Permanent Trauma: Splinting Flashcards
1
Q
Which permanent dentition injuries have a 2 week splinting duration?
A
- Subluxation
- Extrusion
- Avulsion
2
Q
Which permanent dentition injuries have a 4 week splinting duration?
A
- Lateral luxation
- Intrusion
- Apical or mid-third root fracture
- Alveolar fracture
3
Q
Which primary dentition injuries have a 4 week splinting duration?
A
- Root fracture
- Lateral luxation
- Alveolar fracture
4
Q
Which permanent dentition injury has a 4 month splinting duration?
A
Cervical third root fracture
5
Q
What are the aims of a splint?
A
- Stabilise the injured tooth
- Prevent further damage to pulpal and periodontal tissues while healing occurs
6
Q
What are the 12 properties of an ideal splint?
A
- Direct application (no delay for lab work)
- Does not traumatise the tooth on application
- Immobilises tooth in normal position
- Provides fixation for desired period
- Allows good oral hygiene and doesn’t predispose patient to caries
- Allows vitality testing and endodontic therapy if required
- Composite must be kept clear from gingivae
- Easy to remove (not exact same shade as tooth)
- Aesthetic
- Non-toxic
- Tasteless
- Stable in oral fluids
7
Q
What are the 2 main splint types?
A
- Directly applied splint
- Indirectly constructed splint (require lab stage)
8
Q
What types of directly applied splints are used?
A
- Acid etch/resin splint (normally composite)
- Acid etch/resin and twistflex orthodontic wire (not an active wire)
- Orthodontic bands and brackets
9
Q
What types of indirectly constructed splints are used?
A
- Acrylic resin, cemented into mouth
- Acrylic resin, removable
- Thermoplastic vinyl, gumshield type
