The Basics of Splinting in Dentoalveolar Traumatology

Hadziabdic, Naida

doi:10.5772/intechopen.88061

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…In the case of a semirigid splint, the physiological functional mobility of the traumatized tooth is possible, which is more favorable for the healing of PDL [ 21 ]. Semirigid splinting for 1 to 2 weeks is often recommended to prevent ankylosis.…”

Section: Discussionmentioning

confidence: 99%

Management of Inflammatory Root Resorption of Maxillary Central Incisors following Traumatic Avulsion

Sadeghi

Moradi

Soltani

2021

Case Reports in Dentistry

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Background. Avulsion is among the most severe types of dental trauma, which often occurs at young ages and can compromise the long-term prognosis of the traumatized tooth. Case Report. Herein, we report replantation of two avulsed teeth. Our patient was an 11-year-old boy with two avulsed maxillary central incisors due to a bicycle fall 2 months earlier. The patient was referred to us after rigid splinting of his teeth by a surgeon. Long-term calcium hydroxide (CH) therapy was performed for the patient, and after healing of periodontal ligament (PDL), apexification was performed for both teeth followed by root canal therapy. During the 2-year follow-up, both teeth were functional and had no radiographic or clinical evidence of resorption or ankylosis. Conclusion. The reported case highlights the favorably high tissue healing potential following severe dental trauma, given that appropriate treatment is performed. Correct endodontic management can guarantee the long-term prognosis of teeth following severe dental trauma.

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Section: Discussionmentioning

confidence: 99%

Management of Inflammatory Root Resorption of Maxillary Central Incisors following Traumatic Avulsion

Sadeghi

Moradi

Soltani

2021

Case Reports in Dentistry

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“…According to the guidelines of International Association of Dental Traumatology (IADT) and American Association of Endodontics (AAE), the first step is repositioning the coronal fragment as soon as possible and stabilizing it with flexible splint [6,7]. Splints are classified as rigid, semi-rigid and flexible splint [1,13]. Among many different types of splints, composite and wire splints are the most commonly used for traumatized teeth.…”

Section: Dental Trauma Splintsmentioning

confidence: 99%

Management of Oblique Root Fracture Using Mineral Trioxide Aggregate: A Case Report

