulrahman Al-Aali, Aws S ArRejaie, Ali Alrahlah, Yasser F AlFawaz, Tariq Abduljabbar, Fahim Vohra
BACKGROUND: Studies assessing and comparing clinical and radiographic peri-implant status around narrow diameter implant-supported single crowns (NDISCs) and splinted crowns (NDISPs) are scarce. OBJECTIVE: The aim of this retrospective study was to estimate and compare complication rates, patient satisfaction, peri-implant status and peri-implant bone loss (PBL) of NDISCs and NDISPs. MATERIALS AND METHODS: Patients receiving narrow diameter implants (NDIs) in the posterior mandible were assessed...
February 14, 2019: Clinical Implant Dentistry and related Research
https://read.qxmd.com/read/30763047/acute-hand-infections
#5
Caitlyn M Rerucha, John T Ewing, Kathryn E Oppenlander, Wesley Charles Cowan
Acute hand infections are often caused by puncture wounds and are generally classified into superficial or deep infections. Superficial infections occur in the skin and subcutaneous tissues, whereas deep infections can involve the tendon sheaths, adjacent anatomic compartments, deep fascial planes, bursae, joint spaces, and bones. Superficial hand infections are more common than deep infections and are typically managed with elevation, warm soaks, splinting in the position of function, analgesics, and empiric antibiotics when indicated...
February 15, 2019: American Family Physician
https://read.qxmd.com/read/30760155/unstable-dorsal-fracture-dislocations-of-the-proximal-interphalangeal-joint-volar-plate-fixation-with-or-without-bone-graft
#6
Chris Milner, Deepak Samson, Simon Tan
BACKGROUND: To evaluate the treatment of severe dorsal fracture dislocation (DFD) injuries of the proximal interphalangeal joint (PIPJ) by open reduction, bone grafting and fixation with mini-hook plates. METHODS: Fourteen patients with extensive dorsal fracture dislocation of the PIPJ were operatively treated to reconstruct the fractured middle phalanx volar lip using a fabricated hook plate in conjunction with elevation and bone grafting of depressed articular fragments where present...
March 2019: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/30759479/the-patterns-of-phalangeal-fractures-in-children-and-adolescents-a-review-of-512-cases
#7
Rok Kralj, Zoran Barcot, Tomislav Vlahovic, Mario Kurtanjek, Ivan Petracic
INTRODUCTION: Fractures of the phalanges in children can often be underappreciated by the physician of first contact. Therefore it is necessary to point out which of these fractures, because of the risk of possible future complications, need special mention. MATERIALS AND METHODS: A retrospective review of 512 fractures of the phalanges in children and adolescents during an one year period. Fractures were subdivided into the following categories - physeal fractures, intraarticular (phalangeal neck and condylar) fractures, shaft fractures, tuft fractures, "mallet finger" fractures, volar plate avulsion injuries and collateral ligament avulsion injuries...
February 13, 2019: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://read.qxmd.com/read/30758878/comparison-of-three-different-types-of-fixed-partial-implant-prosthesis-a-long-term-retrospective-study-of-clinical-outcomes-and-cost-effectiveness
#8
Andrea Ravidà, Mustafa Tattan, Houssam Askar, Shayan Barootchi, Lorenzo Tavelli, Hom-Lay Wang
OBJECTIVE: To study the performance of 2 to 3 posterior bone-level dental implants constructed with either 3 non-splinted crowns (NSC), 3 splinted crowns (SC), or a 3-unit fixed partial denture supported by 2 implants (FPD) MATERIAL AND METHODS: Patients treated with 3 metal-ceramic NSC, SC or a 3-unit FPD were included in the present retrospective study. Implant survival and success rate as well as all biological and technical complications were collected. The cost associated with each of the treatment options was evaluated in the comparative analysis...
February 13, 2019: Clinical Oral Implants Research
https://read.qxmd.com/read/30755359/learning-condyle-repositioning-during-orthognathic-surgery-with-a-surgical-navigation-system
#9
R Lartizien, I Zaccaria, C Savoldelli, L Noyelles, E Chamorey, J L Cracowski, G Bettega
Condyle repositioning during bilateral sagittal splint osteotomy (BSSO) is a challenging step for the inexperienced surgeon. We aimed to demonstrate the benefit of navigation for learning the condyle repositioning. We treated 100 patients who underwent a BSSO. A trainee performed the condyle repositioning of one side in two phases. In the first one, the trainee positioned without watching the screen of the Orthopilot Navigation system (ONS). In the second one, the trainee could use the ONS to replace the condyle...
