复合树脂夹板治疗慢性牙周病的研究

目的探讨复合树脂夹板治疗慢性牙周炎的疗效.方法对于牙周炎导致Ⅱ0松动的患牙采用在舌侧外形高点处开沟、钢丝埋入复合树脂充填,夹板固定的方法,治疗了37例患者.结果经过2a的临床观察有效率达86.5%.结论该方法将松动牙连成一个整体,减小了各牙的动度和应力,提高了患者的咀嚼效率,有效地控制了慢性牙周病的发展.     

用稳定合夹板对年轻恒前牙外伤后脱位及牙槽折断的治疗探讨

年轻恒前牙外伤后脱位及牙槽折断临床上比较多见。本文采用稳定夹板治疗年轻恒前牙外伤，取得了较好的临床效果。稳定夹板采用了动、静结合的原理，在固定患牙的同时，提供了生理性功能刺激。作者认为：对年轻恒前牙外伤的治疗，应采取儿童口腔医学的综合治疗。     

缝外膜肠线支架减张输精管吻合术

本文报告一种在肉眼下行吻合的缝外膜肠线支架减张输精管吻合新方法.此法与外膜肌层法、全层不锈钢支架法和单纯全层法等对照地进行了动物实验及临床应用研究.自1980年3月以来,在临床上,上四法分别做了30、30、13及13例,术后分别随访到30、28、12及11例;其复精率分别是90%、82.1%、33、3%及27.3%;其复孕率分别是71.4%、60.7%、16.7%及0%.其结果显示,本法较其他肉眼下的输精管吻合法更加简便易行,效果满意.     

中药配合手法复位小夹板外固定治疗桡骨远端骨折疗效观察

目的:探讨中药配合手法复位小夹板外固定治疗桡骨远端骨折的临床疗效。方法:选取2017年4月—2018年3月桡骨远端骨折患者112例,随机分为2组,各56例。对照组采取手法复位小夹板外固定治疗,观察组采取温阳健骨汤+手法复位小夹板外固定治疗,对比2组临床疗效、疼痛程度、疼痛缓解时间、消肿时间及骨折愈合时间。结果:对照组治疗有效率较观察组低,差异有统计学意义;治疗1周、2周及4周后,观察组VAS评分均较对照组低,差异有统计学意义;与对照组相比,观察组疼痛缓解时间、消肿时间及骨折愈合时间更短,差异有统计学意义。结论:桡骨远端骨折患者采用中药配合手法复位小夹板外固定治疗可有效提升临床疗效,减轻患者疼痛,促进骨折愈合。     

Precise Placement of Single‐Retainer Resin‐Bonded Fixed Dental Prostheses with an Innovative Splint Design

Single‐retainer resin‐bonded fixed dental prostheses (RBFDPs) are difficult to position due to the pressure of soft tissue at the pontic area and the single‐retainer design. This clinical report describes an innovative technique for the insertion of single‐retainer RBFDPs. An incisal inserting splint is used to position the RBFDPs reliably. With the help of grooves in the buccal and incisal area of the splint, the precise positioning of the splint on the adjacent teeth and the RBFDP can be controlled. Also, a hole in the retainer wing region of the splint gives access for pressure application on the wing during the bonding process. With the aid of this method, 25 single‐retainer FBFDPs were inserted in the correct position in a case series. The splint described here allows the precise insertion of single‐retainer RBFDPs and simplifies delivery.     

