Prosthetic Splints- Temporary And Permanent

Question 1

The joining of two or more teeth into a rigid unit with fixed or removable device

Answer 1

Splinting

Question 2

Rigid or flexible device that maintains a displaced or moveable part in position

Answer 2

Splint

Question 3

Objectives of splinting

Answer 3

🔸Redistribution of forces
🔸Restoration of functional stability
🔸Promote healing
🔸Increase aesthetics, comfort and function

Question 4

Indications for splinting

Answer 4

🔸Stabilise mobile teeth
🔸Secondary occlusal trauma
🔸Prevent tipping and drifting of teeth
🔸Prevent extrusion of unopposed teeth

Question 5

Contraindications of splinting

Answer 5

🔸Severe mobility In presence of periodontal inflammation or primary trauma
🔸Insufficient non mobile teeth for stability
🔸Poor oral hygiene
🔸Crowding and malaligned teeth

Question 6

Principles of splinting

Answer 6

🔸Inclusion of sufficient number of healthy teeth
🔸Coronoplasty may be performed to relive traumatic occlusion
🔸should facilitate plaque control
🔸Aesthetic as possible
🔸Not interfere with occlusion

Question 7

Classification of splints

Answer 7

🔸Temporary splints
🔸Provisional/ semi permanent
🔸Permanent splints

Question 8

🔸 Use < 6 months
🔸Stabilise teeth during periodontal treatment
🔸may or may not lead to other splinting types

Answer 8

Temporary splints

Question 9

🔸Use from months to years
🔸Diagnostic
🔸Used to see how teeth will respond to treatment

Answer 9

Provisional/semi- permanent splints

Question 10

🔸Used indefinitely
🔸Fixed or removable

Answer 10

Permanent splints

Question 11

Temporary splint types

Answer 11

🔸Extra coronal
🔸Intracoronal

Question 12

Extracoronal splint types

Answer 12

🔸Removable
🔸Fixed

Question 13

🔸Acrylic bite guards
🔸Cast removable clasp appliance

Answer 13

Temporary Removable extra coronal splints

Question 14

🔸Wire & acrylic splints
🔸Wire mesh and acrylic splints
🔸Orthodontic bands soldered in series

Answer 14

Temporary extracoronal fixed splints

Question 15

🔸Wire and acrylic
🔸Wire and amalgam
🔸Wire acrylic and amalgam

Answer 15

Temporary Intra coronal splints

Question 16

🔸Acrylic splints
🔸Gold band and acrylic splints

Answer 16

Provisional Splints

Question 17

Removable fixed combination

Answer 17

Permanent splints

Question 18

Traditional splinting techniques

Answer 18

🔸Titanium trauma splint
🔸Cast metal splint
🔸Composite wire splint
🔸Composite interlocking splint
🔸Band arch wire splint

Question 19

New splinting technique

Answer 19

Fibre reinforced materials

Question 20

Advantages of fibre reinforced splinting materials

Answer 20

🔸Easy to use
🔸Aesthetically pleasing
🔸Less incidence of fracture

Question 21

Splinting procedure for fibre reinforced materials

Answer 21

🔸Fibre strip measured with periodontal probe or dental floss
🔸Cut and saturated with bonding agent
🔸Teeth cleaned with pumice and dried
🔸Wedges placed interdentally
🔸Etch of interproximal and lingual surfaces for 30 secs, followed by wash and dry
🔸Bonding agent applied, light air blow and cure
🔸Composite placed on lingual surfaces but not cured
🔸Strip covered with flowable composite for smooth surface
🔸Strip pressed into uncured composite and cured into place
🔸Finish and evaluate occlusion