February 9, 2019: International Journal of Oral and Maxillofacial Surgery
https://read.qxmd.com/read/30738643/cycloxygenase-2-inhibition-potentiates-trans-differentiation-of-wharton-s-jelly-mesenchymal-stromal-cells-into-endothelial-cells-transplantation-enhances-neovascularization-mediated-wound-repair
#10
Komal Kaushik, Amitava Das
BACKGROUND: Neo-vascularization, an indispensible phenomenon for tissue regeneration, facilitates repair and remodeling of wound tissues. This process is impaired in chronic wounds due to reduced number and recruitment of endothelial cells (ECs), thereby necessitating development of newer strategies to enhance the EC repertoire as a therapeutic approach. METHODS: We explored the 'plasticity' of Wharton's jelly derived-mesenchymal stromal cells (WJ-MSCs) using an anti-inflammatory drug-mediated enhanced trans-differentiation into ECs, based on our observation of temporal decrease in COX-2 expression during trans-differentiation of MSCs into ECs at day 7 and 14 along with mature ECs...
February 6, 2019: Cytotherapy
https://read.qxmd.com/read/30734059/-management-of-ureteral-injuries
#11
S Ledderose, V Beck, M Chaloupka, A Kretschmer, F Strittmatter, S Tritschler
Ureteral injuries account for less than 3% of genitourinary injuries. Most of them are caused iatrogenically during abdominal surgery. The symptoms are often non-specific and do not aid in diagnosis. The later the injury is detected, the more often complications occur. Therefore, in such situations it is important to consider the possibility of ureteral injury and initiate further diagnostic steps as soon as possible. A variety of diagnostic tests are available. In addition to the direct inspection of the ureters and retrograde ureteropyelography, computed tomography (CT) urography is routinely used...
February 7, 2019: Der Urologe. Ausg. A
https://read.qxmd.com/read/30722820/-a-wooden-splint-under-a-fingernail-led-to-subungual-squamous-cell-carcinoma
#12
Matilda I E Svenning, Christian Lyngsaa Lang
This case report is about a 75-year-old man, who developed a subungual squamous cell carcinoma (SCC) after having a wooden splint sitting under his fingernail for 20 years. There were no signs of infection, inflammation or tumour. The splint was removed, and histology indicated SCC. The patient underwent amputation, and histological analysis confirmed SCC without bone involvement. Subungual SCC is often misdiagnosed with delayed treatment as a consequence, and it gives a wide variety of symptoms. Treatment includes Mohs surgery and marginal excision...
January 28, 2019: Ugeskrift for Laeger
https://read.qxmd.com/read/30720571/management-of-iatrogenic-nerve-injuries
#13
Nicholas Pulos, Emily H Shin, Robert J Spinner, Alexander Y Shin
Iatrogenic peripheral nerve injuries from orthopaedic surgery can occur via many scenarios, including direct injury to the nerve during surgery, indirect injury via retraction or compartment syndrome, and injury from nonsurgical treatments such as injections and splinting. Successful management of iatrogenic nerve injuries requires an accurate diagnosis and timely, appropriate treatment. All orthopaedic surgeons must understand the preclinical study of nerve injury and the evaluation and treatment options for iatrogenic nerve injuries...
February 1, 2019: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/30718168/short-term-results-of-dynamic-splinting-for-hallux-valgus-a-prospective-randomized-study
#14
Christian Plaass, Annika Karch, Armin Koch, Vivien Wiederhoeft, Sarah Ettinger, Leif Claassen, Kiriakos Daniilidis, Daiwei Yao, Christina Stukenborg-Colsman
Background Hallux valgus is a common diagnosis in orthopedics. Only a few studies have analyzed the effects of conservative therapy. Therefore, the current study analyzed the effect of a dynamic hallux valgus splint. Methods Seventy patients were included in this prospective randomized trial. Patients with a hallux valgus were treated using a dynamic splint or underwent no treatment. Clinical and radiological parameters were evaluated. Results We found no significant changes in hallux valgus angle, intermetatarsal I-II angle, AOFAS score, FAOS or SF-36 score between the groups...
