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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Intermaxillary splinting can be done by connecting two splints with wire loops or elastic bands [ gunninng4 ]. The mandibular canine was trimmed from the cast. A year old male patient was referred to Department of Prosthodontics, from Department of oral and maxillofacial surgery for the fabrication of Gunning splint.

Department of Prosthodontics, Dr. The endosteal supply from inferior alveolar artery begins to disappear and bone becomes increasingly dependent on periosteal network of vessels for its blood supply.

Gunning splint | definition of Gunning splint by Medical dictionary

The Bean articulator splint restored occlusion and accelerated healing. Due to edentulism, guidelines provided by occluding teeth for reduction and fixation of fracture, are absent. The Internet Journal of Geriatrics and Gerontology. Orthopantomograph of patient showing displaced fractured segments. On this altered splijt, the record bases were fabricated and occlusal rims were made Fig 8.


Atrophy of mandible is most important factor. Advanced age as a contraindication to operation.

Gunning and his splints. A case of spontaneous fracture of the mandible associated with infection of the right sub-lingual gland. Controversies exist regarding the treatment of atrophic edentulous mandible fracture.

Orthopantomograph showed displaced mandibular fracture in right mandibular anterior region.

J can dent assoc 69 7: After securing the splints to the underlying bone, intermaxillary fixation was done with arch wires to provide firm immobilisation Fig. Ten years of mandibular fractures: It may be useful for grossly displaced edentulous fracture.

Fig 1 The mandibular ridge was atrophic. Results of treatment of fractures of the atrophic edentulous mandible by compression plating: A case report and review of literature. Craniomaxillofac Trauma Reconstr ;5: Discussion Normal aging process is associated with significant changes in the functional vascular supply of mandible. J Dent Tehran Summer. J Cancer Res Ther. Case Report A year old male patient was referred to Department of Prosthodontics, from Department of oral and maxillofacial surgery for the fabrication of Gunning splint.


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

Impressions were immediately poured in dental stone to obtain casts. The complication rate of infection gunnin malunion is higher compared to fractures in younger, dentulous patients.

During surgical procedure, first the maxillary splint was fixed with per-alveolar wiring. Cochrane Database Syst Rev. Hence, it was decided to perform closed reduction of the fractured mandible with Gunning splint instead of open reduction. Close reduction with Gunning splint is advantageous because, not only it preserves the periosteal blood supply, but ggunning provides firm mandibular fixation and immobilisation [ 7 ].

Treating edentulous mandibular fracture is difficult in elderly patients due to compromised medical condition of the patient and various contraindications for the surgical approach.