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Best Splinting Methods in Case of Dental Injury–A Literature Review

  • Hanna Sobczak-Zagalska1
  • Katarzyna Emerich1,*,

1Department of Paediatric Dentistry, Medical University of Gdansk, Poland

DOI: 10.17796/1053-4625-44.2.1 Vol.44,Issue 2,March 2020 pp.71-78

Published: 01 March 2020

*Corresponding Author(s): Katarzyna Emerich E-mail: emerich@gumed.edu.pl

Abstract

The objective of this manuscript was to review the literature on dental trauma splints and discuss materials used for splinting injured teeth in terms of their properties and conditions that are required for optimal stabilization.

A literature search was conducted in the PubMed database with the keywords: “trauma splints”, “dental trauma” and “traumatic dental injuries”. The search was limited to English language publications. 42 publications fulfilled the inclusion criteria and were in accordance with the current recommendations.

Optimal splinting of the teeth after trauma is one of the main predictors for pulpal and periodontal healing. The splints stabilize and protect the teeth, creating favorable conditions for the regeneration of the supporting tissues. Their application and removal should be easy and fast without any additional irritating of the surrounding tissues. The materials used to stabilize the injured teeth should keep the tooth in the original position, allowing for its physiological mobility.

Keywords

Children; Splinting; Dental trauma

Cite and Share

Hanna Sobczak-Zagalska,Katarzyna Emerich. Best Splinting Methods in Case of Dental Injury–A Literature Review. Journal of Clinical Pediatric Dentistry. 2020. 44(2);71-78.

References

1. Lee JY, Divaris K. Hidden consequences of dental trauma: The social and psychological effects. Pediatr Dent 31: 96-101, 2009.

2. Golai S, Nimbeni B, Patil SD, Baali P, Kumar H. Impact of untreated traumatic injuries to anterior teeth on the oral health related quality of life as assessed by video based smiling patterns in children. J Clin Diagn Res 9: 16-19, 2015.

3. Bani M, Bodur H, Kapci EG. Are behavior risk factors for traumatic dental injuries in childhood different between males and females? Eur J Paediatr Dent 16(1): 2932, 2015.

4. Oikarinen KS. Splinting of Traumatized Teeth. In: Andreasen JO, Andreasen FM, Andersson L, editors. Textbook and color atlas of traumatic injuries to the teeth 4th edn. Oxford:Blackwell Munksgaard pp.842-851, 2007.

5. Andreasen JO, Jacobsen I. Traumatic injuries: follow-up and long-term prognosis. In: Koch G, Poulsen S, editors. Pediatric dentistry. A clinical approach. 2nd edn. Blackwell Publishing Ltd p.296, 2009.

6. Berthold C, Thaler A, Petschelt A. Rigidity of commonly used dental trauma splints. Dent Traumatol 25: 248-255, 2009.

7. Kahler B, Hu JY, Marriot-Smith CS, Heithersay GS. Splinting of teeth following trauma: a review and a new splinting recommendation. Aust Dent J 1: 59-73, 2016.

8. Kinirons MJ, Boyd DH, Gregg TA. Inflammatory and replacement resorption in reimplanted permanent incisor teeth: a study of the characteristics of 84 teeth. Endod Dent Traumatol 15: 269-272, 1999.

9. Andreasen JO. The effect of splinting upon periodontal healing after replantation of permanent incisors in monkeys. Acta Odont Scand 33: 313–323, 1975.

10. Nasjleti CE, Castelli WA, Caffesse RG. The effects of different splinting times on replantation of teeth in monkeys. Oral Surg Oral Med Oral Pathol 53: 557-566, 1982.

11. Diangelis AJ, Andreasen JO, Ebeleseder KA et al. International Associationof Dental Traumatology guidelines for the m anagement of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 28: 2-12, 2012.

12. Andersson L, Andreasen JO, Day P, Heithersay G et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 28: 88-96, 2012.

13. American Association of Endodontists. Recommended Guidelines of the AAE for the Treatment of Traumatic Dental Injuries. Available at: http://www.nxtbook.com/nxtbooks/aae/traumaguidelines/index.php#/. [Date accessed: June 15, 2018].

14. Kahler B, Heithersay GS. An evidence-based appraisal of splinting luxated, avulsed and root-fractured teeth. Dent Traumatol 24 :2-10, 2008.

15. Hinckfuss SE, Messer LB. Splinting duration and periodontal outcomes for replanted avulsed teeth: a systematic review. Dent Traumatol 25: 150-157, 2009.

16. von Arx T, Filippi A, Buser D. Splinting of traumatized teeth with a new device: TTS (Titanium Trauma Splint). Dent Traumatol 17: 180-184, 2001.

17. Prevost J, Louis P, Vadot J, Granjon Y. A study of forces originating from orthodontic appliances for splinting of teeth. Endod Dent Traumatol 10: 179– 184, 1994

18. Prevost J, Granjon Y. An in vitro study of the passivity of splints in dental trauma. J Dent 26: 39-45, 1998.

19. Ebrahim FH, Kulkarni G. Fixed orthodontic appliances in the management of severe dental trauma in mixed dentition: A case report. J Can Dent Assoc 79: d131, 2013.

