Last weekend was the Cervical-Cranio-Mandibular Restoration Course here at PRI. Among other things, the attendees briefly covered the importance of splint therapy. “A Gelb Splint is a mandibular splint with acrylic coverage over the posteriors. A metal lingual bar is usually the major connector, which allows for plenty of tongue room. Occlusion on the Gelb splint is upper lingual cusps touching a lower flat or indented occlusal pad. This splint is usually made to a repositioned bite, bringing the mandible slightly forward.” Here is a video of a gentleman with and without his Gelb Splint. Notice his change in gait once he removes the splint and loses contact:
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