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Splint - Clinical Applications

Tooth Stabilization: Overview

Stabilizing teeth is required in three different situations:
- when teeth become loose due to secondary occlusal trauma when normal occlusal forces are applied to periodontally compromised dentition (periodontics).
- when teeth become mobile due to traumatic injury (traumatology).
- when healthy dentition tends to shift or relapse out of position (orthodontics)

Dentapreg® SFM (Ideal for Splinting) is a dependable, easy-to-use and esthetic option for tooth stabilization.

Dentapreg® splint provides three-dimensional stabilization with simple application procedures. Dentapreg® splint is fixed to the tooth in a relatively large surface area. This fact, together with excellent adhesion between the fiber strip and the composite, provides appropriate rigidity of the connection of the splint to the tooth and does not allow the dentition to rotate or shift.
When there is no further need for the splint, Dentapreg® splints can be easily removed without any damage to the tooth structure.

Typical Indications:

- Stabilization of teeth with increasing mobility that have not responded well to occlusal adjustment and periodontal treatment.
- Stabilization of teeth with advanced mobility when there is interference with normal function and patient comfort.
- Facilitation treatment of extremely mobile teeth by splinting them prior to periodontal instrumentation and occlusal adjustment procedures.
- Prevention of tipping, drifting and supraeruption of unopposed teeth.
- Stabilization of teeth following orthodontic treatment when necessary. 
- Creating adequate occlusal stability when replacing missing teeth.
- Splinting during a root amputation procedure when using the crown retained as a pontic is indicated
- Stabilization of teeth following acute trauma.

 

Periodontics

Specific clinical situations for use of Dentapregreg® splints in periodontics include the following:

- Temporary stabilization during the treatment phase adjunct to periodontal therapy, e.g. LANAP treatment (Dentapreg® SFM is recommended by Dr. Robert Gregg as part of the LANAP treatment for splinting mobile teeth above class II mobility).
- Stabilization where tooth mobility is progressive with increased periodontal ligament widening and reduced bone height – adjunct to periodontal therapy.
- Long-term stabilization during regenerative stage of treatment adjunct to periodontal therapy.
- Long-term stabilization - palliative treatment (postponing of extraction).

 

Traumatology

Dentapreg® SFM is a great product to be part of an emergency kit for stabilizing traumatized teeth. The treatment objective of the splint is to optimize healing of the PDL by stabilizing a loose tooth to adjacent teeth while maintaining esthetic and functional integrity.

Trauma splinting with Dentapreg® complies with the important requirements of post-trauma stabilizations such as:
- easy and fast fabrication
- no additional trauma when the splint is applied
- no irritation to soft issues
- providing access for possible endodontic treatment

Specific clinical situations for use of Dentapreg® splints in traumatology include the following:
-  Injuries to Periodontal Tissues:
        Subluxation (loosening)
        Lateral luxation isolated and alveolar
        Avulsion
-  Injuries to the Hard Dental Tissues and the Pulp:
        Crown-root fracture
        Root fracture
-  Injuries to the Supporting Bone:
        Fracture of the alveolar process: splinting repositions the fragment and stabilizes it for optimal healing.
        Fracture of mandible: splint immobilizes mandibular fractures. 


Dentapreg® SFM was recognized as a great problem solver by the Dental Advisor in its 2014 Clinical Problem Solvers issue:  
 
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Removing a splint:
Using a burr, remove the composite layer on top of the strip first. Once you come to the fiber strip you can use a scaler to detach the strip from the teeth. You can use orthodontic pliers as well.


 

Orthodontics

Using Dentapreg® for post-orthodontic stabilization provides several important advantages for semi-permanent and permanent maintenance of achieved results of orthodontic treatment. Dentapreg® has outstanding biomechanical capability of retention thanks to glass fiber reinforcement and is non-invasive and patient friendly (no need for long-term patient cooperation as with conventional removable retainers). 

Dentapreg® SFM can be successfully used as a post-orthodonitc retainer in the following situations:

- closed median diastemas
- periodontal conditions with tooth migration
- premature loss of maxillary incisor (children – canines and premolars have not yet erupted)
- rotation of maxillary incisors – rotated incisors have a great tendency to relapse
- 3 – 3 retention during and post treatment
- 21 – 12 retention – where there is uncertain optimal inter-canine distance or there is a need to leave the canine undisturbed for other reason
- palatally impacted canines – display great relapse tendency in lingual direction, correction of 2nd and 3rd molar - joint anchorage in mesial area of the denture (usually adult patients, pre-implant treatment).

Removing a splint:
Using a burr, remove the composite layer on top of the strip first. Once you come to the fiber strip you can use a scaler to detach the strip from the teeth. You can use orthodontic pliers as well.


Visit our Application Gallery for clinical cases of post-orthodontic retainer made from Dentapreg®.
 

Space Maintenance

Dentapreg® SFM can be used to create a space maintainer as part of a therapy to maintain existing space once primary teeth have been lost prematurely.

Visit our Application Gallery for examples of Dentapreg®  SFM used as a space maintainer.

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