The Basics of Splinting in Dentoalveolar Traumatology

Inhaltsverzeichnis

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Shape the splint over the vestibular and palatal surfaces of the tooth, tell the patient to bite down, and check the occlusion. Ready-made metal arch, metal arch fixed with wire to the upper teeth, intermaxillary fixation, and the appearance of gums after being irritated from the use of a ready-made splint. This categorization of splints is based on the possibility of the physiological mobility of the tooth . Thus, a rigid splint does not permit any physiological mobility of the tooth and thereby creates the conditions for complications in the sense of ankylosis or external resorption . In general, the use of a splint is not recommended for injuries to milk teeth, such as luxation or avulsion. Repositioning is not recommended because there is a risk of infection which could endanger the tooth bud of the permanent tooth.

  • At S4S, we have developed a process of manufacture that is extremely robust and virtually eliminates the need for metal clasping in most cases.
  • The splint is applied to the teeth and the patient wears it until the necessary treatment is complete.
  • The Mandibular Decompression Appliance or Decompression Splint is used for patients presenting with pain and TMJ dysfunction.
  • The stabilization properties of this ligature are limited due to lack of rigidity especially when the wires become to stretch.
  • An AM model has been used as a mock-up for manufacturing obturator prosthesis from acrylic polymethyl methacrylate .

Sometimes called a Relaxation Splint, this is made with hard acrylic, though retention and comfort can be maximised by incorporating a soft lining. Suggested a 12- to 15-mm distance to decrease clenching efficiency. These studies suggest that a minimum of a 4-mm increase in vertical dimension is necessary to protect bruxing patients. A careful medical/dental history along with a comprehensive examination is necessary for all patients, but especially those with facial pain, TMD, or bruxism.

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No sign of tooth wear or significant splint wear was detected after the six-month test period. The splint after a test period of six months is shown in figure 5. The patient was asked to note his impressions regarding the appliance use.

What Are the Different Types of Dental Splints?

SoftHard/SoftHardCushion Splint✓ ✓ LimitedLimitedEase of FitEasy for Soft and Hard/Soft. Classification of splints with indications, contraindications, advantages, and disadvantages. Use the grinder on the internal side of the splint to make room for the phosphate cement. We are a community of more than 103,000 authors and editors from 3,291 institutions spanning 160 countries, including Nobel Prize winners and some of the world’s most-cited researchers. Publishing on IntechOpen allows authors to earn citations and find new collaborators, meaning more people see your work not only from your own field of study, but from other related fields too. Open Access is an initiative that aims to make scientific research freely available to all.

This kind of splint is quite insecure and may only be used in cases when there has not been any major damage caused by avulsion and when the neighboring teeth are intact. Loose teeth can be stabilized by a new procedure called dental splinting, which combines loose teeth together, turning them into a single unit. The technique is most commonly performed on the front teeth. It affects the individual psychologically to smile or start a conversation. The oral well-being and psychological well-being can be restored using dental splints.

Periodontal Splinting of Teeth

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Appliances can be designed to offer full coverage or may expose the anterior teeth. This can increase airflow, making it easier for patients to communicate and breathe comfortably. Such a design can also eliminate the discomfort and feeling of tightness sometimes experienced when wearing these appliances. Additional strength can be added in the form of lingual bars or mesh. The design may also be altered to add cuspid or anterior guidance, while the posterior occlusion can have guidance grooves or can be left Invisalign smooth.