Periodontally compromised teeth with reduced periodontal support, often indicated as teeth with a hopeless prognosis, pose a higher risk for tooth extraction.
The periodontal splinting technique often postpones or prevents tooth extraction, improving aesthetics, functional support, and patient comfort using the most atraumatic restorative technique.
What is Periodontal Splinting?
Periodontal splinting is one of the most conservative approaches in Periodontal restorative Dentistry. As a result of periodontal disease and destruction of the supportive periodontal tissue, the mobility of the involved teeth increases, so-called pathologic mobility. Following Periodontal treatment, the mobility of the compromised teeth may not be reduced, causing discomfort and distress for some patients.
Periodontal splinting is an Atraumatic Restorative Treatment to stabilise loose or mobile teeth. By cross-linking, splinting, or fixing the teeth with increased mobility, tooth mobility is lessened, improving patients’ comfort without compromising the health of the periodontal tissues. A periodontist should regularly undertake periodontal assessment and individualised supportive periodontal treatment. Care should be taken that the patients require undertaking self-performed plaque control following professional hygiene treatment.
1. Pre-operative tooth loss
2. Perio-RibBond Splinting
3. Composite moulding
4. Composite Periodontal Splinting
Why Choose Splinting?
Following the procedures of splinting teeth, the teeth’s phonetic, functional and aesthetic aspects improve.
Most practitioners and patients tend to extract mobile teeth after excessive tooth mobility due to reduced periodontal support.
The splinting procedure may postpone undue tooth extraction in the presence of periodontal health. Hence, opting for the most noninvasive, reliable and atraumatic restorative treatment provides aesthetic and functional support and patient comfort.
What is the Optimal Splinting Technique?
In modern biological dentistry, tooth-colored resin pre-impregnated glass fibre is boned with tooth-coloured composite resin behind the teeth’ non-biting surfaces. This type of teeth splinting secures the durability and aesthetics of periodontally involved teeth using biocompatible materials and Atraumatic Restorative Treatment.
What are the Advantages of Periodontal Splinting?
- Offers the most non-invasive restorative approach, which requires no tooth preparation
- Provides invisible restorations using the tooth-coloured materials
- Immediately reduces the tooth mobility by cross-arch stabilisation Technique.
- Offering the opportunity to recontour the asymmetric, misaligned or misshaped teeth
- It provides closure for the unsightly interdental gaps and black triangles.
What are the Other Options to Obtain Periodontal Splinting?
In cases of teeth with moderately reduced periodontal support but established periodontal health, crown preparation and joining the mobile teeth together or the more stable adjacent teeth is a viable technique that offers:
- Improved functional support of the front anterior teeth
- Increased aesthetic and appearance of the linked crowned teeth
- Possible simultaneous replacement of the missing teeth? As a result of the extraction of the teeth with advanced periodontal disease
- Future option to convert a severely compromised tooth into a natural-looking bridge using the patient’s crown
Periodontal splinting using resin bonding is a gentle yet effective solution for managing tooth mobility. It coincides with biological and noninvasive dentistry principles in preserving natural teeth while enhancing the quality of life. Before considering tooth extraction or irreversible treatment strategies, we should advise patients of this viable noninvasive option.