Effect Of Splint Research Articles

Effects of 8-week oral splint usage on body flexibility and muscle strength-endurance performance in Pilates practitioners

PurposeWe investigated the acute and chronic effects of oral splint on muscle strength-endurance performance and body flexibility.MethodsTwelve Pilates practitioners (age 49.5 ± 5.8 years; mass 58.6 ± 6.5 kg) were evaluated with (OS) and without (CTRL) oral splint. Before (PRE) and after (POST) 8 weeks of oral splint usage during Pilates activity, muscle strength-endurance and body flexibility were evaluated through a frontal plank exercise and a Toe-touch test in OS and CTRL. Before each test, the highest electrical activation (EMG) of masseter and temporal muscles during maximal occlusion was determined. During frontal plank, the time-to-exhaustion, the maximum voluntary activation of masticatory muscles and the time of muscles activation have been determined.ResultsNo OS vs CTRL and PRE vs POST differences were found in the maximum voluntary activation of temporal and masseter muscles. The time-to-exhaustion in OS was longer than CTRL in both PRE (P = 0.049) and POST sessions (P = 0.043). Time of masticatory muscles activation during plank was moderately greater in OS at PRE (P = 0.020) and POST (P = 0.022), while no difference between PRE and POST emerged in both conditions. Higher muscular activation was found in OS than CTRL at PRE (P = 0.031) and POST (P = 0.031), whereas no difference between PRE and POST appeared. No effect on flexibility emerged neither acutely nor chronically.ConclusionAcute and chronic oral splint usage improved strength-endurance performance but not body flexibility. These findings suggest biomechanical and neural mechanisms influencing the muscle length and the concurrent activation potentiation, but not muscle tone and stiffness.

Redefining Exchange of Tracheal Tube from Nasal to Oral in High Risk Sepsis Patient

A 35-year-old male weighing 94 kg developed significant oropharyngeal and perilaryngeal oedema with sepsis in the postoperative period following mandibular advancement surgery. He needed change of an existing nasotracheal tube to the orotracheal route in the intensive care unit (ICU). The procedure had to be abandoned in the ICU for fear of losing the airway in this patient requiring high inspired oxygen concentration of 60% and positive end expiratory pressure of 8.0 cm H2O. The changeover of tube was safely achieved in the operation theatre by utilising the splinting effect of the existing nasotracheal tube that helped to keep the oedematous epiglottis lifted while an airway exchange catheter (AEC) was placed by its side under videolaryngoscopic guidance. Railroading the new orotracheal tube over the preplaced AEC after withdrawing the nasal tube while receiving oxygen at 4 litres per minute helped to accomplish the safe exchange of the tracheal tube.

Efficacy Analysis of Splint Combined with PRP Injection in the Treatment of Temporomandibular Joint Osteoarthritis

Objective: To investigate the effect of splint combined with PRP injection in the treatment of temporomandibular joint osteoarthritis. Methods: Ninety-three patients with temporomandibular joint osteoarthritis were retrospectively analysed. They were divided into three groups according to different treatment methods: splint group, PRP group, and splint + PRP group. All patients were asked to have VAS scores before and 6 months after treatment and the maximum comfortable mouth opening was recorded either. All data were analysed by R×C test, and P＜0.05 indicated statistically significant differences. Results: The maximum comfortable opening was significantly improved, and the VAS scores were decreased (P < 0.05). Conclusion: The treatment of splint+PRP is superior to the treatment of single splint or single PRP.

