Niimi M, Mizuno A, Nakano Y, Motegi K
Department of Oral and Maxillofacial Surgery, Hamamatsu University School of Medicine, Japan.
Br J Oral Maxillofac Surg. 1989 Aug;27(4):321-8. doi: 10.1016/0266-4356(89)90046-6.
This paper proposes the criteria for application of acrylic splints in the treatment of various types of maxillofacial fractures. These were based mainly on the number of remaining teeth that are important for the restoration of occlusion. The acrylic splints studied consisted of intermaxillary, lingual and labiolingual types that hold a dental arch and a cap type that covers a dental arch. It was found that the intermaxillary type was best indicated for the loss of multiple teeth, the lingual type for the predicted intraversion of bone fragments and the labiolingual as well as cap types for the deciduous or mixed dentition. Clinical application based on the above standard, which was attempted in our 60 patients, produced successful results. In addition, the usefulness of these acrylic splints as an intraoral apparatus was discussed.
本文提出了丙烯酸夹板在各类颌面骨折治疗中的应用标准。这些标准主要基于对恢复咬合很重要的剩余牙齿数量。所研究的丙烯酸夹板包括固定牙弓的颌间型、舌侧型和唇舌侧型，以及覆盖牙弓的帽型。结果发现，颌间型最适用于多颗牙齿缺失的情况，舌侧型适用于预计骨碎片内倾的情况，唇舌侧型和帽型适用于乳牙列或混合牙列。基于上述标准在我们的60例患者中尝试进行临床应用，取得了成功的结果。此外，还讨论了这些丙烯酸夹板作为口腔内器械的实用性。