Optimized 3D virtually planned intermediate splints for bimaxillary orthognathic surgery: A clinical validation study in 20 patients

Orthognathic surgery is indicated for the treatment of significant skeletal malocclusions and facial dysmorphosis. Recent technological developments allow surgeons to virtually plan the orthognathic jaw movements. When producing intermediate splints, overlap between the upper and lower dentitions can occur. Autorotation of the mandible is often used as a solution for this problem. The purpose of this study was to present an optimized approach to fabricate digital intermediate splints based on the use of a scanned thick wax bite to overcome dental overlap during planning.Twenty patients (9 males and 11 females) undergoing bimaxillary orthognathic surgery participated in this prospective study. Planning of the maxillary movements was conducted by the same surgeon. The thick wax bite was scanned using an intraoral scanner and a special CBCT protocol. The fabrication of the intermediate splints was done by means of conventional model surgery and virtual 3D planning-printing. The splints were clinically assessed by comparing the digitally printed intermediate splints to the corresponding conventional set-up which served as the clinical standard. Moreover, reproducibility and comparison tests between the scanned wax bites were implemented.The root mean square (RMS) for the reproducibility and comparison tests was respectively 0,15 mm (SD 0,24 mm) and 0,19 mm (SD 0,08 mm). 19 out of the 20 intermediate digitally 3D printed splints were clinically accepted.This proposed protocol can be considered as an optimization to the current 3D planning protocols of bimaxillary orthognathic surgery.     

Evaluation of the effects of occlusal splint,trigger point injection and arthrocentesis in the treatment of internal derangement patients with myofascial pain disorders

Purpose

In temporomandibular disorders (TMDs), unless splints are effective, combined therapies are performed. The aim of this study is to show the effectiveness of the local anaesthethic injections (trigger point injections) to the masticatory muscles.

闭合性桡骨远端骨折手法复位小夹板固定临床路径的病例对照研究

目的:探讨以手法复位小夹板固定治疗闭合性桡骨远端骨折在保证临床疗效的基础上,缩短治疗时间,减轻患者医疗费用,创建中医优势病种门诊诊疗的临床路径。方法:自2007年7月至2009年12月,共200例患者,年龄40～80岁,分为提前拆除小夹板组(CP治疗组)和常规治疗组,各100例。CP治疗组男21例,女79例;年龄(62.98±0.85)岁;常规治疗组男20例,女80例;年龄(63.19±0.88)岁。均采用手法复位小夹板固定后,常规治疗组30d拆除小夹板,CP治疗组在第25天拆除小夹板,两组定期摄X线片复查及内服中药(早期口服玄胡片、创伤宁片,中期口服归香正骨丸,后期口服双龙接骨丸)至骨折临床愈合,拆除夹板后指导功能锻炼。患者在治疗中评定复位情况,了解骨位,采用Gartland-Werley腕关节评分标准评估腕关节功能,进行疗效观察。结果:CP治疗组患者的实际治疗时间从原来的(30.08±3.06)d下降到(25.06±1.07)d,治疗费用由(2100.00±332.12)元下降到(1644.00±125.20)元。两组在复位、腕关节功能恢复方面比较差异无统计学意义,说明中医门诊治疗的疗效可以保证。结论:在中医骨科门诊实施临床路径后,促进了诊疗行为的规范化及治疗时间的缩短,为广大病患减轻了医疗经济负担,值得推广应用。     

手法复位小夹板联合中立板双重外固定治疗Colles骨折

Colles骨折是临床上最常见的骨折之一,多见于中老年人。保守治疗是Colles骨折的首选或主要治疗方法[1-2]。通过手法整复,绝大多数骨折可获得满意复位,但骨折满意复位后如何维持整复后骨折满意的位置(骨折的对位、对线)以及防止骨折再移位是非手术治疗Colles骨折成功的关键,也是临床上面临的棘手问题。自1999年7月至2011年6月采用手法复位小夹板联合中立板双重外固定治疗移位性Colles骨折162例,疗效满意,现总结报告如下。1临床资料本组162例,男51例,女111例;年龄20～82岁,平均     

陈旧性鼻骨骨折的治疗

目的：讨论陈旧性鼻骨骨折的诊疗方案。方法：对76例患者鼻骨骨折在2周左右及大于2周行鼻骨骨折手法复位或切开鼻骨成形术。结果：35例患者鼻部外观无塌陷无歪鼻畸形,鼻道通畅,鼻功能恢复良好,无并发症。结论：鼻骨骨折手法复位及鼻骨成形术治疗陈旧性鼻骨骨折效果满意。