Dental splinting is a procedure where the teeth are joined together using a thin fiber-reinforced wire to increase their stability. It is often done to tighten up loose front teeth that occurred after injury. It is done by using composite material for attaching the loose teeth to the adjacent stable tooth.
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Query: Hi doctor, I had carpal tunnel, radial and ulnar nerve surgery. A tumor was removed from my elbow on the ulnar nerve. Then my two little fingers have no feeling and are completely curled in along with my thumb. For this my surgeon advised nerve transplant surgery. When I went for second opinion, not... Read Full »
Answer: Hi, Welcome to icliniq.com. Getting a tumor removed off the ulnar nerve from the elbow will take at least six months for the nerve to regenerate the sensations till down your little finger.Getting tingling and burning sensations are good as this is a sign of nerve regeneration.You should take medica... Read Full »
Should I be worried if my upper front tooth had bled once?
Query: Hi doctor, My permanent incisor tooth number 10 is a little loose and had bleeds once. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. I had gone through your question. I can understand your concern about your loose tooth. Your tooth number specifies upper left lateral incisor, which has the smallest root among the upper teeth and is vulnerable to any difficult circumstances. I suggest you get an IOPA ... Read Full »
Can you please suggest me treatment for a PIP joint fracture?
Query: Hi doctor, I am a 21-year-old female. Last week, I was playing basketball and ended up jamming my finger. The next day, I went to the ER, and they took X-rays and said I had a possible PIP joint fracture around my volar plate. They said I had to go back in 10 days for more X-rays. Since then, the sw... Read Full »
Answer: Hi, Welcome to icliniq.com. If the fracture (assuming it was there) was not seen on the first X-ray, then it is likely to be very small. Also, it indirectly means that there was no dislocation. I do not think in this circumstance that there will be any surgery indicated unless the joint is highly u... Read Full »
The doctor suggested splinting or extension block pinning best for my little finger injury on my right hand. Which would be better?
Query: Hello doctor, I am a 37-year-old male. Five days back, I got hit by a cricket ball on the small pinky finger on my right hand. I am attaching the X-ray image and report. Right now, I have a splint. What do you recommend for my case? The doctor told me two options like Splint. Extension block pinnin... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand that the decision can be daunting as there are only statistics to play with, but it has no relevance to an individual case. With your fracture, the main issue is we can get the fracture to reduce in the splint, and though 60 % do well straight away, anothe... Read Full »
What is the safe age to undergo surgery for trigger thumb?
Query: Hi doctor, My baby boy has trigger thumb problem, and he is just 11 months old. Our family doctor has suggested surgery, as a treatment option. We are ready for surgery, but we are thinking about the baby's age. Is his age sufficient for the surgery? We are thinking to get the surgery done after 18... Read Full »
Answer: Hello, Welcome to icliniq.com. If the condition is not causing much pain or discomfort to the baby, then surgery can be done after six months. Meanwhile, other measures like physiotherapy and splinting also can help. But if the condition is very painful and is causing trouble to the baby, the... Read Full »
How to treat a discolored tooth after a trauma?
Query: Hi doctor, Around a month ago, I had a dental trauma on my lower three incisors. The teeth have moved slightly from their original position. My dentist has advised me for a root canal for all the three teeth. Now before two days, he started the process, and one of my teeth has turned black. What ca... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your concern. I feel that the dentist has to stabilize your teeth first if they are mobile. It can be done by splinting. RCT (root canal treatment) is usually done to the teeth if the trauma has involved the pulp. Discoloration or pink teeth usually occ... Read Full »
I have been experiencing pain around the bone of the little finger. Kindly help.
Query: Hello doctor, I have been experiencing pain around the bone of the little finger. It is just below the end of the finger, near the joint of the bone joining the palm. I did an X-ray and no crack was shown. I play cricket. So, I experienced this after taking a catch two months ago. It pains every ti... Read Full »
Answer: Hello, Welcome to icliniq.com. It is mostly a ligament and capsular sprain of the fifth metacarpophalangeal joint. Just taking rest will not suffice. You need to strap it. Do an extended buddy strapping. It is a buddy strapping that extends to the palm area. Alternatively, you can use a Capener spl... Read Full »
Why do I have acute pain in my right knee?
Query: Hello doctor, I have acute pain on the right side of my right knee. I am not able to walk as usual. The local doctor diagnosed it as a ligament tear. He suggested to take rest and wear a knee pad. One month is over, and there is no improvement seen yet. There is also little swelling and pain. I am n... Read Full »
Answer: Hi, Welcome to icliniq.com. You have not mentioned your age, profession, and how you developed the pain (like after a slip or after a fall or just by itself). When you have a limp that has not settled over one month and you do not have balance when you walk then it is not normal. You have to be p... Read Full »
Why is my fractured finger swollen and bent?
Query: Hello doctor, I broke the top joint of my right pinky finger, two and a half months ago, late the night, before I was leaving for a two-month trip abroad. I tried to splint it, but it did not work, and it bent down by about 45 degrees, and now the joint is swollen. After getting an X-ray, now that ... Read Full »
Answer: Hello, Welcome to icliniq.com. Two and a half months is a very long time for a phalanx fracture to heal. There is no role of splint after two months. So, I would not recommend wearing the splint for six weeks on a trial basis. To decide whether there will be any movement at the joint or not, I need... Read Full »
Is splinting sufficient for ulla bone fracture?
Query: Hello doctor, I have a fracture of the ulna bone and visited an orthopedician today. Because of the wounds on my knuckles, as you can see in the picture, the doctor could not cast it. Instead, a splint is put on it that I shall remove only for shower. Shall I take a shower with the splint? Will the... Read Full »
Answer: Hi, Welcome to icliniq.com. You shall keep the splint on while you shower as reapplication is always a little tricky, and though you may succeed most of the time, it will be impractical if you are in a hurry. So cover it with a readymade waterproof cover with an elasticated mouth. After five weeks... Read Full »