T. B. Gunning (–89), American dentist] n. A solid metal splint linking the mandible and maxilla together to provide fixation for a fractured mandible. A splint is. Undisplaced or minimally displaced fractures of the mandible in elderly patients are usually treated by closed reduction. Gunning-type splints or. Gunning splint is a prosthetic aid designed to stabilize the reduced fractured mandibular segments. It is a viable treatment option for atrophic edentulous.

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Ormand B An improved Gunning splint. Then the occlusal rims were altered. One anterior opening was made in rims for feeding purpose and posteriorly interlocking mechanism was provided to avoid any movement between two splints Fig. Also, open reduction of fracture site is not helpful due to compromised medical condition of the patient at older age. The Bean articulator splint restored occlusion and accelerated healing.

Use of Gunning Splint for the Treatment of Edentulous Mandibular Fracture: A Case Report

Fracture management of an edentulous mandible in a geriatric osteoporotic patient. The splints may become foul, if proper oral hygiene is not maintained. The advancing age, residual ridge resorption and decreased vascularity impairs the mandibular spling strength, predisposing it to fracture during traumatic event and even to spontaneous fracture. Short conservative procedure without general anesthesia involves less risk than open surgical procedure under general anesthesia.

A retrospective evaluation of 84 consecutive cases. History revealed that the patient had trauma in mandibular anterior region 8 days ago.

Intra-oral examination revealed that the left mandibular canine was the only tooth present in the mandibular arch while the maxillary arch was edentulous. Close reduction of mandibular segments were carried out gunnning hand manipulation of two fracture segments to their approximate position.


After securing the splints to the underlying bone, intermaxillary fixation was done with arch wires to provide firm immobilization Fig. The basic principles of reduction of the fractured segments and immobilization during healing defined centuries ago stand true even today. Contraindicated in unfavourably displaced fractures. Bean introduced customized oral splints for fixation. Treating edentulous mandibular fracture is difficult in elderly patients due to compromised medical condition of the patient and various contraindications for the surgical approach.

He designed splint with extraoral wings for treating fracture in edentulous cases. A case of progressive hemiatrophy presenting with spontaneous fractures of the lower jaw.

Ten years of mandibular fractures: Loss of teeth decreases mass of bone which weakens it and susceptible to fracture. Approximate jaw relation was made by clinical judgement and it was mounted on an articulator. National Center for Biotechnology InformationU.

Edentulousness and increased age has been important risk factor for mandible fracture. Long period of stabilization is required which guning add to increased complications.

Gunning splint | definition of Gunning splint by Medical dictionary

Mahesh Goel, Dr, M. Close reduction with Gunning splint is advantageous because, not only it preserves the periosteal blood supply, but also provides firm mandibular fixation and immobilization.

Inadequately secured splints—if circummandibular wires placed too close to the fracture site 2. Moodie F Mr. J Indian Prosthodont Soc. J Craniofac Surg ;4: No other significant finding was observed in the oral ugnning. Due to decrease in bone height, it is not suitable for screwing and plating the fracture site.

Oral and Maxillofacial Trauma, vol 2. On extra-oral examination, there was right mandibular deviation on opening the mouth and tenderness over left TMJ. Bramley P, Forbes A.


An improved Gunning splint.

It is a minimally invasive technique Disadvantages: The Internet Journal of Geriatrics and Gerontology. Less precise alignment in edentulous patients may be acceptable as no opposing teeth and occlusion is involved. However, it was planned to retain this tooth till jaw relation registration as it could be used as a reliable reference for establishing the occlusal vertical dimensions.

Fracture of an edentulous mandible is a difficult task primarily due to the absence of teeth. Intermaxillary splinting can be done by connecting spilnt splints with wire loops or elastic bands.

The Elderly Surgical Patient: ABSTRACT Treating edentulous mandibular fracture is difficult in elderly patients due to compromised medical condition of the patient and various contraindications for the surgical approach. On this altered cast, the record bases were fabricated and occlusal rims were made Fig 8.

The lone standing tooth was mobile and had calculus deposits. None, Conflict of Interest: Mandibular splint was fixed by circum-mandibular wiring. An improved Gunning Splint.

Internet Scientific Publications

Inadequately secured splints—if splijt wires placed too close to the fracture site. The splints were tried-in Fig 4 and stabilized. New method for fabrication of gunning splint in orthognathic surgery for edentulous patients. Fractures of the edentulous mandible: Gunning type splints, when properly designed and planned for a particular case; prove to be a very good treatment option for fractured atrophic edentulous mandible.

J Cancer Res Ther.

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