LOW TEMPERATURE THERMOPLASTIC SPLINTING IN THE MANAGEMENT OF CONGENITAL TALIPES EQUINOVARUS

Congenital talipes equinovarus (CTEV) is one of the most common congenital deformities. Treatment of clubfoot should begin at the earliest to have the best outcome. The goal of treatment is to eliminate all deformities of CTEV so that patient has a functional, pain free, plantigrade foot with good mobility within minimum time duration. Treatment includes non-surgical and surgical methods. Conventionally Plaster of Paris (POP) is used for splinting though leather, polypropylene and rubber are also used. Objective of this study is to evaluate the effectiveness of low temperature thermoplastic (LTTP) splinting in CTEV management. This is an on observational study over a period of one year in Thirty-two CTEV patients with Pirani score of less than three. Effectiveness of LTTP splinting was evaluated in detail. It was found that LTTP splinting was cost effective, cosmetically better, reusable, demoldable, and easier to apply. It was of light weight, and required lesser time. It avoids the need for repetitive casting and same splint can be used as maintenance splint also. Pirani score lowered from 3 to 0 after 6 months of splinting. Conclusion –The compliance in donning the splint was high and acceptable among the children studied. Parental satisfaction regarding the splint wearing time and correction of deformity factor was high. Skin complications associated with POP casting were absent in the study population. Hence correction of CTEV with LTTP splinting was more effective than conventional POP casting.

Evaluation of fibre-reinforced composite splinting mobile the lower front teeth of patients who suffer from periodontitis

Aim: to evaluate the effectiveness of fibre-reinforced composite splints for lower front teeth immobilization in the scheme of complex therapy of severe periodontitis (III and IV stages) in short-term and long-term after treatment in persons with and without risk factors. Materials and methods. To reach the goal, a total of 58 patients with stage III and IV periodontitis were examined with identification of risk factors for the periodontal disease progression (smoking and diabetes). After a detailed periodontal examination, all patients were non-surgically treated for periodontitis, and mobile teeth were immobilized by fibre-reinforced composite splints. After splinting, mandatory supportive periodontal care was prescribed (every 3 months) with the dynamic monitoring of oral hygiene (PI), probing depth (PD), clinical attachment loss (CAL), bleeding on probing (BOP) and the splint structure condition (cracks and fractures of the splint, violation of the marginal fit, a single tooth separation from the overall structure, chipping of the material and defects in the interdental spaces). The patients were dynamically examined before treatment, immediately after treatment (1 month) and at the long-term periods (12, 24, 36 months). Results. The splinting structure integrity was preserved in 67.24 % of patients for 3 years, and splinting defects were detected in 32.76 % of patients at different stages of the follow-up. Depending on the presence or absence of risk factors for periodontal disease, the splint structure integrity was preserved for 3 years in 18 patients (56.25 %) with associated risk factors and in 21 patients (80.77 %) without risk factors (P = 0.06). Conclusions. The use of fibre-reinforced composite splints for immobilization of lower front teeth in the scheme of complex therapy for periodontitis (III and IV stages) allowed to preserve mobile teeth and reduce values of the studied periodontal indices both immediately and in the long term after treatment in individuals with and without risk factors.

Clinical observation on plastic splint treatment of middle clavicle fracture based on a new classification

