Typical Situations for Clinical Use of Splint in Periodontics

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

Positioning of Dentapreg™ Splints

  • Oral – middle third of the crown
  • Vestibular – middle third of the crown
  • Occlusal – in the level of the interproximal contacts

Typical Situations for Clinical Use of Dentapreg™ Splint in Traumatology


Splinting is an required treatment of following dental injuries (according to WHO System modified by Andreasen and Andreasen):

  • Injuries to the Hard Dental Tissues and the Pulp

Crown-root fracture (suggested splinting time: 3 months)
The emergency treatment objective is to stabilize the coronal fragment n its anatomically correct position to adjanced teeth with a splint to optimize healing of the PDL while maintaining esthetic and functional integrity. Further treatment depends on comlexity of the injury.

Root fracture (suggested splinting time: 3 months)
Treatment objectives: to reposition and stabilize the coronal fragment in its anatomically correct position to adjanced teeth with a splint to optimize healing of the PDL while maintaining esthetic and functional integrity

  • Injuries to Periodontal Tissues

Subluxation (loosening) (suggested splinting time: 7-10 days)
Treatment objectives: to optimize healing of the PDL by stabilizing loosen tooth to adjanced teeth with a splint.

Lateral luxation isolated (suggested splinting time: 2-3 weeks)
Lateral luxation Alveolar fx (suggested splinting time: 6-8 weeks)
Lateral luxation – treatment objectives: to reposition and stabilize the coronal fragment in its anatomically correct position to adjanced teeth with a splint to optimize healing of the PDL while maintaining esthetic and functional integrity.

Extrusive luxation (suggested splinting time: 2-3 weeks)
Treatment objectives: to reposition and stabilize the coronal fragment in its anatomically correct position to adjanced teeth with a splint to optimize healing of the PDL while maintaining esthetic and functional integrity

Intrusive luxation (suggested splinting time: 2-3 weeks)
Treatment objectives : to reposition and stabilize the coronal fragment in its anatomically correct position to adjanced teeth with a splint to optimize healing of the PDL while maintaining esthetic and functional integrity

Avulsion (suggested splinting time 1-2 weeks)
Treatment objectives: to replant and then to stabilize the replanted tooth in its anatomically correct position to adjanced teeth with a splint to optimize healing of the PDL while maintaining esthetic and functional integrity

  • Injuries to the Supporting Bone

Fracture of the alveolar process (suggested splinting time: 6-8 weeks)
Treatment objectives: reposition the fragment and stabilizing it to adjanced teeth with a splint.

Fracture of Mandible (suggested splinting time: 6-8 weeks)
Treatment objectives: immobilization mandibular fractures. There are two option for splinting:

  1. splinting teeth in the mandible (simple fracture of mandible body or alveolar process, patient cooperation necessary!)
  2. maxillomandibullar fixation - closed reduction
Note:
Suggested splinting time means minimum time for splinting. Real splinting time should reflect the healing process of the individual clinical situation.

Positioning of Dentapreg™ Splints

  • Vestibular – as close as possible to middle third of the crown
  • Vestibular and oral – for splinting teeth in mandible (immobilization of mandibular fracture)

Typical Situations for Clinical use of Dentapreg ™ Retainer in Orthodontics

  • Closed Median Diastemas – short or long term retention, usually 4 unit retention
  • Multiple spacing of Anterior Teeth – difficult to retain, long term retention, strips with enhanced strength required
  • Periodontal Conditions with Tooth Migration – permanent retainer avoids jiggling forces and stabilize periodontally compromised teeth after orthodontic treatment in the new position
  • Accidental loss of Maxillary Incisor (childern – canines and premolars have not yet erupted)- when 2 stage orthodontic treatment is indicated, DentapregTM Retainer is bonded to the lingual surfaces of the approximated lateral incisors.
Note: This approach can be chosen in other two-stage operations.
  • Rotation of Maxillary Incisors – rotated incisors have a great tendency to relapse, DentapregTM Retainer is placed lingualy over six units and the situation may be treated with combination of removable plate or using advantage of excellent esthetic of Dentapreg™ Retainer there may be placed additional vestibular six units retainer.
  • 3 – 3 retention – retention bar
  • 21 – 12 retention – where there is uncertain optimal intercanine distance or there is need to settle canine undisturbed for other reason
  • Palatally Impacted Canines – display great relapse tendency in lingual direction, Dentapreg™ Retainer is bonded to the lingual or buccal of the teeth and it allows in this position undisturbed bone and soft tissue healing over long periods.
  • Space Maintainers – see Pediatric Dentistry
  • Semipermanent single tooth replacement – see Prosthodontics
  • Trauma fixation – see Traumatology

Positioning of Dentapreg™ Retainers

  • Oral – middle third of the crown, if a deep overbite situation remains, Dentapreg™ strips may be bonded gingival to the contact line
  • Vestibular – middle third of the crown
  • Occlusal – in the level of the interproximal contacts


top 


  • English
  • Patients
  • Mobile Teeth