Periodontics

Increased teeth mobility is key complication factor of inflammatory lesion in periodontium.

Rationales for Splinting in Periodontics

  • Tooth with healthy but reduced periodontium and increased mobility
  • Progressive mobility, migration, and pain on function

Specific Reasons for Splinting in Periodontics

  • Controlling parafunction forces
  • Stabilizing mobile teeth when patient complain masticatory comfort
  • Restoring vertical dimension of occlusion when the posterior bite has collapsed
  • Redistributing forces along the long axes of the teeth
  • Stabilizing loose teeth to restore the patient´s psychological and physical wellness

Functions of the Splint

  • Shift of the portion of the load
  • Three dimensional action
  • Change of orientation of the forces along the horizontal axis
  • Stabilization of the teeth

Biomechanics of Splint

Splinting teeth to each other provides loosen teeth support by neighbouring sound abutment teeth. Splint is a part of frame where abutment teeth serve as vertical beam and splint itself serves as horizontal beam which bears the loading from loosen teeth. Major loading forces are horizontal forces perpendicular to dental arch acting thanks to loosen teeth mobility. Stabilizing capacity of the splint is directly proportional to the stiffness of the splint and its adhesion to mobile and abutment teeth. From the other hand perio-splint s should allow physiological movement of the teeth.

Clinical Advantages of Dentapreg Splint in Periodontics

General

  • Simple procedure – not special tools and adhesive systems required, fast two handed procedure
  • First class esthetics, subtle but strong devices
  • Outstanding biomechanical capability
  • Metal free - no alergic
  • Patient friendly – non invasive, time saving

Specific

  • Structural a shape variability gives the dentists chance to choose strip appropriate to specific clinical situation
  • Good adhesion of the strip to the teeth and high stiffness of the strip provide appropriate rigid splint structure which is necessary for reliable stabilization of the splinted teeth.

Positioning of Dentapreg Splints

 

Splint oral

Middle third of the crown

 

Splint occlusal

In the level of the interproximal contacts

     
   

Splint vestibular

Middle third of the crown

   

 

Typical Situations for Clinical Use of Dentapreg Splint in Periodontics

  • Temporary stabilization before final solution – adjunct to periodontal therapy
  • Stabilization where tooth mobility is progressive with increased periodontal ligament width and reduced bone height – part of periodontal therapy
  • Long-term stabilization during regenerative stage of treatment – part of periodontal therapy
  • Long-term stabilization - paliative treatment (postponding of extraction)

Splint oral
Splint occlusal
Splint vestibular

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