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Results for “Periodontal Splints”

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At least 703 records · Page 39Linked to original sources
PubMed1996

Surgical repositioning of unerupted anterior teeth.

The result of surgical repositioning of 12 unerupted anterior teeth was studied. The unerupted teeth were gently exposed, gradually repositioned by shifting them bodily toward the occlusal plane without disturbing the periodontal ligament, and splinted for 3 wk. Root canal therapy was performed at the end of the second week following repositioning. Obturation was done at the end of the third week just before splint removal. Clinical and radiographic examination (follow-up period: 6 months to 3.5 yr) revealed no root resorption with satisfactory apical healing and healthy supporting tissues.

Adolescent↗
PubMed1979

Fiber glass splints.

Temporary splints to immobilize periodontally diseased teeth were made by fiber glass bonded and attached to the teeth with acid-etch technique with BIS-GMA resin. Twenty-one splints were made. Observation time ranged from 4 to 14 months. During the observation only one splint fractured and was repaired while the others functioned without failure.

Acid Etching, Dental↗
PubMed1989

Effect of splinting on the mechanical and histological properties of the healing periodontal ligament in the vervet monkey (Cercopithecus aethiops).

Healing of the periodontal ligament (PDL) after extrusive luxation of two upper central incisors was evaluated when one tooth was splinted and the other left untreated. One millimetre thick, transverse sections of tooth, PDL and alveolar bone were examined in a materials testing machine. Load deformation curves were recorded and a number of mechanical properties were assessed. To eliminate the influence of differences in sizes and fibre arrangements, load values were reduced by the area and deformation values by the width of the PDL, and comparisons between splinted and non-splinted teeth were made at identical root levels 2 weeks after injury. Healing was also evaluated histologically at 1, 2, 3, 4 and 8 weeks after injury. There were no significant differences in mechanical and histological properties between splinted and non-splinted teeth, which suggests that splinting is of doubtful value in treatment of extrusive luxated teeth. The values for the mechanical properties of injured PDL had returned to 50-60% of those of uninjured PDL by 2 weeks after injury, indicating a rapid healing rate.

Animals↗
PubMed2006

Effectiveness of oral hygiene protocol in patients with post-traumatic splinting.

AIM: In dental trauma with severe periodontal tissue involvement, as dental avulsion and severe luxation, the splinting procedure requires the patient to maintain a scrupulous hygiene of the affected zone, so to allow an effective tissue healing. The aim of this study was to assess the effectiveness of a specific oral hygiene protocol in the treatment of patients with post-traumatic splinting, comparing the plaque indexes of dental hygienist-helped patients versus not helped. MATERIALS AND METHODS: This study was carried out on 82 selected patients with post-traumatic splinting due to traumatic avulsion and severe luxation. They were divided into 2 groups, comparable for age, sex, type of trauma and splinting. The group A patients underwent an oral hygiene protocol, managed by a dental hygienist, while the group B patients were followed without the help of the hygienist. Plaque indexes were observed and compared in all cases during 6 weeks-follow up. RESULTS: Our results showed that at the 6th week follow up the plaque indexes of dental hygienist-assisted traumatized patients were significantly (p=0.001) lower than those of not assisted patients. CONCLUSION: Therefore, the role of dental hygienists is essential in the management of dental trauma with periodontal damage, which needs specific oral hygiene protocols.

Adolescent↗
PubMed2001

Splinting of traumatized teeth with a new device: TTS (Titanium Trauma Splint).

Displacement injuries of permanent teeth are an increasing emergency in the dental office. Children and adolescents are particularly prone to dental trauma due to participation in risky activities. Repositioning or replantation with subsequent stabilization by a dental splint is the standard of care for most displaced or avulsed permanent teeth. Non-rigid fixation allowing physiologic tooth mobility has been shown to be desirable for periodontal healing. A flexible splint of short duration appears to reduce the risk of dentoalveolar ankylosis or external replacement resorption. Different splinting techniques are currently recommended for stabilization of repositioned or replanted teeth, including a wire-composite splint, an orthodontic bracket splint or a resin splint. Each splinting option has its specific advantages and shortcomings. This paper describes a new splinting technique which offers improved comfort and handling to the patient and dentist alike.

Adult↗
PubMed1991

A crown and sleeve removable denture with periodontally involved teeth as abutments: an alternative to a conventional complete denture.

This case report describes the use of a crown and sleeve coping denture in the treatment of a patient who presented with poor periodontal prognosis of multiple teeth. The prosthesis is designed to splint, stabilize, and retain periodontally involved teeth that are not suitable to support conventional partial dentures. In addition, it offers increased retention and stability.

Crowns↗
PubMed1999

Clinical rationale for tooth stabilization and splinting.