According to 73 patients with middle clavicle fracture treated conservatively, a new classification of middle clavicle fracture was proposed, and the clinical effect of plastic splint in the treatment of middle clavicle fracture was observed. Total 73 patients with middle clavicle fracture treated with plastic splint from September 2018 to August 2020 were analyzed retrospectively. All the patients were divided into 4 types according to the degree of fracture displacement. There were 16 cases of typeⅠ, including 7 males and 9 females, ranging in age from 18 to 37 years old, with a mean of (28.6±7.8) years old;12 cases of mild disease, 3 cases of moderate disease and 1 case of severe disease. There were 16 cases of type Ⅱ, including 6 males and 10 females, ranging in age from 25 to 49 years old, with a mean of (37.3±9.4) years old;5 cases of mild disease, 8 cases of moderate disease and 3 cases of severe disease. There were 7 cases of type Ⅲ, including 4 males and 3 females, ranging in age from 33 to 57 years old;2 cases of mild disease, 3 cases of moderate disease and 2 cases of severe disease. There were 34 cases of type Ⅳ, including 16 males and 18 females, ranging in age from 48 to 82 years old, with a mean of(66.4±14.9) years old;7 cases of mild disease, 17 cases of moderate disease and 10 cases of severe disease. All patients received plastic splint external fixation for 4 weeks. Visual analgue scale (VAS) and Constant-Murley shoulder scores before treatment and 1, 3 and 9 months after treatment were observed and recorded to evaluate the change of pain degree and shoulder function recovery before and after treatment. The patients' satisfaction with the appearance after treatment was recorded at the latest follow-up. The X-ray findings at the latest follow-up were used to judge whether the patient had fracture nonunion. And according to the fracture healing time and imaging findings, the excellent and good rate of clinical curative effect in patients with different types was obtained. All patients were followed up, and the duration ranged from 9 to 11 months, with a mean of (9.8±0.7) months. The VAS scores of typeⅠ, typeⅡand type Ⅳ before treatment were 2.88±0.83, 3.67±0.80 and 6.92±1.71 respectively, which were decreased to 0.54±0.19, 0.77±0.25 and 1.18±0.17 respectively after 9 months of treatment. The Constant-Murley shoulder scores of typeⅠ, typeⅡand type Ⅳ were 65.81±2.09, 63.50±2.22 and 47.93±2.91 respectively before treatment, and increased to 88.56±2.11, 85.12±2.23 and 71.25±2.16 respectively after 9 months of treatment. Five patients were not satisfied with the appearance after treatment;6 patients had no obvious continuous callus passing through after 9 months of treatment, which was fracture nonunion. The classification of middle clavicle fracture is more appropriate to the clinic, which has a certain clinical guiding significance for the selection of treatment methods and prognosis of middle clavicle fracture. Plastic splint is effective in the treatment of middle clavicle fracture without obvious displacement and overlapping displacement, and the incidence of complications is low. It can be popularized in clinic.

Effects of stabilization splints on the signs and symptoms of temporomandibular disorders of muscular origin: A systematic review

ABSTRACT Objective To assess effects of stabilization splints on signs and symptoms of temporomandibular disorders of muscular origin compared to other treatments. Methods A search for articles via six electronic databases and gray literature was conducted. The risk of bias was evaluated with the Cochrane Collaboration tool. The Grading of Recommendations Assessment, Development and Evaluation approach determined the certainty of evidence. Results Ten articles were included. Stabilization splints (n = 160 subjects) were reported to be as effective as other treatments (n = 209 patients) on analyzed outcomes (pressure pain threshold, pain during chewing, mouth opening, spontaneous pain intensity and by palpation). Five studies were judged at low and five at some concerns of risk of bias. The certainty of evidence was very low for all outcomes. Conclusion Positive effect on signs and symptoms of temporomandibular disorders of muscular origin, when managed with stabilization splint, could not be confirmed or refuted.

Effect of splint on pain, function and quality of life in trapeziometacarpal osteoarthritis patients?

Trapeziometacarpal (TM) Osteoarthritis is one of the most common osteoarthritis. It causes pain, loss of mobility and strength and affected function in daily life. Splint is one of the conservative treatments proposed to patients. The purpose of this study was to assess the effect of this conservative treatment on pain, function and quality of life at long-term. We sent 193 questionnaires to patients who received a CMC splint for their TM osteoarthritis. The CMC splint immobilizes only the TM joint and leaves free the interphalangeal joint of the thumb and the wrist. First, we comptuted how many patients had finally undergone surgical treatment. On the non-operated patients, we analyzed the pain (VAS), the function (QuickDASH score) and the quality of life (SF-12). We compared the results to literature and norms. Finally, 186 people could be included in the study ,115 we answered and 28 were operated on (24%). After 4 years (3.8±1.7 yrs) of conservative treatment, The VAS and QuickDASH scores were significantly worse comparatively to a cohort of healthy patients, trapezectomy and arthrodesis patients. The SF-12 scores were reduced from 20% comparative to norms. In conclusion, few patients had surgery after splinting as a conservative treatment. However, these non- operated patients do not provide good results.

