Temporary splinting in periodontally mobile teeth: review before application

Abstract

Introduction. Temporary splinting of mobile, periodontally compromised teeth is an important stage in the complex treatment of periodontitis, used to improve mastication, aesthetics, and the prognosis for teeth with pathological mobility. It helps prevent this phenomenon and consolidate the success of conservative and surgical treatment, which also has a positive effect on the patient’s psycho-emotional state. Materials and methods. 12 patients (6 female and 6 male), aged 26–60 years, with pathological teeth mobility due to chronic generalized periodontitis, were included in the study. Temporary splinting was performed using fiberglass threads braided with polyester microfibers, polyethylene fibers, and aramid fibers, and in all clinical cases, it was secured with photocomposite material designed for teeth splinting. Results. Temporary splinting is a very important step in periodontitis treatment, and dynamic monitoring is necessary throughout the entire period of splinting. The interval between visits is determined based on the type of splinting, the risk of complications, the severity of periodontitis, systemic and local factors, the level of individual oral hygiene, and the patient’s motivation. The interval can be 6 months, 4 months, or, in aggressive forms of periodontitis, 2 months. Conclusions. Temporary splinting contributes to the effectiveness of pathogenetic and symptomatic therapy.