Trismus is a pathological condition of the muscles of mastication which commonly affects patients who have undergone dental procedures, oral surgery, and radiation therapy for head and neck cancer. The purpose of this case report is to describe the use of dynamic splinting, a noninvasive modality to reduce trismus which occurred in a patient following multiple dental procedures. A 26 year old man of African descent was referred for severe trismus and pain following three dental procedures on the lower right molars. The patient presented with Maximal Interincisal (opening) Distance (MID) of only 5mm and mastication muscle spasticity. Following physical therapy (massage, ultra sound, NMES, moist heat) three times per week for two months and additional treatment of dynamic splinting for four weeks (TID) the patient increased his MID to 52 mm and returned to normal eating and speaking.
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http://dx.doi.org/10.2334/josnusd.51.141 | DOI Listing |
Head Face Med
January 2025
Department of Oral and Maxillofacial Surgery, Heinrich Heine University Hospital Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Background: Virtual surgical planning for orthognathic surgery typically relies on two methods for intraoperative plan transfer: CAD/CAM occlusal splints and patient-specific implants (PSI). While CAD/CAM splints may offer limited accuracy, particularly in the vertical dimension, PSIs are constrained by higher costs and extended preparation times. Surgical navigation has emerged as a potential alternative, but existing protocols often involve invasive registration or lack transparent evaluation.
View Article and Find Full Text PDFJ Oral Facial Pain Headache
March 2024
College of Sports Medicine and Physical Therapy, Beijing Sport University, 100084 Beijing, China.
To compare the effects of home-based rehabilitation and occlusal splints or centre-based rehabilitation in patients with temporomandibular joint disorders (TMD). A systematic review and meta-analysis. PubMed, Embase, Cochrane Library, Web of Science and ClinicalTrials.
View Article and Find Full Text PDFNucleic Acids Res
January 2025
Key Laboratory of Bio-resource and Eco-environment of Ministry of Education, The College of Life Sciences, Sichuan University, 24 South Section 1, 1st Ring Road, Chengdu, Sichuan 610064, P.R. China.
Region-specific RNA modifications are crucial for advancing RNA research and therapeutics, including messenger RNA (mRNA)-based vaccines and immunotherapy. However, the predominant method, synthesizing regionally modified mRNAs with short single-stranded DNA (ssDNA) splints, encounters challenges in ligating long mRNA fragments due to the formation of RNA self-folded complex structures. To address this issue, we developed an efficient strategy using an easily obtained long double-stranded DNA (dsDNA) as a ligation splint after in situ denaturing, while parts of this dsDNA are the templates for transcribing mRNA fragments.
View Article and Find Full Text PDFJ Clin Med
December 2024
Department of Prosthodontics, Medical Faculty, Heidelberg University, 69120 Heidelberg, Germany.
Cleaning splints (CSs) can facilitate interdental brush (IDB) insertion and guide IDBs during cleaning movement. Cleaning efficacy with and without CSs was to be assessed and compared for a fully dentate (FD) and a partially edentulous (PE) situation. For two maxillary typodont models simulating either an FD situation or a PE situation with every second tooth missing, suitable IDBs were selected and each cleaning splint was designed and fabricated by 3D-printing.
View Article and Find Full Text PDFHeliyon
January 2025
Division of Oral and Maxillofacial Surgery, Faculty of Dentistry, Thammasat University, Pathum Thani, 12120, Thailand.
Objectives: To evaluate the accuracy (trueness and precision) of liquid crystal display (LCD)-printed orthognathic surgical splints under two different post-processing conditions-rinsing solvent and post-polymerization time.
Materials And Methods: An LCD 3D printer was used to create 48 surgical splints using the same reference standard tessellation language (STL) files. They were randomly assigned to two experimental studies.
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