Long-term survival and maintenance efforts of splinted teeth in periodontitis patients

Graetz, Christian; Ostermann, Freda; Woeste, Sirka; Sälzer, Sonja; Dörfer, Christof E.; Schwendicke, Falk

doi:10.1016/j.jdent.2018.10.009

Cited by 27 publications

(65 citation statements)

References 26 publications

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“…Patients mainly suffered from severe generalized forms of periodontitis, possibly as many were referred from their practitioner because of the degree of periodontal affection. Second, the treatment concept was conservative, focusing on tooth retention (Graetz et al, ), splinting of teeth using direct or indirect means (Graetz et al, , ) were frequently used while regenerative approaches or dental implants were rarely employed. All factors may impact on tooth loss rates.…”

Section: Discussionmentioning

confidence: 99%

Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification

Graetz

Mann

Krois

et al. 2019

J Clinic Periodontology

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Objectives We aimed to assess how the 2018 and 1999 classifications of periodontal diseases reflect (a) patients’ characteristics, (b) disease severity/extent/progression and (c) tooth loss (TL) during observation period. Methods A total of 251 patients were followed over 21.8 ± 6.2 years. For the 1999 classification, using clinical attachment level (CAL), patients were classified as localized/generalized, mild/moderate/severe and aggressive/chronic periodontitis. For the 2018 classification, patients were staged according to their CAL or bone loss (BL) and the number of lost teeth (stages I–IV). Further factors like probing pocket depths (PPD) or furcation involvement modified the stage. The extent was sub‐classified as generalized/localized. Patients were graded according to the BL/age index, smoking and/or diabetes. Results According to the 1999 classification, most patients suffered from generalized severe chronic periodontitis (203/251) or generalized aggressive periodontitis (45/251). Patients with aggressive periodontitis were younger and less often female or smokers. They showed similar TL (0.25 ± 0.22 teeth/patient*year) as generalized severe chronic periodontitis patients (0.23 ± 0.25 teeth/patient*year). According to the 2018 classification, most patients were classified as generalized III‐C (140/251), III‐B (31/251) or IV‐C (64/251). Patients’ age, smoking status, CAL, PPD and BL were well reflected. TL differed between IV‐C (0.36 ± 0.47), generalized III‐C (0.21 ± 0.24) and localized forms (0.10–0.15). Conclusions Patients’ characteristics, disease severity/extent/progression and TL were well reflected by the 2018 classification.

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Section: Discussionmentioning

confidence: 99%

Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification

Graetz

Mann

Krois

et al. 2019

J Clinic Periodontology

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“…The natural tooth pontic might be seated in a number of ways: flow or restorative composite without any additional reinforcement [18], metal wires, or fiber materials combined with resin composite. A splint made of stainless steel wire (round, twisted, or multistranded) and composite represents an alternative fixation method of the extracted tooth to adjacent elements and also for periodontal stabilization [30,31]. Splints consisting of metal wire and composite resin have an interface with different elastic moduli and may be more susceptible to fatigue failure initiation [32].…”

Section: Discussionmentioning

confidence: 99%

“…Despite common adhesive techniques can be used for intraoral repairings or reluting, these complications imply additional interventions (repairings or substitution), costs, and sometimes unscheduled appointments at the office. According to Graetz et al, 75.3% of splinted teeth in periodontitis patients required repair (from zero up to three repairs/splint/year), highlighting potential frequent interventions in the long term [31]. Next studies should be focused on long-term evaluations of natural tooth pontic prosthesis; the soft and hard tissues behavior or modifications under the pontic site should be further clarified.…”

Section: Case Reports In Dentistrymentioning

confidence: 99%

Natural Tooth Pontic Using Recent Adhesive Technologies: An Esthetic and Minimally Invasive Prosthetic Solution

Augusti

Ionescu

et al. 2020

Case Reports in Dentistry

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An implant-supported crown represents an established and validated option for single-tooth replacement; however, a restorative solution should be selected according to a wide number of factors including patient’s desire, expectations, specific clinical conditions, and financial possibilities. The aim of this case report is to describe a conservative rehabilitation strategy for the replacement of a periodontally compromised mandibular incisor: the extracted natural tooth was used as a pontic bonded to adjacent elements with polyethylene fiber and resin composite. This way, a chairside fabrication of a resin-bonded fiber-reinforced prosthesis is possible, using the patient’s own tooth. After showing a satisfactory functional and esthetic result, advantages and pitfalls of this technique along with available data on the literature regarding the natural tooth pontic are addressed. Both patients and clinicians should be aware of minimally invasive, successful solutions for single-tooth replacement; whether indicated or necessary, the natural tooth pontic technique leaves open other treatment options for the future.

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“…Elastic splint materials are oftentimes preferred, as they allow flexible instead of rigid splinting. In contrast to elastic, hard splinting materials reduce the physiologic mobility of teeth, and thus might eliminate bone remodeling stimulation in a previously jeopardized periodontium [15].…”

Section: Introductionmentioning

confidence: 99%

Comparative Evaluation of Flexural Strength and Flexural Modulus of Different Periodontal Splint Materials: An In Vitro Study

et al. 2019

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Splinting of the mobile teeth is a critical part of periodontal management to improve the prognosis and longevity of stable results of periodontally compromised teeth with increased mobility. Different types of splints are used in the dental field based on their mechanical and physical properties.The objective of the current in vitro study was to evaluate the flexure strength and flexural modulus of different types of splinting materials, such as: composite block, ligature wire, Ribbond®, InFibra®, and F-splint-Aid® bonded utilizing Flowable composites resin material. Seventy-five bar specimens were prepared with the dimensions of 25 × 4 × 2 mm, utilizing split metallic mold. Specimens were divided equally (n = 15) into five groups (one control group, four test groups). Different layers of splinting material were placed in between the layers of composite before curing. All the specimens were subjected to a three-point bending test by using a universal testing machine to calculate the flexural strength and flexural modulus. The entire data was subjected to statistical tests to evaluate the significance. Specimens from composite block groups showed the least mean value for flexural strength (89.15 ± 9.70 MPa) and flexural modulus (4.310 ± 0.912 GPa). Whereas, the highest mean value for flexural strength (168.04 ± 45.95 MPa) and flexural modulus (5.861 ± 0.501 GPa) were recorded by Ribbond® specimens. Inter group comparison of flexural strength showed statistically significant differences (P-value < 0.05), whereas comparison of flexural modulus showed non-significant difference among the groups (P-value > 0.05). Within the limitation of the present study, it was concluded that the Ribbond® exhibits maximum flexural strength and flexural modulus, whereas the composite blocks recorded the least values. Still, the decision making depends on the clinical scenario and the unique characteristic of each splint material.

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Long-term survival and maintenance efforts of splinted teeth in periodontitis patients

Cited by 27 publications

References 26 publications

Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification

Comparison of periodontitis patients’ classification in the 2018 versus 1999 classification

Natural Tooth Pontic Using Recent Adhesive Technologies: An Esthetic and Minimally Invasive Prosthetic Solution

Comparative Evaluation of Flexural Strength and Flexural Modulus of Different Periodontal Splint Materials: An In Vitro Study

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