To splint or to extract? Old question with new discussions

Abstract

Introduction. Dental mobility due to the loss of tooth support structures in chronic periodontitis leads to their subsequent extraction negatively affecting the function of mastication, aesthetics and patient comfort. Splinting mobile teeth favors the restoration of tissues and function of periodontium. Purpose. Increasing the effectiveness of complex treatment of patients with chronic generalized periodontitis. Material and methods. 23 patients (11 m., 12 f.) aged 38-63 years with chronic generalized periodontitis of varying degrees were examined clinically and para-clinically. For non-invasive direct immobilization of mobile teeth polyethylene fiber InFIbra (Italy), applied on the vestibular surface of the upper and / or lower frontal teeth, was used. InFibra is made of long longitudinal white and high crystallized polyethylene fibers that give high mechanical characteristics. InFibra has been developed for “metal free” dentistry. The special interlacing enables a net cut and the complete padding with all flowable resin composites unfilled and acrylic resin. Results. Clinical and para-clinical examination of patients included in the study allowed the diagnosis of generalized chronic periodontitis of varying degrees. To stop the pathological mobility of teeth in complex treatment of patients, the adhesive immobilization with reinforcement of composite material with polyethylene fibers InFibra fixed on the vestibular surface of the toothed teeth was included. Repeated examination after 6 and 12 months shown disappearance of discomfort during eating due to stopping dental mobility. After 12 months after immobilization was marked decreasing in OHI-S and IP indices and stopping radiologically determined atrophic processes of the alveolar bone. Conclusions. Excellent technical and handling properties, the consistency of the shape, ensured by the unique weave – Lock-stitched leno – weave lens made of polyethylene fibers InFibra allow to use it at splinting teeth with pathological mobility, even grade III-IV increasing the effectiveness of complex treatment.