Trauma Splint

Question 1

When is a trauma splint required?

Answer 1

In a child with an vaulted permanent tooth

Question 2

How long is a trauma splint used for?

Answer 2

2 weeks

Question 3

What should parents and teachers do when a child has an avulsed tooth?

Answer 3

Store in fresh cold milk or saliva
Do not allow to dry out
Can wash for 10 seconds under cold water while holding only the crown if obvious debris
Do not handle the root
Re-implant quickly

Question 4

What is used for a trauma splint?

Answer 4

0.6mm SS wire

Question 5

How is the SS wire measured and shaped?

Answer 5

Measure the length using a piece of floss and bend using Adams pliers

Question 6

How are teeth prepared for a trauma splint?

Answer 6

Acid etch the three teeth - avulsed and two abutments - for 10 seconds and apply prime and bond
Apply composite to the traumatised tooth and those adjacent, avoiding contact areas

Question 7

How is a trauma splint placed and finished?

Answer 7

Sink the contoured, passive wire into the composite
Shape and cure composite, adding a thin covering to the top of the wire
Smooth rough composite and wire ends