What is the splinting of teeth: materials, methods of procedure and patient feedback

Among the modern methods of strengthening the teeth, reducing their mobility and further loss, restoration of parodontium sites, the best method is the way of splinting.

This method represents the combining of a certain number of teeth that are susceptible to mobility in a block structure with the help of a specially installed orthopedic device, or more precisely, a tire.The method makes it possible to preserve the chewing function of the oral cavity, as well as an aesthetic smile.The most popular is the performance of splinting the front or frontal part of the dentition.

Indications for the splinting of teeth

As a rule, this process is performed to correct mechanical deformations and transferred periodontal diseases.But there are other indications:

• the changed or non-standard location of the teeth as a result of their deformation;
• bias or significant dentition;
• significant accumulation of solid particles in the root region;
• gum disease associated with bleeding;
• significant expression of pockets of gums;Exposure of the root of the tooth to the
• .

Only the dentist is engaged in the examination of the splinting, based on a visual examination and the results of the radiography of the oral cavity of the patient.

Materials and types of splinting

Used tires are divided into two groups - fixed and removable , each of the types has a number of advantages and indications for installation.Removable systems are special kapy and plates, which make it possible to connect a certain number of teeth, even with the condition of the absence of any of them, making up for the dentition at the same time.

And also the use of removable tires allows for repeated therapeutic procedures.During the non-removable splicing , strong materials are used, which provide a more reliable, in contrast to the removable method, fixation of the dentition.

It is for this reason that non-removable systems are used most often during significant damage to the gums and strong dentition mobility to prevent periodontal damage and prevent overload.

The disadvantage of the procedure can be attributed to the discomfort experienced by the patient from the presence of tires about 10 days after their attachment.As a non-removable system, uses aramid fiber, polyethylene thread or glass fiber.

The choice of a specific material is the responsibility of the dentist after performing an examination and taking into account the characteristics of the oral cavity of the person( the degree of gum disease and mobility of the teeth, age, scale and presence of hard deposits, bite abnormalities, pre-treatment, etc.).

During the selection, the must fulfill the biocompatibility condition of the material with the natural tissues of the patient.

Description of the types of splicing

Fiberglass tape.The method of splinting with fiberglass tape began to be used in periodontology relatively recently, but has already shown itself as an effective way to combat the mobility of the dentition due to aesthetics and the reliability of the final result.

The installation process may be different for the lower and upper jaws.For the upper jaw, the installation is as follows:

1. Anesthesia.
2. Execution from the inside of the tooth row of a groove about 2.5 mm in size.
3. Installation of fiberglass yarn in it.
4. Filling with composite material.Illumination for fixing fiberglass.
5. .

It is essential to include both loose and firm teeth in the joined series, as a rule, these are canines( if there is a front splint).

For the upper jaw, the process is carried out not only with considerable loosening of the tooth row, but also during their upper divergence.The difference in the process itself is that the groove is performed by the on the front surface of the , not on the inner surface.

If a tire is to be installed on the teeth located on the side, the groove is performed on the masticatory surface.Using fiberglass splinting it is possible to achieve firm fixation of loosened teeth, as well as the effect of reducing or even removing gaps in it.

When the need for the presence of fiberglass disappears, the tape can easily be removed, and the remaining groove simply is closed by sealing and does not reduce the aesthetic appearance.Other advantages of this method include:

• There is no risk of atrophy of the dental tissue of the bone.
• Retention of the dentition with the running stage of mobility.
• Minor injuries to the gums during the fastening of the tire.
• There is no need for depulping and turning the tooth( as with the other methods of splinting).
• There is access to the implementation of hygiene procedures in the oral cavity.
• The load is evenly distributed to the joint dentition due to the reduced gaps.

Cable method

The process itself represents another rather popular option for installing a tire, but the woven thread is used as the manufacturing material, which is made by from aramid fiber .

The advantage of this material is the increased strength ( by specific characteristics exceeds certain types of steel), as well as better compatibility with own tooth enamel.

In addition, aramid fiber is characterized by its property not to react with the consumed products, or human saliva.Due to the second - the cable method has gained popularity as the most physiologically effective and compatible.

The installation method also needs in the grooving of the groove, the insertion of an aramid thread into it and subsequent coating with a filling material.The advantage of the cable method is:

• invisibility to others and a high aesthetic effect;
• termination of the subsequent increase in mobility( with preservation of natural mobility);
• removal of unnatural gaps between teeth and even distribution of load between them;
• safety of teeth without removal of pulp;
• no need to grind your teeth;
• because the completion of the procedure is filling the groove with a composite substance, then the risk of caries appearing in it is minimal;
• prevention of subsequent jaw bone atrophy;
• the possibility of dental manipulation to perform additional preventive or treatment;
• possibility of full hygienic procedures in the oral cavity;
• preserving the attractiveness of the appearance, as well as the functionality of the jaw;
• use as an alternative to the restoration and prosthetics of lost teeth;
• has a long lasting positive effect.

Method used during fracture of jaw

The result of jaw fracture and other serious injuries and injuries is a high risk of tooth loss and a significant increase in their mobility.Moreover, it becomes necessary to fix the bones of the jaw for their splicing.

To prevent these after-fracture effects, the removable splinting method is used, which consists in fixing the temporary structure to the time of reduced mobility of the teeth and fusion of the jaw.

The construction can be made of fast-hardening plastic or metal .There are such types of temporary systems:

1. Two-jaw.Used for complex or double fracture.
2. Single-jawed.It is used only with a linear fracture of the lower jaw without moving the particles, with the possibility of returning them to their original location if several healthy teeth are located.
3. Splinting with bracing.It is used to fix the jawbone in the place of fracture with several missing teeth.
4. Split with hooks.Used for attachment to the jaw during a fracture with a displacement that does not lend itself to a simple return, but also during significant fractures.
5. Smooth.Used only for a simple fracture of bones on the jaw.

The dentist himself decides on the choice of the necessary shinning system, taking into account the degree of fracture, the presence of healthy teeth and other factors.Sometimes is possible for the installation of the combined system, for example, during the fracture of the upper jaw with displacement a single-jawed design with hooks is used.

How much does the splicing

The cost of performing the splinting can be significantly different in view of a number of factors that include the materials used, the chosen method, and the specifics and extent of the problem( fracture complexity, the presence of remaining unshaken teeth and so on).

And also is necessary to take into account the cost of X-ray , as this is an obligatory process for determining the condition and quality of the oral cavity.Moreover, some dentists require to perform preliminary procedures of , which consist in the manufacture of prostheses( during splint dentures or crowns), molding of teeth and some other manipulations.

Approximate cost for the process itself can be defined as follows:

• Splinting six front teeth with fiberglass - approximately 7 thousand rubles.
• The same procedure for the three teeth on the side - about 5 thousand r.
• Cost of clasp prosthesis approximately 24 thousand r.
• The splinting with crowns is approximately 4 thousand r.For one unit( not including preliminary measures).

Reviews about splicing

Many patients of dental clinics leave positive reviews about splinting as an operation that helps to improve the condition of periodontal teeth and fasten moving teeth.Whether this procedure is performed after removal of the braces or with periodontitis, using the cable technique or fiberglass - reviews, as a rule, only positive .