Orthodontics - introduction: ORTHODONTICS - an introductionDr. Prabhuraj Sabara...

Orthodontics - introduction: ORTHODONTICS - an introductionDr. Prabhuraj Sabara...: ORTHODONTICS - an introduction Dr. Prabhuraj Sabarad                                  MDS Email: mail2prabhuraj@gmail.com "Whe...

Splinting - a note by Dr Prabhuraj Sabarad (MDS): Splinting is a procedure done to stabilize a loose...

Splinting - a note by Dr Prabhuraj Sabarad (MDS): Splinting is a procedure done to stabilize a loose...: Splinting is a procedure done to stabilize a loosened tooth to allow periodontal fibers to repair, by fibrous healing rather than bony heal...

Splinting is a procedure done to stabilize a loosened tooth to allow periodontal fibers to repair, by fibrous healing rather than bony healing or ankylosis. Splinting is done and maintained for less than 3 weeks. Splinting for 8 to 12 weeks is indicated  when there is a need to stabilize a root fracture and healing with calcified tissue is to be encouraged.
Methods of splinting:
Directly fabricated/constructed in patients mouth.
-Acid etch splint with composite/acrylic/epimine resin with wire/orthodontic attachments.
-lead foil with or without cement.  - interdental wiring
Indirect method: Impression of traumatized mouth is made and a removable splint is fabricated. The removable splint allows an assessment of mobility or firmness, which is valuable in cases of reimplantation. The types used are: Vaccum formed thermoplastic polyvinyl acetate polyethylene (a thermoplastic mouth gaurd type of splint is indicated in case of re-planted tooth, where short splinting time is enough.) and Upper Removable Appliance with cribs 16 to 26 with occlusal coverage. A full coverage acrylic splint is required in a case where 6EDC1 I 1CDE6  are present and both upper central incisors are traumatized.