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Steinmetz A. [Orofacial and musculoskeletal disorders of professional musicians - Frequency and therapy principles]. Laryngorhinootologie 2023; 102:100-103. [PMID: 36543224 DOI: 10.1055/a-1057-3436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Playing-related musculoskeletal disorders are frequently found in the upper extremety and the spine. Moreover, orofacial pain syndromes and craniomandibular dysfunctions are important in upper string players and wind players. The treatment of musicians is based on a diagnostic process including the evaluation of specific musical aspects, a functional manual medicine examination and an evaluation of postural and movement characteristics while playing the musical instrument.
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Affiliation(s)
- Anke Steinmetz
- Physikalische und Rehabilitative Medizin Klinik und Poliklinik für Unfall-, Wiederherstellungschirurgie und Rehabilitative Medizin
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Patzelt SBM, Krügel M, Wesemann C, Pieralli S, Nold J, Spies BC, Vach K, Kohal RJ. In Vitro Time Efficiency, Fit, and Wear of Conventionally- versus Digitally-Fabricated Occlusal Splints. MATERIALS (BASEL, SWITZERLAND) 2022; 15:1085. [PMID: 35161032 PMCID: PMC8837971 DOI: 10.3390/ma15031085] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/30/2021] [Revised: 01/20/2022] [Accepted: 01/28/2022] [Indexed: 02/01/2023]
Abstract
The purpose of the study was to compare conventional to digital workflows of occlusal splint production regarding time efficiency, overall fit, and wear. Fifteen Michigan splints were fabricated with a conventional and digital method. The duration for the dentist's and the dental technician's workload was recorded. Subsequently, the overall fit was examined with a four-level score (1-4). Paired t-tests were used to compare the time results for the conventional and digital workflows and the sign test to compare the overall fit. The mean time (16 min 58 s) for computerized optical impressions was longer than for conventional impressions (6 min 59 s; p = 0.0001). However, the dental technician needed significantly less mean time for the digital splint production (47 min 52 s) than for the conventional (163 min 32 s; p = 0.001). The overall fit of the digitally-fabricated splints was significantly better compared to the conventionally-fabricated splints (p = 0.002). There was no impact of the different materials used in the conventional and digital workflow on the wear (p = 0.26). The results suggest that the digital workflow for the production of occlusal splints is more time efficient and leads to a better fit than the conventional workflow.
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Affiliation(s)
- Sebastian Berthold Maximilian Patzelt
- Private Dental Clinic, Am Dorfplatz 3, 78658 Zimmern ob Rottweil, Germany
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
| | - Marei Krügel
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
| | - Christian Wesemann
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
| | - Stefano Pieralli
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
| | - Julian Nold
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
| | - Benedikt Christopher Spies
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
| | - Kirstin Vach
- Medical Center—University of Freiburg, Institute of Medical Biometry and Statistics, Faculty of Medicine, University of Freiburg, Stefan-Meier-Str. 26, 79104 Freiburg, Germany;
| | - Ralf-Joachim Kohal
- Medical Center—University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106 Freiburg, Germany; (M.K.); (C.W.); (S.P.); (J.N.); (B.C.S.); (R.-J.K.)
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Steinmetz A. Kraniomandibuläre Dysfunktionen im Kontext Instrumental-spielassoziierter muskuloskeletaler Schmerzsyndrome. MANUELLE MEDIZIN 2015. [DOI: 10.1007/s00337-015-1185-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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