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Effect of Temporary Anterior Positioning Splint Using Putty Impression Material on Acute Closed Lock

급성 과두 걸림의 치료에서 퍼티 고무 인상재로 제작한 임시 전방위치장치의 적용

  • Song, Ji-Hee (Department of Orofacial Pain and Oral medicine, Yonsei Dental Hospital, Yonsei University College of Dentistry) ;
  • Kim, Ji-Hyun (Department of Orofacial Pain and Oral medicine, Yonsei Dental Hospital, Yonsei University College of Dentistry) ;
  • Kwon, Jeong-Seung (Department of Orofacial Pain and Oral medicine, Yonsei Dental Hospital, Yonsei University College of Dentistry) ;
  • Ahn, Hyung-Joon (Department of Orofacial Pain and Oral medicine, Yonsei Dental Hospital, Yonsei University College of Dentistry)
  • 송지희 (연세대학교 치과대학 구강내과학교실) ;
  • 김지현 (연세대학교 치과대학 구강내과학교실) ;
  • 권정승 (연세대학교 치과대학 구강내과학교실) ;
  • 안형준 (연세대학교 치과대학 구강내과학교실)
  • Received : 2012.09.16
  • Accepted : 2012.11.09
  • Published : 2012.12.30

Abstract

Disc dislocation without reduction, as known as closed lock, is a clinical condition in which the disc is dislocated from the condyle and does not return to normal position during condylar movement When the condition of disc dislocation without reduction is acute, the initial therapy should include an attempt to reduce or recapture the disc by manual manipulation. When patients report a history of being locked for 1 week or less, manual manipulation is usually successful. In patients with a longer history, success rate tends to decrease rapidly. If the disc has been successfully recaptured, placing an anterior positioning appliance is recommended to prevent clenching on the posterior teeth, which would likely redislocated the disc. But it is hard to make an appliance immediately in the clinic because it takes too much time. And making an appliance using self-curing acrylic resin is not very popular because of its discomfort by odor and working time. Also, if the patient has resin allergy or is under orthodontic treatment, or if it is impossible to control behavior of the patient, it has been restricted to make an appliance immediately. Therefore, to supplement this disadvantages, we tried to confirm about successful short term use of temporary anterior positioning splint made by using putty impression material after manual manipulation in this study.

Keywords

Acute closed lock;Anterior positioning splint;Putty impression material

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