Construction of a gunning splint; Case report on the handling of mandibular fractures in edentulous patients

Bhumika Sharma; Prabal Sharma; Roma Goswami; Shailesh Jain; Rupandeep Kaur Samra

doi:10.4103/IJDS.IJDS_92_19

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CASE REPORT

Year : 2020 | Volume : 12 | Issue : 1 | Page : 36-39

Construction of a gunning splint; Case report on the handling of mandibular fractures in edentulous patients

Bhumika Sharma¹, Prabal Sharma¹, Roma Goswami², Shailesh Jain³, Rupandeep Kaur Samra⁴
¹ Department of Prosthodontics Including Crown and Bridge, MM College of Dental Sciences and Research, Ambala, Haryana, India
² Department of Prosthodontics and Crown and Bridge, Subharti Dental College, Meerut, Uttar Pradesh, India
³ Department of Prosthodontics and Crown and Bridge, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India
⁴ Department of Prosthodontics and Crown and Bridge, Luxmi Bai Institute of Dental Sciences and Hospital, Sirhind, Patiala, Punjab, India

Correspondence Address:
Bhumika Sharma
MM College of Dental Sciences and Research, Mullana, Ambala, Haryana
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/IJDS.IJDS_92_19

Establishing anatomic reduction of an edentulous mandible fracture is a frequently acknowledged challenge in craniomaxillofacial trauma surgery in elderly patients due to compromised medical condition, lack of occlusive dental surfaces to capitalize on maxillomandibular fixation and various contraindications for the surgical approach. The solution is to overcome such problems in an edentulous mandible is to create occlusal guidance by either making dentures or by fabricating intraoral splints to guide in the reduction of jaws in correct alignment. For such conditions, “Gunning splint” is a better option as it provides close reduction and stabilization of mandibular fracture. A case report is presented here where close collaboration between an oral surgeon and a prosthodontist comes into role. The oral surgeon, after assessing the exact nature and extent of fracture, must communicate with the prosthodontist regarding the type of splint and management of fracture for the improvement of the patient's prognosis.

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