Tooth mobility can be a consequence of periodontal inflammation, attachment loss, and occlusal trauma. At times, this mobility may be tolerable, whereas at other times mobility may contribute to occlusal instability and/or patient discomfort. This article describes the clinical rationale for and the effects of splinting mobile teeth.

Bite Force↗
PubMed2002

[A new splint technique in dental traumatology].

The treatment of displacement injuries and fractures of permanent teeth is an important emergency therapy in the dental office. Due to new sport trends and various outdoor activities, the frequency of dental trauma of children and adolescents alike is steadily rising. The standard treatment of displacement or avulsion injuires of permanent teeth is repositioning or replantation with subsequent splinting. The dental trauma splint must be flexible to allow for the physiologic movement of the repositioned or replanted teeth in order to reduce the risk for ankylosis or external root resorption. Stabilization of a repositioned tooth with a flexible splint over a short time period optimises the rehabilitation of the periodontal tissues. In the literature various splinting techniques have been described. This paper presents a new splinting technique; the Titanium Trauma Splint (TTS), which is made of pure titanium and was specifically developed for the treatment of traumatically displaced or avulsed permanent teeth. The TTS-splint has certain advantages when compared to traditional splinting techniques. These advantages are beneficial both for the dentist and patient alike.

Adolescent↗
PubMedDate not supplied

[Temporary splinting].

Explore the source record for details and available documents.

Composite Resins↗
PubMed1984

Changing concepts in periodontics.

This article has concentrated on aspects of periodontics where research over the last decade has demonstrated that old concepts are outmoded and for the patient's benefit should be changed in clinical practice. The following statements were made. Periodontal pockets do not need to be reduced surgically to a 3 mm limit to save teeth. Bone and soft tissues do not need to be sculptured to uniform horizontal atrophy at the level of the deepest pocket. Treated teeth can be maintained without loss of periodontal support with less than perfect plaque control if professional tooth cleaning every 3 months is practiced. Furcation involvement complicates the treatment of periodontitis, but such teeth have a better prognosis than has been commonly thought. Deep pockets have a relatively good prognosis after treatment. The problem is access for efficient root planing. Advanced periodontitis can be stopped in most patients. Gingival curettage does not improve the results of scaling and root planing. Support for teeth can be maintained without attached gingiva. Gingival blanching in response to lip pull is meaningless. Splinting is not needed for most teeth with increased mobility after periodontal therapy. It was acknowledged that in other controversial aspects of periodontics scientific information still is not available to support firm concepts that may guide clinical practice. One problem in dentistry is the lag that often exists between the publication of research findings and their application in clinical practice if there is no inherent economic reward in the new procedure.(ABSTRACT TRUNCATED AT 250 WORDS)

Alveoloplasty↗
PubMed1989

[Tooth mobility and containment].

Periodontal destruction often leads to tooth hypermobility. In the presence of jiggling forces, traumatic occlusion can provoke a progressive mobility, and in certain cases, accelerate the periodontal destruction in presence of periodontitis. Treatment of infection alone is enough to stop the periodontal destruction. If the mobility becomes progressive, or if the hypermobility impedes the masticatory function of the patient, an occlusal adjustment and/or a splint are valuable to assure the longevity of a tooth. Tooth mobility is the physiological adaptation of the periodontium to the traumatic occlusion, and is, in itself, not an indication for splinting.

Dental Occlusion, Traumatic↗
PubMed1994

Influence of arch bar splinting on periodontium and mobility of fixed teeth.

Altogether 17 patients treated with arch bar splints fixed onto teeth were tested at the time of splint removal and approximately 5 months later. Patients were treated with intermaxillary fixation (IMF) because of either orthognathic surgery (7 patients) or mandibular fractures (10). The CPITN index was used for estimating the periodontal status, and tooth mobility was measured with Periotest. Seven patients in the orthognathic surgery group could also be examined before splinting. Periodontal status, as shown with relative proportions of various CPITN indexes, worsened due to splinting but regained its original level at control examination a minimum of 5 months after splint removal. Since the mean Periotest values did not differ between the first and control examinations in the seven patients undergoing orthognathic surgery, the analysis of the effect of splinting on tooth mobility was performed from the values obtained immediately after splint removal and at control visit. Splinting was shown to increase Periotest values more in female patients, in younger ones, and in those who were splinted for a shorter period. Teeth with the smallest roots showed greater differences in Periotest values than those with large roots, and the greatest differences in mobility were observed in incisors.

Adolescent↗
PubMed1991

[Posterior bite collapse. 2. Therapeutic proposals].

In the treatment of posterior bite collapse, the orthodontic phase consists of three steps: uprighting of molar teeth, leveling of the mandibular arch and closure of anterior diastemas. During and after orthodontic therapy, the maintenance of periodontal health is important. For patients in which there is a reduced periodontium, splinting should be accomplished after the teeth are moved into their desired position.

Diastema↗