Splinting of teeth is what it is
Sooner or later, under the influence of various pathological factors (trauma, injury), or the result of an illness human encounter conditions causing loosening of the teeth. To prevent further mobility and tooth loss is necessary to fix them with a special device – bus. Currently on the market of dental services use different designs and materials for their fixation. Splinting is one of the methods of intervention by a dentist to strengthen teeth with diseases of periodontal tissues. This technique is carried out in two ways: by using optical fiber or dentures. Through this intervention, will remain an aesthetic appearance of the teeth and there will be a preservation of the function of mastication.
What is splinting? The main indication for strengthening of teeth will be their mobility. Tooth mobility occurs mainly in the diseases of periodontal tissue and traumatic injuries. Periodontal disease is often accompanied by the presence of the abundance of dental plaque, bleeding, mobility of teeth in different directions. In this case, the radiograph will be marked atrophy of the bone tissue ranging in size from ¼ of the length of the root. There is a correlation – the higher the atrophy, the more pronounced mobility of dental tissues. Option traumatic injury can lead to mobility by the action of factor acute. This means that under the influence of heavily applied point of exposure factor there is a partial or complete rupture of periodontal ligaments, causing the occurrence of after that the mobility in different directions. The mobility is higher, the more it was broken the connection points of the gums with tooth structures by ligaments.
However, it’s shown to hold the splinting and other disorders:
- Strong violation of the dentition and the offset;
- The atypical positioning of the teeth in place;
- The decrease in the level of the gums and deepening of periodontal pockets with periodontitis;
- The need for surgical therapy within periodontal tissues and at the base of the roots when the exposure;
- The situation after removing the braces on the background of the prolonged orthodontic treatment;
- Removable design in the option of metal or plastic, may be used in the recovery period if used splinting the jaw piperlime.
On examination, the dentist evaluates the need for intervention and recommend a type of therapy that will enable optimally solve the question of fixation and preservation of the teeth.
Of dentistry use different types of splinting. There is a concept of temporary and permanent. Temporary immobilization is used in the treatment of ailments of the periodontal structures during medical and surgical therapy. The constant fixation of the jaws is performed after orthodontic therapy, when removing the braces need to fix the result. Impose oral side arc, which acts as a splint.
Dental splinting can be accomplished in two ways: using for fixing fiberglass or dentures. The most common for fixing: silk, polyethylene and fiberglass.
Fixed prosthetics especially true when a significant mobility of the teeth. These materials are inconspicuous in color, in harmony with the tooth. Likely to be used and aramid yarn, the hallmark of which is increased strength. Perform manufacturing on the same day or soon after the visit, using the resources of the laboratory.
Outside correlation to the selected material of the tire must meet the requirements:
- To block the mobility of the teeth firmly to dock on the structures;
- As not to cause injury peripheric tissues;
- Not to interfere with the enjoyment of teeth cleaning;
- Not to change the aesthetics or not to cause deviations in the visualization;
- Not to affect the articulation of the patient.
Applying tire mainly produce for ailments of the periodontal tissues. Prolonged lack of stabilization is increased slacking. Indicated by fan-shaped divergence of the teeth. From the taped gum recession, bleeding. When x-ray examination noted atrophy of the bones by ¼ the length of the root.
The technique with fiberglass
Splinting of anterior teeth in the mandible performed using composite material. The length of treatment is placed 4 to 6 affected teeth. Methodology: perform local anesthesia on the oral face do a vertical tooth height 1,5_2 mm and a depth of 2 mm. Further, in the formed recess to spread without tearing the fiberglass tape. Pour the liquid composite material and lighted.
Cable splinting (using aramid yarn) will allow not only to record cell fragments, but to evenly distribute submitted load. Cable splinting is often used in the preparation of the series under fixed prosthetic construction (crowns). The downside can be noted that in this situation it is recommended to perform deponirovanie. The number of teeth to be included in the commit group on the lower jaw, caused by a common condition anterior. The group splinting in the mandible include mandatory fixed teeth, usually the canines (the long sustained root will allow you to evenly redistribute the load).
The technique of splint in the frontal upper part is carried out at the mobility, the risk of mobility, fan-shaped divergence of the teeth. The height and depth of the preparation is similar to the technique in the lower jaw, however, carry it out on the vestibular side. After the preparation stage splinting these teeth perform fiberglass and covered with composite, to produce blowing out. And also, when using optical fiber in combination with composites you can reduce or eliminate wide gaps between the teeth. The total number of teeth included in the splint, due to the clinical picture.
Features of the methods on the chewing group is due to the stages of preparation on the occlusal surface. Also produce after laying the optical fiber and the closing of a composite substance with the blowing out.
The effect of this technique is due to the fact that when illumination of an optical fiber in combination with the composite formed by super dense structure. When chewing, the load applied to one tooth, will be redistributed to the other evenly, that will allow to lengthen the service life of structures and to suspend or reduce bone loss. And you can also highlight that the establishment of the bus a minimum damage to the gums and teeth, almost complete similarity in terms of color with the tooth structure, capturing highly motile fragments of the jaws. In carrying out the hygienic measures changes were observed.
Execution fixing dentures
In the stabilization of cell structures through crowns before the surgery, podiatrist, perform the extraction of the nerve, and then the preparation of the tooth faces under the design (turning). At the stage of trying pripravki welded to each other crowns. Design has a longer life, aesthetic, but the cost is higher than using fiberglass. The use of different material. In the frontal sector, it is advisable to install all-ceramic or metal-ceramic crowns, when included in the splint the teeth chewing group, you can install the metal crown without veneer.
When considering orthopedic design non-removable type, consider the use of immediate dentures. Due to the thin metal of the arc occurs a redistribution of load on the arc, thus each tooth evenly receives voltage. And it is also possible to restore missing teeth by incorporating them into the design. Removable view of the structure of actual boxers, in preparation for the baseline treatment. Perform manufacturing plastic tray which will evenly distribute the tension and relatively restore aesthetics.
In imposing the tyres, you should understand the following: the use of optical fiber acts as a temporary locking device. While respecting the stages of blending, maintaining the patient’s optimal hygiene in the mouth the average duration of use 3 years. A visit to the dentist you need to plan once a year to inspect and perform polishing. Next time: when you plan of fixing the optical fiber to the interference to perform supramaterial to missing teeth.
For example, identified the lack of several posterior teeth, and made the bus with fiberglass in the anterior region. When applying load regularly is the pressure during the act of chewing to be distributed unevenly and will result in damage to the structure. Occlusion it is therefore important to normalize and only then to perform splinting. When applying the fiberglass and the subsequent desire to remove it, it is achievable in a short time. After removal to fill the resulting defect. The use of fixed prosthetic constructions more preferably, however, when periodontitis mild severity is not always recommended to grind under construction and in large quantities. The use of clasp dentures are optimal: in addition to the properties noted chinaswamy load balancing, filling in missing components.
Price for treatment is the sum of the number of moving fragments, decay, disease, material for prosthetic and price category.
The most budget option of immobilization: fiberglass in the front sector 6_7 thousand RUB from chewing Department: 3 thousand. Crowns will be a little more expensive: from 3.5 thousand RUB over the metal structure. And of course, better and more expensive type of fixing: denture. The cost is placed in the radius of 25 thousand.
Periodontal when putting the tire not only will you produce the mobile fixation of fragments, but also reduce the rate of dissolution of bone. The condition of the structures in the radius of the tooth is improved which affects the well-being of the patient and his / her socialization. When properly performed the technique the result is fixed for a few years.