Effect of Foot Splint and Exercises Session on Foot Drop and Muscles Strengthening among Patients with Stroke

Effect of Foot Splint and Exercises Session on Foot Drop and Muscles Strengthening among Patients with Stroke

Influence of Stabilization Splint Thickness on Temporomandibular Disorders.

To assess the effect of stabilization splint (SS) thickness on temporomandibular disorders (TMDs). Participants were selected from patients who applied to the clinic with a complaint of temporomandibular disorders (TMDs). Symptoms were evaluated with the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Regarding the treatment plan, patients were divided into two groups: the 2-mm-thick splint group (2-mm TSG) and the 4-mm-thick splint group (4-mm TSG). They used SSs at night (8 hours) and were recalled 1, 2, 3, and 6 months after splint insertion. At the end of the study, 72 patients (2-mm TSG = 39, 4-mm TSG = 33) had completed the 6-month follow-up. The SPSS program was used for statistical analysis. The results of the analysis were evaluated at a significance level of .05. Pain in the muscles decreased significantly in the muscle disorders and combined groups (both 2- and 4-mm TSG) after 6 months of treatment (P < .05). In the combined group, TMJ sounds significantly decreased after 6 months of treatment, and there was a statistically significant difference between the 2-mm TSG and the 4-mm TSG (P = .045). Also, in the combined group, maximum unassisted opening (MUO) values of patients treated with 2-mm-thick splints decreased after 6 months of treatment (P = .022). Both 2-mm-thick and 4-mm-thick splints were effective in the treatment of muscle disorders and disc displacements, especially in muscle-related pain and TMJ sound symptoms.

229 A Systematic Review Protocol Examining the Role of Immobilisation in Hand Infections

Abstract Aim Hand infections are common and varied, leading to long-term complications when managed poorly. Splinting of the hand in a position of safe immobilisation (POSI) is frequently used to avoid complications including pain and stiffness, however it is not a universally accepted technique because the effects of splinting in hand infections remain unestablished. This systematic review will compare outcomes in adult hand infections between those treated using hand immobilisation and those not immobilised. The primary aim is to compare patient reported outcomes, for example pain, and the secondary aim is to compare functional active range of motion, complications, and resource use. Method A systematic review protocol has been developed. The search strategy was developed following background reading, expert opinion, and review by an academic librarian, and will be used to search MEDLINE, Embase, CINAHL, Web of Science and the Cochrane Central Register of Controlled Trials, to identify publications on management of hand infections including use of hand immobilisation. Title, and full-text screening will be carried out by two independent investigators to identify studies for inclusion. Editorials, letters, and literature reviews will be excluded. Results This systematic review has been successfully registered on the PROSPERO International prospective register of systematic reviews (CRD42021232880) Conclusions This systematic review will summarise the available evidence to establish the effect of hand immobilisation in hand infections, including whether hand immobilisation leads to improved outcomes in hand infections, which could guide health care professionals in their practice and influence future clinical guidelines.

Determine the Effectiveness of Intranasal Splints in Preventing Nasal Adhesion

Objective: The aim of this study is to determine the effectiveness of intranasal splints in preventing nasal adhesion. Study Design: Descriptive case series Place and Duration: The study was conducted at ENT department of Lady Reading Hospital Peshawar and Chaudhary Muhammad Akram Teaching and Research Hospital, Lahore for the duration of six months April 2021 to September 2021. Methods: There were 120 participants of both sexes in this research. In this study, the patients ranged in age from 16 to 50 years old. Patient demographics, such as gender, age, and height/weight were logged with their informed written consent. During general anesthesia, a patient with a deviated nasal septum and septoplasty was selected for the procedure. Immediately following the septoplasty treatment, the patient had intra-nasal splints and nasal packing placed. The nasal packing was removed on the second postoperative day, while the nasal splints were removed on the 15th day after surgery. After a three-week follow-up, frequency of nasal adhesion was calculated. Data were analyzed 24.0. Results: Among 120 cases, 75 patients, 59.2% were between the ages of 26 and 40.The mean age of the patients was 26.34±7.51 years with mean BMI 23.07±9.44 kg/m2. Most of the cases were 67 (55.8%) male and 53 (44.2%) were females. Nasal obstruction was found among 53 (44.2%) patients, frequency of rhinorrhea was 33 (27.5%) and mixed symptoms were found in 20 (16.7%). At final follow up prevalence of nasal adhesion was found in 9 (7.5%). Conclusion: According to the findings of this study, intranasal splints were an efficient and safe treatment for preventing nasal adhesion after septoplasty. Keywords: Septoplasty, Intra nasal adhesions, Deviated nasal septum, Intra nasal splints

