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Aim: The purpose of the study was to comparatively evaluate temporomandibular joint function and treatment response using joint vibration analysis (JVA) in patients exhibiting disc displacement with reduction (DDR), treated with three variable thickness of stabilization splints. JVA analyzed these vibrations to detect internal joint abnormalities, and their patterns were further categorized using the Piper classification was highly accurate and hence used over magnetic resonance imaging.
Settings And Design: Randomized clinical trial.
Materials And Methods: The splint of different thicknesses, i.e., Group A (3 mm), Group B (4 mm), and Group C (5 mm) were given to the study participants for 10 week interval, and pre and posttreatment efficacy was recorded using JVA. Stress perseverance and tooth wear index were recorded with a pre and postquestionnaire.
Statistical Analysis Used: The one way analysis of variance f test and Turkey's post hoc test for multiple comparisons were used to statistically assess the results.
Results: The treatment response with Group A and B thickness of stabilization splints was significant (P = 0.01) and with Group C was not significant (P = 5.28). The statistical result of stress perseverance was not significant between the three groups, although reflecting female participants were affected more. The tooth wear index was significant with all the three groups (P = 0.09).
Conclusion: The study concluded that the splints given to Group A and Group B showed effective treatment response, while Group C showed positive response in a few individuals, but some individuals compliant of discomfort. The stress level was high in female individuals. Among all the participants, the concern of tooth wear was present.
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http://dx.doi.org/10.4103/jips.jips_76_25 | DOI Listing |
Int J Dent
August 2025
Department of Periodontics, Virginia Commonwealth University, Richmond, Virginia, USA.
Periodontal splints offer a noninvasive and inexpensive treatment modality to stabilize mobile teeth. This study evaluated periodontal splints to examine their longevity and long-term stability. A retrospective chart review was performed for patients who received splints on mandibular or maxillary anterior teeth.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
September 2025
Complex cases often require interdisciplinary specialist care when multiple structures in the stomatognathic system have developed significant problems. Treatment planning uses detailed problem and solution analysis and coordination of multiple clinicians for a predictable, practical result consistent with the patient's priorities. The foundation of this process is knowing exactly what each team member does in their practice.
View Article and Find Full Text PDFJFMS Open Rep
August 2025
Sydney School of Veterinary Sciences, University of Sydney, Sydney, NSW, Australia.
Case Summary: An 11-year-old male neutered domestic longhair cat was presented to an emergency referral hospital after sustaining severe injuries isolated to the thorax after a dog attack. Initial stabilisation included oxygen supplementation, intravenous fluid therapy, point-of-care ultrasound (POCUS), serial blood gas analyses, thoracic and abdominal radiographs, opioid analgesics and broad-spectrum antibiotics. CT revealed multiple internally displaced rib fractures that punctured through the mediastinum and were in intimate proximity to the cranial vena cava and proximal aortic arch.
View Article and Find Full Text PDFBioengineering (Basel)
August 2025
Center for Clinical Research, University Clinic of Dentistry, Medical University of Vienna, 1090 Vienna, Austria.
Temporomandibular joint disorders (TMDs), particularly disc displacement with reduction (DDwR), are prevalent musculoskeletal conditions characterized by symptoms such as joint clicking, pain, and sometimes limited jaw movements. Accurate diagnosis requires a multidisciplinary approach, including clinical examination, imaging (MRI), and functional analysis. Among conservative treatment modalities, anterior repositioning splints (ARSs) are widely used to recapture the displaced discs and reposition the mandibular condyles.
View Article and Find Full Text PDFPediatr Rep
August 2025
Hand Surgery, Desert Orthopaedic Center, Las Vegas, NV 89121, USA.
Finger injuries are common in pediatric patients and typically heal well with conservative management. However, rare fracture patterns involving significant displacement and physeal injury, such as the one described in this case, require specialized surgical intervention to ensure proper healing and prevent long-term complications. A 12-year-old left-hand-dominant female presented with pain, swelling, and deformity at the distal interphalangeal (DIP) joint following hyperextension of the left fifth digit.
View Article and Find Full Text PDF