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References

Rada RE. Mechanical stabilization in mandibular anterior segment. Quintessence Int. 1999; 30:243-248
Bernal G, Carvajal JC, Muñoz-Viveros CA. Clinical management of mobile teeth. Contemp Dent Pract. 2002; 4:10-22
Sewón LA, Ampula L, Vallit PK. Rehabilitation of a periodontal patient with rapidly progressing marginal alveolar bone loss 1 year follow up. J Clin Periodontol. 2000; 27:615-619
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Fibre-Reinforced Composite Splint – Step-by-Step Instructions

From Volume 46, Issue 4, April 2019 | Pages 380-387

Authors

Jansen van Rensburg

General Dental Practitioner, Jade Dental Practice, Ashford, Kent TN23 3JJ, UK

Articles by Jansen van Rensburg

Email Jansen van Rensburg

Abstract

Tooth mobility is commonly seen in general dental practice, usually resulting from chronic periodontitis. A fibre-reinforced composite splint may be used to treat mobile teeth successfully. This article will concentrate on the precise steps on how to place such a periodontal splint. Minimally invasive options should always be considered. In long-term maintenance of periodontally involved teeth where the active disease is under control, the periodontal splint can be very helpful as part of a comprehensive periodontal treatment plan.

CPD/Clinical Relevance: A fibre-reinforced composite periodontal splint may improve the masticatory ability and consequently the patient's quality of life.

Article

Periodontal splinting can simply be described as the joining of mobile periodontal involved teeth to one another in order to stabilize the affected teeth. In that regard, mechanical stabilization techniques can provide increased comfort and improve function, especially for geriatric dental patients.1 The ultimate aim of splinting mobile teeth is to restore function and comfort and by so doing promote tooth retention and maintenance of periodontal health.2 In contemporary clinical practice, preservation of mobile teeth is increasingly required, as the older population is averse to losing their teeth for several reasons, including psychological concerns.1 In the past, these mobile teeth were commonly extracted and replaced with a fixed or removable prosthesis. In cases with severe destruction of the periodontium, fixed prostheses, complete or partial dentures and implant-supported prostheses may not be the optimal treatment options. In cases with severe periodontitis, the long-term results cannot be guaranteed and an affordable technique like splinting might provide a suitable and cost-effective solution.3 This article will focus on the technique of placing a direct fibre-reinforced composite splint.

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