The effect of a bimaxillary occlusion splint ­(Stressbite® dynamic splint system) on postural ­control and balance in patients with bruxism

Background: The craniomandibular system (CMS) has a great influence on the musculoskeletal system via neuroanatomical connections. Bruxism is a disorder of the CMS and can therefore negatively affect other parts of the body. Standard therapy includes the preparation of “crunch splints”. Objective: To study the influence of the dynamic dental splint system Stressbite®, on posture and balance in patients with bruxism. Methods: The diagnosis bruxism was made with the Bruxism Status Protocol. The Stressbite was worn at night for six weeks. With the posture analysis system of Misura la Postura the movements of the body center of gravity, the plantar pressure distribution, the cervical spine movement and the posture were recorded at three measuring points. The general and pain condition was recorded with standardized questionnaires. Results: There were statistically significant improvements in cervical mobility. The competence of the musculoskeletal system to stabilize the body’s center of gravity improved but did not show statistical significance. The evaluation of the plantar pressure distribution showed no significant changes without statistically significant changes in posture. The general condition as well as the intensity of pain improved significantly. Discussion: The study could show that there are correlations in the neuromuscularly controlled alignment of body statics and occlusion. The occlusal references changed with the Stressbite system seem to result in positive changes in body statics and cervical mobility. The extent to which the statistically non-significant results are clinically relevant must be further investigated. Conclusion: The Stressbite creats occlusal standard references that significantly improve cervical ROM and pain intensity and have a positive effect on stabilizing of the body’s center of gravity. Further studies are necessary.

CT-Based Modeling of the Dentition for Craniomaxillofacial Surgical Planning.

Historically, the accuracy of imaging teeth by computed tomography (CT) has been suboptimal and deemed inadequate for surgical planning of orthognathic procedures. However, recent advances in CT hardware and software have significantly improved the accuracy of imaging occlusal anatomy. This technical note describes a quantitative means of evaluating the accuracy of CT-based modeling of teeth. Three-dimensional models of the dentition were created from a CT scan obtained of a craniomaxillofacial skeleton. Multiple reconstruction algorithms and modeling parameters were applied. The dentition of the same skeleton was scanned using a handheld optical scanning device to serve as the "gold standard." Semi-automated registrations of CT and optically acquired models were performed and deviation analysis was conducted. On average, the deviation of the CT model with the optical scan measured 0.19 to 0.25 mm across the various reconstruction and modeling parameters, with a mean of 0.22 mm. Computed tomography underestimated contours at cusp tips, while overestimating contours in occlusal groves. The use of bone reconstruction algorithms and decreased model smoothing resulted in more accurate models, though greater surface noise. Future studies evaluating the clinical effectiveness of CT-based occlusal splints should take this finding into account.