Phuong¹

2021

MPS

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Root fractures are relatively uncommon compared to other types of dental traumas. It is sometimes extremely difficult for practitioners to decide what should be done and which approach was the optimal choice for patients. This study describes the treatment of an oblique root fracture in the right maxillary central incisor (tooth 11) using mineral trioxide aggregate (MTA) and lingual splint with composite and 0.3 mm 3-strand twisted stainless steel wire. The study performs a detailed management from the first visit to the next appointments. After four months, the tooth was asymptomatic with neither discoloration nor draining sinus. Radiographs show the increasing of periapical radiolucency in the fracture area. Thus, the tooth needs further interventions. Keywords: Dental trauma, root fracture, mineral trioxide aggregate, dental trauma splint. References [1] J. O. Andreasen, L. Andreasen, F. M. Andreasen, R. Fractures, F. M. Andreasen, J. O. Andreasen, G. Tsilingaridis, Textbook and Color Atlas of Traumatic Injuties to the Teeth, John Wiley & Sons Ltd Edition, UK, 2019, pp. 377-407.[2] M. Gharechahi, Horizontal Root Fracture Accompanied by Luxation of Coronal Fragment in a Maxillary Central Incisor: a Case Report, Journal of Dental Research, Dental Clinics, Dental Prospects, Vol. 7, No. 4, 2013, pp. 244-247, https://doi.org/10.5681/joddd.2013.039.[3] M. M. Bornstein, A. B. W. Hanssen, P. Sendi, T. Von Arx, Comparison of Intraoral Radiography and Limited Cone Beam Computed Tomography for the Assessment of Root-Fractured Permanent Teeth, Dental Traumatology, Vol. 25, No. 6, 2009, pp. 571-577, https://doi.org/10.1111/j.1600-9657.2009.00833.x.[4] J. J. May, N. Cohenca, O. A. Peters, Contemporary Management of Horizontal Root Fractures to the Permanent Dentition: Diagnosis-Radiologic Assessment to Include Cone-beam Computed Tomography, Journal of. 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Städtler, Splints Made of Wire and Composite: an Investigation of Lateral Tooth Mobility In vivo, Dental Traumatology, Vol. 11, No. 6, 1995, pp. 288-293, https://doi.org/10.1111/j.1600-9657. 1995.tb00506.x.[21] C. Berthold, A. Thaler, A. Petschelt, Rigidity of Commonly Used Dental Trauma Splints, Dental Traumatology, Vol. 25, No. 3, 2009, pp. 248-255, https://doi.org/10.1111/j.16009657.2008.00683.x.[22] C. Berthold, F. J. Auer, S. Potapov, A. Petschelt, Influence of Wire Extension and Type on Splint Rigidity - Evaluation by a Dynamic and a Static Measuring Method, Dental Traumatology, Vol. 27, No. 6, 2011, pp. 422-431, https://doi.org/10.1111/j.16009657.2011.01033.x.[23] G. Hu, J. Y. Heithersay, Australian Dental Association, Australian Dental Journal, Vol. 56, No. 4, 2011, pp. S16-S17, https://doi.org/10.1111/ j.1834-7819.1974.tb05045.x.[24] B. Kahler, J. Y. Hu, C. S. M. Smith, G. S. Heithersay, Splinting of Teeth Following Trauma: A Review and a New Splinting Recommendation, Australian Dental Journal, Vol. 61, 2016, pp. 59-73, https://doi.org/10.1111/adj.12398.[25] H. S. Zagalska, K. Emerich, Assessment of a Power Chain as a New Dental Trauma Splint and Its Comparison With Two Commonly Used Splinting Materials, Applied Sciences, Vol. 10, No. 23, 2020, pp. 1-13, https://doi.org/10.3390/app10238398.[26] M. W. B. Hassan, L. Andersson, P. W. Lucas, Stiffness Characteristics of Splints for Fixation of Traumatized Teeth, Dental Traumatology, Vol. 32, No. 2, 2016, pp. 140-145, https://doi.org/10.1111/edt.12234.[27] T. Shirako, H. Churei, T. Wada, M. Uo, T. Ueno, Establishment of Experimental Models to Evaluate the Effectiveness of Dental Trauma Splints, Dental Materials Journal, Vol. 36, No. 6, 2017, pp. 731-739, https://doi.org/10.4012/dmj.2016-333.[28] J. O. Andreasen, F. M. Andreasen, A. Skeie, E. H. Hansen, O. Schwartz, Effect of Treatment Delay upon Pulp and Periodontal Healing of Traumatic Dental Injuries - A Review Article, Dental Traumatology, Vol. 18, No. 3, 2002, pp. 116-128, https://doi.org/10.1034/j.1600-9657.2002.00079.x.[29] J. O. Andreasen, F. M. Andreasen, I. Mejàre, M. Cvek, Healing of 400 Intra-Alveolar Root Fractures. 2. Effect of Treatment Factors such as Treatment Delay, Repositioning, Splinting Type and Period and Antibiotics, Dental Traumatology, Vol. 20, No. 4, 2004, pp. 203-211, https://doi.org/10.1111/j.1600-9657.2004.00278.x.[30] R. R. Welbury, M. J. Kinirons, P. Day, K. Humphreys, T. A. Gregg, Outcomes for Root-Fractured Permanent Incisors: A Retrospective Study, Pediatric Dentistry, Vol. 24, No. 2, 2002, pp. 98-102.[31] L. Shafie, F. Farzaneh, M. A. Hashemipour, Repair of Horizontal Root Fracture: A Case Report, Iranian Endodontic Journal, Vol. 6, No. 4, 2011, pp. 176-178, https://doi.org/10.22037/iej.v6i4.2464[32] A. Majorana, S. Pasini, E. Bardellini, E. Keller, Clinical and Epidemiological Study of Traumatic Root Fractures, Dental Traumatology, Vol. 18, No. 2, 2002, pp. 77-80, https://doi.org/10.1034/j.16009657.2002.180206.x.[33] F. M. Andreasen, J. O. Andreasen, T. Bayer, Prognosis of Root‐Fractured Permanent Incisors — Prediction of Healing Modalities, Dental Traumatology, Vol. 5, No. 1, 1989, pp. 11-22, https://doi.org/10.1111/j.1600-9657.1989.tb00331.x.[34] Y. J. A. Kim, N. P. Chandler, Determination of Working Length for Teeth With Wide or Immature Apices: A Review, International Endodontic Journal, Vol. 46, No. 6, 2013, pp. 483-491, https://doi.org/10.1111/iej.12032.[35] F. Goldberg, S. Frajlich, S. Kuttler, E. Manzur, B. B. Marroquín, The Evaluation of Four Electronic Apex Locators in Teeth with Simulated Horizontal Oblique Root Fractures, Journal of Endodontics, Vol. 34, No. 12, 2008, pp. 1497-1499, https://doi.org/10.1016/j.joen.2008.09.002.[36] J. O. Andreasen, B. Farik, E. C. 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“…International Journal of Dental Materials 2020;2(4): 122 -134 Applications of FRCs in endodontics include root canal posts [10][11][12], and reinforcement of restorative composites in restorations and core build-ups [13,14] and splinting of teeth in dental trauma [15][16][17]. The properties such as elastic modulus close to that of natural dentin, high tensile strength, and the suitability for cost-effective chairside techniques make fiberreinforced composites well suited in the restoration of root canal-treated teeth [1].…”

Section: C L I N I C a L A P P L I C A T I O N S O F F R C S I N D E N T I S T R Ymentioning

confidence: 99%

“…This type of splint is based on the use of special polyethylene fibers (Ribbond fibers) and composite materials. In dental traumatology, Ribbond fiber splints are a type of fixed and extra-coronary splints [16]. Ribbond fibers are popular as a form of immobilization due to their properties:…”

Section: Ribbond Splintmentioning

confidence: 99%