20. Antrim DD, Ostrowski JS. A functional splint for traumatized teeth. J Endodon 8: 328-331, 1982.

21. Ben Hassan MW, Andersson L, Lucas PW. Stiffness characteristics of splints for fixation of traumatized teeth. Dent Traumatol 32: 140-145, 2016.

22. Qin M, Ge LH, Bai RH. Use of removable splint in the treatment of subluxated, luxated and root fractured anterior permanent teeth in children. Dent Traumatol 18: 81-85, 2002.

23. Kwan SC, Johnson JD, Cohenca N. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model. Dent Traumatol 28: 277-281, 2012.

24. Berthold C, Auer FJ, Potapov S, Petschelt A. Influence of wire extension and type on splint rigidity-evaluation by a dynamic and a static measuring method. Dent Traumatol 27: 422-431, 2011.

25. Cengiz SB, Atac AS, Cehreli ZC. Biomechanical effects of splint types on traumatized tooth: a photoelastic stress analysis. Dent Traumatol 22: 133-138, 2006.

26. Bauss O, Schwestka-Polly R, Schilke R, Kiliaridis S. Effect of different splinting methods and fixation periods on root development of autotransplanted immature third molars. J Oral Maxillofac Surg 63: 304-310, 2005.

27. von Arx T, Filippi A, Lussi A. Comparison of a new dental trauma splint device (TTS) with three commonly used splinting techniques. Dent Traumatol 17: 266-274, 2001.

28. Berthold C, Auer FJ, Potapov S, Petschelt A. Rigidity evaluation of quartzfiber splints compared with wire-composite splints. Dent Traumatol 28: 65-74, 2012.

29. Franz F, Potapov S, Petschelt A, Berthold C. Influence of adhesive point dimension and splint type on splint rigidity–evaluation by the dynamic Periotest method. Dent Traumatol 29: 203-211, 2013.

30. Oikarinen K. Comparison of the flexibility of various splinting methods for tooth fixation. Int J Oral Maxillofac Surg 17: 125-127, 1988.

31. Oikarinen K, Andreasen JO, Andreasen FM. Rigidity of various fixation methods used as dental splints. Endod Dent Traumatol 8: 113-119, 1992.

32. Mazzoleni S, Meschia G, Cortesi R, Bressan E et al. In vitro comparison of the flexibility of different splint systems used in dental traumatology. Dent Traumatol 26: 30-36, 2010.

33. Stellini E, Avesani S, Mazzoleni S, Favero L. Laboratory comparison of a titanium trauma splint with three conventional ones for the treatment ofdental trauma. Eur J Paediatr Dent 6: 191– 196, 2005.

34. Zhu Y, Chen H, Cen L, Wang J. Influence of abutment tooth position and adhesive point dimension on the rigidity of a dental trauma wire-composite splint. Dent Traumatol 32: 225-230, 2016.

35. Ebeleseder KA, Clockner K, Pertl C, Stadtler P. Splints made of wire and composite: an investigation of lateral tooth mobility- in vivo. Endod Dent Traumatol 11: 288-293, 1995.

36. de Souza FI, Poi WR, da Silva VF, Martini AP, Melo RA, Panzarini SR, Rocha EP. Stress distribution in delayed replanted teeth splinted with different orthodontic wires: a three-dimensional finite element analysis. Dent Traumatol 31: 190–195, 2015.

37. Cehreli ZC, Lakshmipathy M , Yazici R. Effect of different splint removal techniques on the surface roughness of human enamel: a three-dimensional optical profilometry analysis. Dent Traumatol 24: 177–182, 2008.

38. Pasini S, Bardellini E, Casula I, Flocchini P, Majorana A. Effectiveness of oral hygiene protocol in patients with post-traumatic splinting. Eur J Paediatr Dent 7: 35-38, 2006.

39. Malmgren B, Andreasen JO, Flores MT et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol 28: 174-182, 2012.

40. Song K, Nam O, Kim M, Lee H, Kim K, Choi S. A Retrospective Study of Luxation Injuries in Primary Teeth: Prognosis with Splinting. J Korean Acad Pediatr Dent 44: 194-199, 2017.

41. Cho WC, Nam OH, Kim MS, Lee HS, Choi SC. A retrospective study of traumatic dental injuries in primary dentition: treatment outcomes of splinting. Acta Odontol Scand 76: 253-256, 2018.

42. Díaz J, Bustos L, Herrera S, Sepulveda J. Knowledge of the management of paediatric dental traumas by non‐dental professionals in emergency rooms in South Araucanía, Temuco, Chile. Dent Traumatol 25: 611–619, 2009.

43. Trivedy C, Kodate N, Ross A, Al-Rawi H, Jaiganesh T, Harris T et al. The attitudes and awareness of emergency department (ED) physicians towards the management of common dentofacial emergencies. Dent Traumatol 28: 121–126, 2012.

44. Lin S, Emodi O, EI-Naaj IA. Splinting of an injured tooth as part of emergency treatment. Dent Traumol 24: 370-372, 2008.

45. Shirako T, Churei H, Iwasaki N, Takahashi H, Ueno T. Evaluation of the flexural properties of a new temporary splint material for use in dental trauma splints. J Dent Sci 12: 308-310, 2017.

46. Shirako T, Churei H, Wada T, Uo M, Ueno T. Establishment of experimentalmodels to evaluate the effectiveness of dent al trauma splints. Dent Mater J 29; 36: 731-739, 2017.


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