Periodontal Splinting Choises For Patient With Edentulous

Background: Mobile tooth is a problem that often occurs and result in tooth loss. It caused by disease or periodontal tissue’s injury. Splint is a device that is made to stabilize or tighten mobile tooth due to a trauma or disease. It works by distribute the occlusion pressure to reduce tooth mobility. Removable partial denture frame is one treatment for missing teeth and permanent splints. Objective: The aim of this treatment is to explained effect of periodontal splints for edentulous patient. Case: First case: A woman complained mobile teeth on the incisors. Intraoral examination showed remaining teeth couldn’t be abutment. Second case: A woman complained mobile teeth on the incisors. Intraoral examination showed remaining teeth could be abutment. Case management: First case: Patient was given initial therapy and continued with rehabilitative therapy by removable partial denture metal frame. Second case: Patient was given initial therapy splinting using fiber reinforced composite. A week post treatment patient felt comfortable. Conclusion: It can be concluded periodontal splinting reduced teeth mobility and prevent further damage to the periodontal tissue og Edentulous patient.

Finite element analysis of various thickness occlusal stabilization splint therapy on unilateral temporomandibular joint anterior disc displacement without reduction

Occlusal stabilization splint is the most common treatment modality for temporomandibular joint disorders, but the optimal thickness is still uncertain. This study investigated the effect of the occlusal splint with different thicknesses on the stress distribution of the temporomandibular joint. Cone-beam computed tomography and magnetic resonance images were used to reconstruct the maxillofacial and disc, and the unilateral anterior disc displacement without reduction was established manually as the basic model. Occlusal splint with 5 different thickness levels (2, 3, 4, 5, and 6 mm) was added to the basic model as the study models. The displacement and stress distribution of the disc were evaluated. The maximum von Mises stress of the condylar cartilage was the largest on the affected side, whereas the maximum von Mises stress of the disc was the largest on the unaffected side. The disc stress on the affected side was mainly distributed on the posterior zone and the intermediate zone for the unaffected side. The maximum von Mises stress of the bilaminar region on the affected side was greater than the unaffected side. The stress of the disc and bilaminar region was the lowest on the affected side in the 2 mm model. The disc displacement on the affected side gradually increased, whereas, on the unaffected side, it fluctuated. These results showed that occlusal stabilization splint could decrease the stress of disc and bilaminar region, and 2 mm was considered the optimal thickness for the treatment of unilateral temporomandibular joint anterior disc displacement without reduction.

Comparison between the Effectiveness of Kinesio Taping and Stretching Exercise in Contemporary Dancers with Chronic Shin Splints

The purpose of the present study was to compare the effectiveness of kinesio taping and stretching exercises in contemporary dancers with chronic shin splints. In the present study, purposively review the published evidence regarding risk factor associated with chronic shin splints in contemporary dancers, assess the effectiveness of kinesio taping, and stretching exercises, of the 45 citations identified, we emphasised results of the nine reports that compare the effect of kinesio taping method to prevent shin splints, twenty-three reports on the effect of shin splints in contemporary dancers, seventeen reports the effect of stretching exercises in shin splints, and two reports the effect of both kinesis taping and stretching exercises on contemporary dancers with repetitive stress and overused activities. The result of the kinesio taping and stretching exercises programs in contemporary dancers with chronic shin splints have undergone assessment of controlled trials. There is no strong support for any of these interventions, and each of four control trials is limited methodologically. The most encouraging evidence for effective prevention of chronic shin splints involves the use of stretching exercise programs. However, serious flaws in study design and implementation constraints the work in this field thus far.&#x0D; Keywords: Kinesio taping technique, Stretching exercise program, Chronic Shin Splints, Contemporary dancers.

Effectiveness of occlusal splints with low-level laser therapy on anterior disc displacement of the temporomandibular joint

