Splinting of traumatized teeth in children

Different types of splints have been used to stabilize traumatized teeth in children. Some of these splints have compromised healing of the teeth and associated dental tissues. This article considers the ideal properties for a splint and describes a method of splinting traumatized teeth in children that meets most of the requirements of an ideal splint.     

Splinting of traumatized anterior teeth using the nylon-resin technic

In this paper the nylon-resin technique is proposed as the idoneous fixing technique of dentary displacement treatment and/or radicle fracture due to dentoalveolar traumatisms, of high incidence in children. In order to probe the effectiveness and advantages of this technique a comparative study against the wire-resin technique was done. The fixing time proposed for both procedures was 14 days. The techniques were applied in the same number of patients indistinctly in age, sex, affected teeth, and type of lesion. After evaluation we observed that the proposed technique is superior in several aspects: fulfils with the requirements of an ideal ferule, is aesthetic, easier to elaborate, more resistant, more compatible with tissues, and because of their semirigidity, more functional.     

自酸蚀粘接技术在外伤牙固定中的应用

为了提高外伤牙的治疗有效率, 作者采用自酸蚀粘接剂-扁钢丝-树脂共同构成粘接性夹板,用于固定外伤后松动或脱位的患牙,取得了良好的效果.     

Splinting of traumatized teeth with a new device: TTS (Titanium Trauma Splint)

Abstract – Displacement injuries of permanent teeth are an increasing emergency in the dental office. Children and adolescents are particularly prone to dental trauma due to participation in risky activitiess. Repositioning or replantation with subsequent stabilization by a dental splint is the standard of care for most displaced or avulsed permanent teeth. Non-rigid fixation allowing physiologic tooth mobility has been shown to be desirable for periodontal healing. A flexible splint of short duration appears to reduce the risk of dentoalveolar ankylosis or external replacement resorption. Different splinting techniques are currently recommended for stabilization of repositioned or replanted teeth, including a wire-composite splint, an orthodontic bracket splint or a resin splint. Each splinting option has its specific advantages and shortcomings. This paper describes a new splinting technique which offers improved comfort and handling to the patient and dentist alike.     

Splinting of teeth with fixed bridges: biological effect

Forty abutment teeth with pathological mobility were splinted with telescoped removable bridges. During the first 4 weeks the bridges were fixed. From the beginning of the fifth week they were removed once a day. Mobility was measured prior to placing the bridges and at 4 and 10 weeks intervals. Average mobility of the abutment teeth and the control unsplinted teeth did not change significantly during the experimental period.     

Splinting of teeth with removable bridges – Biological effects

Abstract Fifteen abutment teeth with pathologic mobility were splinted with removable telescoped bridges. Mobility was measured at the time the splints were placed and at 1- and 12-month intervals. Average mobility of the abutment and control teeth did not change significantly during the experimental period.     

撕脱牙再植的夹板固定

数据来源:检索Ovid Medline、CochraneLibrary、PubMed和ISI Web of Science4个数据库。纳入标准:纳入有关人类恒牙外伤治疗的研究。出版语言限制为英语。     

A retrospective evaluation of traumatized permanent teeth

Summary. The purpose of this retrospective study (15 years follow-up) was to evaluate the long-term results of treatment to injured teeth following acute trauma. A total of 198 patients with 488 injured teeth were available for analysis. Uncomplicated crown fractures were restored with composite restorations in 106 teeth. 19% of the restorations had been replaced more than 10 times and at the final examination approximately 25% were rated as unacceptable, i.e. needing clinical treatment. Fixed prosthetic therapy had been provided for 106 teeth and endodontic treatment had been provided in 114. Colour changes appearing at late stage suggested obliteration, necrosis or endodontically treated teeth. Anterior composite restorations have been considered acceptable as semi-permanent restorations in patients of early school age (7–15 years), and may have been an advance on what was possible previously, but results of this clinical study suggest that they still do have major shortcomings. There remains a need for a simple, conservative method of restoring aesthetics to fractured and discoloured anterior teeth for clinical use in young patients of late school age.     

Laser Doppler Flowmetry for monitoring traumatized teeth

Abstract – Laser Doppler Flowmetry (LDF) has been shown to be valuable in monitoring revascularization of immature incisors following severe dental trauma. Several investigators have demonstrated the ability of LDF to record blood flow signals from vital tooth pulps. In this case report, LDF was used for a 7-year-old child patient following a severe luxation of tooth #9. During follow-up examinations the traumatized tooth was unresponsive to traditional vitality testing during the first 6 months; however, LDF indicated that revascularization had occurred much sooner. Until recently, CO₂ ice has been the most effective method for sensitivity testing in trauma cases such as presented here. In this case, LDF gave us the assurance that we could defer invasive care during a critical time period when root canal therapy might have been initiated for this child patient.