dental splinting

Question 1

dental splint

Answer 1

1) appliance to stabilize mobile teeth
2) protects them from periodontal injury and provide climate for repair and stabilization in a functional occlusal relationship
3) masticatory comfort and function

Question 2

indications

Answer 2

1) moderate to advanced mobilities that cannot be treated by other means
- occlusal adjustment
2) increasing mobility
3) prevention of migration and supraeruption
4) orthodontic retention
5) patient comfort
6) prior to SRP and surgery
7) acute trauma stabilization (evulsion of healthy teeth, needs RCT)
8) root removal with a retained crown

Question 3

ideal splint

Answer 3

1) hygienic
2) stable, simple ,durable
3) no interference with speech
4) no interference with dental treatment
5) non irritating
6) esthetic

Question 4

contraindications

Answer 4

1) poor oral hygiene
2) compromised esthetics
3) insufficient remaining teeth
4) uncorrectable occlusal interference
5) difficult post splint plaque control
- show clinical crowns

Question 5

intracoronal

Answer 5

1) tooth structure removed (irreversible)

Question 6

extracoronal

Answer 6

1) place outside the tooth
2) can be removed

Question 7

fixed vs removable

Answer 7

1) fixed in place
- not removable by the patient
2) removable
- holly retainers, invisalign

Question 8

types of splints

Answer 8

1) temporary
2) provisional
3) permanent

Question 9

temporary splints

Answer 9

1) short term 6 months
2) composite usually
3) types
- composite and wire (A-splint_
- acid etch bonded
- wire ligation

Question 10

a-splint

Answer 10

1) intracoronal splint
2) removal of tooth required
3) wire material placed in class IIIs interproximally
- composites are placed over
4) no interference occlusally

Question 11

acid etch bonded splint

Answer 11

1) gold standard
2) composite with or without orthodontic wire
2) composite with reinforced fiber (ribbond)

Question 12

wire ligation splint

Answer 12

1) typically only for emergency
- trauma
2)materials are easily available

Question 13

provisional splints

Answer 13

1) several months to years
2) acrylic or metal acrylic
- durable
3) requires preparations of teeth underneath
4) may be used for pending perio surgery or something that needs stabilization

Question 14

permanent splints

Answer 14

1) permanent
2) fold, porcelain, or other material

Question 15

cast continuous clasp

Answer 15

1) VA hospitals may use it
2) not as nice of material
3) wire frame is around the facial and palatal surfaces

Question 16

night guard ana clear aligners

Answer 16

1) invisalign and other night guards
2) usually an upper and lower
3) prevents tooth wear

Question 17

how to do it

Answer 17

1) measure teeth and cut length of ribbon
2) use tin foil template
- tuck interproximally
3) prepare with pumice or microetch
- then a acid etch
4) pain bonding adhesive resin on tooth surfaces and wet ribbond with resin
- do not forget to wet the ribbond!
5) addapt ribbon to the teeth
- compress into flowable composite1 layer
- tuck interproximally
6) remove excess composite
7) CLEAR GINGIVAL EMBRASURE!
8) light cure it
9) smoothing layer if flowable
- do not get it interproximally
10) adjust with composite bur and check occlusion

Question 18

tpdau

Answer 18

1) bond adhesive resin to stone teeth then cure with one cycle
2) then gently wet the ribbond
3) squirt small strip of flowable on the mid to upper 1/3 of teeth
- stay clear of embrasures

Question 19

adapt ribbon to teeth

Answer 19

1) compress ribbon into flowable composite layer
2) tuck interproximally
4) no composite in embrasures
4) cure it
5) smoothing layer of flowable
6) make sure ribbond is completely covered
7) smooth with composite finishing bur