ABSTRACT Objective: This study was designed to evaluate and compare between the using of oral appliance therapy alone and using of oral appliance with laser therapy for management of anterior disc displacement of the temporomandibular joint. Subjects and methods: randomized clinical study was done on 18 patients complaining of TMJ Anterior disc displacement. They were divided into 2 equal groups. Group A:occlusal appliance group Those patients worn the hard acrylic occlusal appliance covering the maxillary teeth (anterior repositioning splint) at night for two months. Group B: laser therapy group Those patients worn the hard acrylic occlusal appliance covering the maxillary teeth (anterior repositioning splint) at night and receive laser applications on the region of temporalis muscle, masseter muscle and mandibular condyle three times a week for 4 weeks. full clinical TMJ examination was done at 0 baseline,one week, one month and two months postoperatively. The examination was done to evaluate T.M.J pain intensity by (VAS), TMJ clicking Sounds and Maximum mouth opening .Magnetic resonance imaging(MRI) performed before and after treatment period. Results There was high percentage of improvement in all symptoms of anterior disc displacement either with or without reduction by using of double action of splint and laser rather than the improvement by using splint only. Conclusion :The using of splint only is acceptable and successful but the using of the laser with splint is better and more successful in treatment of the patients complained from anterior disc displacement of the temporomandibular joint.

Effects of low-level laser therapy versus soft occlusive splints on mouth opening and surface electromyography in females with temporomandibular dysfunction: A randomized-controlled study.

BackgroundLow level lasers have been used as an alternative pain relief therapy for muscle and joint pain, since it induces analgesic, anti-inflammatory, and biomodulation effects of the physiological cell functions. The effectiveness of low-level laser therapy in temporomandibular joint dysfunction (TMD) treatment, however, is not well established. Although Surface electromyography (sEMG) has been suggested as a complementary means in TMD diagnosis, the effect of conservative treatments on muscle activity has not yet been thoroughly correlated with (sEMG) findings.PurposeTo assess the efficacy of low-level laser therapy (LLLT) as compared to occlusive splint therapy (OST) on the TMJ opening index (TOI) and sEMG of masticatory muscles.Materials and methods112 female subjects suffering from unilateral myogenous TMD, aged 21–30 years-old, were recruited and divided into three groups: LLLT; soft occlusive splint therapy OST and a waitlist group as controls.Outcome measuresTMJ opening index (TOI), Visual analogue scale (VAS), surface electromyography (sEMG).ResultsA significant reduction was reported in TOI, VAS and the sEMG within the LLLT and OST groups as well as significant decrease in all outcomes between groups in favor of the LLLT group (P< 0.0001). Meanwhile, there was a weak significant difference within the control group probably attributed to the analgesic. Post-hoc pairwise comparisons between groups [control vs occlusive splints, control vs low-level laser and low-level laser vs occlusive splints] revealed significant differences in the VAS and TOI [P = 0.0001; 95% CI: 0.9–2.2, 1.61–4.01, 0.65–1.96].ConclusionsFindings support an evident short term therapeutic effect of the LLLT on improving VAS, TOI and sEMG in females suffering from myogenous TMD.

Effectiveness of Intranasal Splints in Preventing Nasal Adhesion

Objective: To determine the effectiveness of intranasal splints in preventing nasal adhesion. Study Design: Descriptive case series Place and Duration of Study: ENT Department, Sandeman Provincial Hospital Quetta from 1st October 2020 to 31st March, 2021. Methodology: One hundred patients of both genders were presented in this study. Patients were aged between 15-48 years. Patients details demographics age, sex and body mass index were recorded. In a general anaesthesia, a selection was made in patients with deviated nasal septum and septoplasty. Intra-nasal splints were implanted, followed by prior nasal packing after the septoplastic procedure. On the second postoperative day the nasal packing was removed while the nasal fractures were removed on the 15th day after surgery. Prevalence of nasal adhesion was observed within the follow up of four weeks. Results: There were 58 (58%) male patients and 42 (42%) were females. Mean age of the patients were 25.66±8.14 years with mean body mass index 24.17±6.35 kg/m2. Most of the patients 60 (60%) were from age group 25-35 years. Symptoms were nasal obstruction found in 42 (42%) cases followed by rhinorrhea 26 (26%). Frequency of nasal adhesion was found in 5 (5%) cases among 100 enrolled patients after septoplasty. Conclusion: We concluded in this study that the intranasal splints were effective and safe technique in the prevention of nasal adhesion after septoplasty. Keywords: Intra nasal adhesions, Septoplasty, Intra nasal splints, Deviated nasal septum