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At least 127 records · Page 7Linked to original sources

Post-orthodontic splinting of periodontally-involved teeth.

Shortcomings of techniques presently available for the stabilization of periodontally-involved teeth following orthodontic therapy are discussed. The rationale for rigid fixation of such teeth is questioned in the light of modern concepts of tooth mobility. An inexpensive technique of tooth stabilization based on wire and composite resin is described. The technique permits fixation allowing for individual periodontal adjustment, yet with minimal interference with tooth structure and the occlusion.

Dental Occlusion↗

Rationale for stabilization.

1. The subjective separation of the normal and the diseased periodontium for splinting purposes is artificial. With the exception of cases of secondary trauma from occlusion, the diseased periodontium should be treated in the same manner as the normal periodontium with regards to splinting. 2. Retionales for stabilization found to be valid are: I. Prevention of mobility A. Post acute trauma. B. In occlusal therapy. II. Prevention of drifting A. Replacement of missing teeth. B. Postorthodontics. III. In treatment of secondary trauma for occlusion. A. For functional stability. B. With unknown effects on the progression of periodontitis. 3. The relationship of trauma from occlusion and periodontitis is unclear at this time. 4. A need exists for a clinical test correlating histologic signs of trauma from occlusion and clinical findings. 5. Temporary splinting generally is not indicated during the initial or surgical phase of treatment of the periodontal patient, because mobility short of secondary trauma from occlusion does not impair healing.

Dental Occlusion, Traumatic↗

A comparison of the continuous and interrupted suturing techniques.

This investigation compared the efficacy of interrupted and continuous suturing for primary closure of the apically positioned flap. Twenty-two flap procedures were performed on contralateral sites in 10 patients. The 11 sites where interrupted suturing was used had a degree of presurgical periodontal involvement which was similar to that in the 11 contralateral sites where continuous suturing was used. At postsurgical assessment visits, after 3 months and 6 months, gingival health status was evaluated for both groups. Recession, residual pocket depth and loss of attachment were also measured. Analysis of the data for each of these parameters indicated no statistically significant difference between the two groups. However, the overall clinical impression was that interrupted suturing provided better flap adaptation.

Adult↗

Periodontal splinting with wire and composite resin. A revised approach.

A method for periodontal splinting of anterior teeth with wire and composite resins is described. The method combines the use of a double wire reinforcement shallow tooth preparation, and acid etching to obtain good strength and sealing properties. The sequence of steps are exclusively designed to suit the properties of composite resins. The technique has the advantages of conservatism and simplicity, good esthetics and strength that surpasses that of conventional wire and acrylic or composite splints.

Acid Etching, Dental↗

A new method for stabilization of periodontally involved teeth.

An approach is presented for the construction of an extracoronal temporary splint that meets the demands of stabilization in the presence of a compromised attachment apparatus. It is completely reversible and esthetically acceptable. It also combines the versatility of two often used materials--orthodontic grid material (for bracket placement) and self-polymerizing resins and composites, giving the combined effect of strength, stability and esthetics.

Acid Etching, Dental↗

[Study on prosthodontic procedure in patients with unilateral cleft lip and palate--effects of various extensions of splint on tooth-borne ability of teeth adjacent to the cleft].

It is mandatory that the prosthodontic devices for the cleft palate patients not only prevent the relapse of the corrected arch and teeth by orthodontic and/or surgical intervention but also equilibrate the tooth-borne ability between the upper and the lower jaw. The purpose of this paper is to set up a criterion for the extension of the splint from the point of the tooth-borne ability. Four patients with unilateral cleft lip and palate were examined for the maximal biting force at the tooth adjacent to the cleft in each alveolar segment in the case of various extensions of the splints. The findings were as follows: 1. The maximal biting force increased significantly in every splint, compared with the non-splint. 2. The maximal biting force increased significantly in the splints where the neighbouring tooth in the same segment was involved, compared with that in the splints where only the tooth adjacent to the cleft was involved, even if the tooth in another segment increased in number for splinting. 3. The maximal biting force did not increase significantly in most splints where three teeth in the same segment were involved, compared with that in the splints where two teeth in that segment were involved.

Adult↗

[Studies on oral hygiene and periodontal prophylaxis in patients with jaw fractures].

Oral hygiene experiments with H2O2 and chlorhexidine rinsing were performed in 15 patients with dental splints for jaw fractures and intermaxillary wiring. To measure the various cleaning measures, Löe's plaque index (1967) was determined at the 7th, 21st, and 35th postoperative days. The 2% chlorhexidine gluconate was always by far superior to H2O2 as far as plaque inhibition was concerned. With chlorhexidine plaque reduction up to 69% and H202 reductions up to 22% were observed. After a test period of about 5 weeks, only slight side-effects were recorded, such as discolorations at the lingual side of the teeth and in few cases bad taste or dark coating of the tongue.

Biguanides↗