Siddharth Narayan1 , Priya Lochana Gajendran2 , Arvina R3
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The Assessment of Longevity and Efficacy of Different Types of Splints Used in Periodontal Therapy: A Single Center Epidemiological Retrospective Study Siddharth Narayan1 , Priya Lochana Gajendran2 , Arvina R3
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12560

Abstract

Splints are routinely used for occlusal force dissipation from the long axis of periodontally compromised teethtowards adjacent healthy teeth. This process causes forces generated from traumatic occlusion to be separatedfrom underlying periodontium favouring regeneration of lost tissue. Splinting periodontally compromisedteeth together causes the redistribution and redirection of functional and parafunctional forces to bring themwithin tolerance of the supporting tissue and to reduce mobility. However the common drawback of usingsplints include the lifespan of the splint without periodic modifications. The present study tries to relatethe reduction of mobility in periodontitis cases from grade II to grade I using different splinting materialsand the lifespan of the same. The present study was a single centered retrospective university based design,using patient records of Saveetha dental college, from 1st June 2019 till 1st March 2020 . The includedpatients were individuals with generalised/ localised chronic periodontitis, who had undergone non surgicalperiodontal therapy along with the use of provisional splints.The parameters assessed for two hundred andfifty eight patients included in the present study was longevity/lifespan of splints and the reduction in thedegree of mobility. Our observations revealed that stainless steel wire composite splints were used 1.96 timemore frequently than mesh reinforced composite splints, reduced grade II mobility to grade I mobility inteeth affected by periodontitis to a greater than composite resin wire mesh.(p<0.05). Within the limits of thisstudy splints were found to reduce mobility as an adjunct to periodontal therapy from grade II mobility tograde I mobility while using stainless steel wire composite resin splints among age groups of 20-40 yearswith a lifespan of 6 months 24% of the time .