Tooth splinting: a review of the literature and consideration of the versatility of a wire‐composite splint

Abstract

Tooth splinting: a review of the literature and consideration of the versatility of a wirecomposite splint Oikarinen K. Tooth splinting: a review of the literature and consideration of the versatility of a wire-composite splint. Endod Dent Traumatol 1990; 6: 237-250. .,, Abstract -T'he principles of tooth luxation splinting have been changed since the animal and human tests conducted in the early 1970s showed that masticatory stimulus promotes healing of luxated teeth and normally exerted occlusal forces arc able to prevent and eliminate small resorption cavities on the root surface. It has also been shown that iixation of only one week is enough to achieve the clinical healing of repositioned teeth. Apart fi-om esthetic and hygienic cotnponents, present-day demands on tooth fixation techniques also include ease of construction and removal and the use of devices which allow slight movement of the fixed teeth. This paper presents the history of tooth splinting, our present-day knowledge ofthe subject, and introduces various splinting techniques. T^he wide range of indications for a flexible wire-composite splint are analyzed more thoroughly.

International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth

“…Splinting of replanted teeth (77)(78)(79)(80)(81)(82)(83) It is considered best practice to maintain the repositioned tooth in correct position, provide patient comfort and improve function. Current evidence supports short-term, flexible splints for splinting of replanted teeth.…”

Avulsed permanent teeth: a review of the literature and treatment guidelines

“…Splinting provides stabilization for replanted teeth through the initial healing period and allows some movement (46,47). Allowing some movement of the replanted tooth is accepted as it has been shown in studies using non-human primates that prolonged rigid splinting of teeth leads to extensive dentoalveolar ankylosis (48,49).…”

The endodontic management of traumatized permanent anterior teeth: a review

“…A flexible splint has been shown to be the most desirable. 4,[14][15][16] The American Academy of Pediatric Dentistry suggests that an ideal splint should amongst other things: be easily fabricated in the mouth without additional trauma; be passive, unless orthodontic forces are intended; allow physiological mobility; be nonirritating to soft tissues; not interfere with the occlusion; allow endodontic access; be easily cleaned and easily removed. 17 Recommended splinting times are up to two weeks for most avulsion and luxation injuries unless they occur in association with alveolar fractures, up to four weeks for lateral luxation injuries, alveolar fractures and root fractures, and up to four months for cervical-third root fractures.…”