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References

Bourguignon C, Cohenca N, Lauridsen E International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dent Traumatol. 2020; 36:314-330 https://doi.org/10.1111/edt.12578
Kahler B, Hu JY, Marriot-Smith CS, Heithersay GS. Splinting of teeth following trauma: a review and a new splinting recommendation. Aust Dent J. 2016; 61:59-73 https://doi.org/10.1111/adj.12398
Rao A, Rao A, Shenoy R. Splinting – when and how?. Dent Update. 2011; 38:341-346 https://doi.org/10.12968/denu.2011.38.5.341
Berthold C, Thaler A, Petschelt A. Rigidity of commonly used dental trauma splints. Dent Traumatol. 2009; 25:248-255 https://doi.org/10.1111/j.1600-9657.2008.00683.x
Andersson L, Lindskog S, Blomlof L Effect of masticatory stimulation on dentoalveolar ankylosis after experimental tooth replantation. Endod Dent Traumatol. 1985; 1:13-16 https://doi.org/10.1111/j.1600-9657.1985.tb00552.x
Barkmeier WW, Hammesfahr PD, Latta MA. Bond strength of composite to enamel and dentin using Prime & Bond 2.1. Oper Dent. 1999; 24:51-56
Djemal S, Singh P, Tomson R, Kelleher M. Dental trauma part 1 – acute management of luxation/displacement injuries. Dent Update. 2016; 43:812-823 https://doi.org/10.12968/denu.2016.43.9.812

Splinting traumatized teeth that are restored with porcelain restorations

From Volume 49, Issue 2, February 2022 | Pages 177-181

Authors

Kajal B Patel

MChd/BChd, BSc, MFDS RCS (Ed)

Dental Core Trainee 2, King's College Dental Hospital

Articles by Kajal B Patel

Email Kajal B Patel

Serpil Djemal

BDS, MSc, MRD, RCS, FDS (Rest dent), RCS Dip Ed

Consultant in Restorative Dentistry, King's College Hospital, London SE5 9RS, UK

Articles by Serpil Djemal

Article

The management of luxated teeth involves repositioning and splinting them for a period of 2–4 weeks depending on the type of displacement injury.1 The aim of splinting the teeth is to stabilize them to facilitate healing of the periodontal ligament.2 There are many designs and materials used to splint teeth, including the popular composite and wire splint, the titanium trauma splint and the fibre splint.2,3

Historically, teeth were splinted for extended periods with rigid immobilization, but several studies have shown that this approach leads to an increased risk of ankylosis.2,4 Andersson et al demonstrated that teeth subjected to masticatory stimulation resulted in less ankylosis, thus heralding the way forward with the flexible splint for shorter periods of time.5

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