January 21, 2019: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://read.qxmd.com/read/30716142/treatment-planning-the-edentulous-mandible-review-of-biomechanical-and-clinical-considerations-an-update
#15
Edmond Bedrossian, E Armand Bedrossian
PURPOSE: This review article evaluated biomechanical studies, finite element analyses, and clinical papers on the prosthetic and surgical principles for the survival of implants when reconstructing the edentulous mandible, including the use of a three-implant-supported fixed prosthesis. MATERIALS AND METHODS: A comprehensive search of studies published from 1983 to December 2017 listed in the PubMed/MEDLINE databases was performed. Relevant studies were selected according to predetermined inclusion and exclusion criteria...
February 4, 2019: International Journal of Oral & Maxillofacial Implants
https://read.qxmd.com/read/30711296/a-study-of-the-flexural-strength-and-surface-hardness-of-different-materials-and-technologies-for-occlusal-device-fabrication
#16
Vladimir Prpic, Ivan Slacanin, Zdravko Schauperl, Amir Catic, Niksa Dulcic, Samir Cimic
STATEMENT OF PROBLEM: With the emergence of digital technologies, new materials have become available for occlusal devices. However, data are scarce about these different materials and technologies and their mechanical properties. PURPOSE: The purpose of this in vitro study was to investigate the flexural strength and surface hardness of different materials using different technologies for occlusal device fabrication, with an emphasis on the digital technologies of computer-aided design and computer-aided manufacturing (CAD-CAM) and 3D printing...
January 30, 2019: Journal of Prosthetic Dentistry
https://read.qxmd.com/read/30707787/short-term-effectiveness-of-platelet-rich-plasma-in-carpal-tunnel-syndrome-a-controlled-study
#17
Levent Özçakar, Bayram Kaymak, Murat Kara, Ayşen Akinci, Serdar Can Güven
PRP treatment has a potential to become a part of non-surgical approach in CTS as a regenerative method. Platelet-rich plasma (PRP) therapies aim to enhance the self-healing ability of human body, by exposing the injured tissue to a high concentration of autologous growth factors. Nerve tissues also seem to benefit from the regenerative effects of PRP concentrates. The aim of this study is to investigate the possible beneficial effects of platelet-rich plasma (PRP) injection in carpal tunnel syndrome (CTS)...
February 1, 2019: Journal of Tissue Engineering and Regenerative Medicine
https://read.qxmd.com/read/30704798/the-scourge-of-burn-contractures-who-will-bell-the-cat
#18
Vinita Puri, Raghav Shrotriya, Manoj Bachhav
INTRODUCTION: Majority of burn injuries occur in developing world. There have been many advances in burn care management. But this advance comes at a price of ever increasing burn sequel of scarring. Burn scar contractures, in spite of being preventable, continue to be a common reality in our world. This paper aims to evaluate the lacunae in burn care leading to formation of contractures, to evaluate common sites of contractures, practice of advising splintage and anti-deformity positioning...
January 28, 2019: Burns: Journal of the International Society for Burn Injuries
https://read.qxmd.com/read/30704329/buddy-taping-versus-splint-immobilization-for-paediatric-finger-fractures-a-randomized-controlled-trial
#19
Daniel M Weber, Michelle Seiler, Ulrike Subotic, Marcus Kalisch, Robert Weil
The purpose of this single-centre randomized controlled trial was to assess the non-inferiority of buddy taping versus splint immobilization of extra-articular paediatric finger fractures. Secondary fracture displacement was the primary outcome; patient comfort, cost and range of finger motion were secondary outcomes. Ninety-nine children were randomly assigned to taping or splinting. Sixty-nine fractures were undisplaced; 31 were displaced and required reduction before taping or splinting. Secondary displacement occurred in one patient in the taping and three in the splinting group...
January 31, 2019: Journal of Hand Surgery, European Volume
https://read.qxmd.com/read/30702067/monitoring-of-changes-in-physicochemical-and-clinical-characteristics-of-the-dental-polymer-materials-used-in-additive-manufacturing-of-dental-prostheses
#20
S Arutyunov, S Krasheninnikov, I Levchenko, R Orjonikidze, N Sadovskaya, L Kirakosyan, Y Kharakh
The use of additive technologies in dentistry is a promising trend; however, the physical and mechanical properties of the materials intended for the fabrication of long-term fixed restorations remain understudied. The aim of this research is to determine the feasibility of the use of long-term fixed provisional restorations made of polymer materials, fabricated using 3D printing. The conformance of the physical and mechanical properties of NextDent C&B Micro Filled Hybrid (ND) and Detax Freeprint temp UV (DX) materials to ISO 1567:1999 standard, stability of their physical and mechanical properties under the conditions of accelerated aging, as well as their resistance to the oral cavity environment were studied...
December 2018: Georgian Medical News
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