Splinting teeth for periodontal disease and periodontitis at a low price

Indications
Causes
Consequences
Materials
Methods
Stages of treatment
Result
Prices
Doctors
Reviews

Splinting of teeth is a method of fixing dental units with their abnormal mobility. The procedure involves combining two or more elements into one block structure using removable or non-removable tires. This ensures uniform redistribution of the chewing load, preserves the geometry of the jaw, and prevents further loosening and tooth loss. The doctor selects the splinting method based on the results of the examination, taking into account medical indications.

When used:
for periodontitis, dental injuries
Treatment period:
constantly
Type of anesthesia:
depending on the situation, 2-3 visits
Procedure time:
about 1 hour
Age restrictions:
from 18 years old

The ROOTT clinic network in Moscow provides temporary and permanent dental splinting. The use of effective technologies and innovative materials ensures positive dynamics and quick results. The procedure is used when the periodontal tissues are weakened or damaged, and therefore cannot firmly hold the element in the socket.

Indications

Pathologies of the gums and periodontium, accompanied by mobility and displacement of teeth;
loosening of units due to jaw injury;
exposure of roots, pronounced gum pockets;
consolidation of the result after orthodontic treatment with braces.

Teeth are placed on splints for a short (up to 1 month) or long (up to 1 year or more) period. Maintenance therapy for periodontal disease

provides for permanent splinting. The decision on the duration of treatment and the method of fixation is selected separately in each clinical case.

Possible complications

Splinting rarely causes complications. These arise for 2 reasons - an allergy to the components from which the splint is made, and due to poor quality of the procedure. Sometimes the patient is the culprit if he chooses the materials with the lowest cost rather than the appropriate ones.

But still, there is a certain group of possible negative consequences:

Injury to soft tissues due to mobility of the structure;
Pulpitis if the pulp chamber is damaged during installation, or the splint passes in close proximity to it;
Deterioration of tooth enamel if the patient eats food that is too hot or too cold, or if the splint is made of materials that change volume due to temperature fluctuations;
Itching and discomfort if the patient has sensitive enamel, or professional cleaning was carried out the day before installation;
Inflammation, suppuration, and sometimes the formation of a fistula if the gum pockets are not cleaned properly.

Important! During pregnancy, as well as hormonal imbalance in women and men, an allergy to the splint material can spontaneously occur due to changes in the secretion of the endocrine glands and changes in blood composition.

Causes of mobility

The problem of loose teeth occurs in patients with gum and periodontal pathologies. Due to inflammation, the soft, bony periodontal tissues begin to gradually deteriorate. Weakened tissues are no longer able to securely hold the tooth, and it begins to wobble. Mobility occurs in the middle, advanced stage of the disease. Mobility is also caused by jaw injuries and surgical treatment of the root zone.

Dental splinting for periodontitis allows you to keep units in the correct position, reduce their mobility, and prevent loss. The advantage of the procedure is the correct redistribution of the chewing load. The main mechanical load falls on healthy units, and the affected elements strengthen and recover faster.

Reviews from satisfied clients

Sergey
Had periodontitis on three teeth. The doctor recommended a splint. At first it was scary, but in the process it turned out that it didn’t hurt at all. But the result is very pleasing. My teeth are no longer loose, I can eat calmly, without worrying about whether a tooth will fall out or not.
Rodion
I would like to say a big thank you to the dentists of the 14x14 clinic. Splinting really helped me. The procedure itself was quick and painless. The price is quite reasonable.

Consequences

With periodontitis, the destruction of jaw tissue often occurs rapidly. If the moving units are not strengthened in a timely manner, they will simply fall out. And only implantation will help restore the dentition. The need for the procedure is determined by the doctor, based on the results of the examination and x-ray studies. Reviews confirm the good effectiveness of the intervention; patients quickly adapt and get used to the splint.

Alekperov Roman Borisovich Dentist-orthopedist, doctor of the highest category

What does “constant wearing” mean?

The patient does not have the ability to remove the splint until it needs to be replaced

Alekperov Roman Borisovich Dentist-orthopedist, doctor of the highest category

At what degree of periodontitis is it possible to splint teeth?

At the initial stage

Alekperov Roman Borisovich Dentist-orthopedist, doctor of the highest category

If I am afraid of surgery, is it possible to have anesthesia in advance?

No, only premedication is possible (providing psychological control to the patient by pre-administering medications)

Alekperov Roman Borisovich Dentist-orthopedist, doctor of the highest category

Can there be any complications during the operation?

No complications are possible during splinting

Clasp prosthesis

This method refers to removable splinting. The clasp prosthesis is represented by a structure that is made in the form of a metal arch with claw-shaped processes and multi-link clasps that fix each tooth individually. The prosthesis also has crowns under which the supporting teeth are installed, this helps protect patients from stress. The specified splinting design is selected for each person individually, based on the condition of the dentition, bite and other related factors.

Among the main advantages are:

reliable fixation;
proper load distribution;
there is no need to grind crowns;
comfort and convenience compared to many designs;
durability.

There are also minor drawbacks. Some people feel discomfort in the mouth for the first time after installing dentures; when there is a need to install clasps on the front row, metal crowns do not look very aesthetically pleasing. This type of splinting is also not suitable for those who are extremely missing teeth.

Important! The duration of wearing the clasp construction exceeds 7 years, but experts advise using it as temporary, since there is a risk of bone tissue atrophy. In this case, if it is not possible to restore a loose tooth, it is best to remove it and replace it with a high-quality implant.

Materials

Today, dentistry uses different materials as splints, and not only their strength is important, but also aesthetics. The most common:

Fiberglass;
silk;
armid thread;
ceramics;
composite;
polyethylene.

Flexible materials create a durable splinting frame, fixed on the inside of the row. All materials are of increased strength, do not deform, do not shrink, are safe for gums and enamel, and are resistant to moisture and high temperatures. The cost of dental splinting in Moscow depends on the intervention technique, the complexity of the clinical case, and the material.

Manufacturing of crowns for prosthetics

The dentist takes an impression of the prepared teeth and sends it to the laboratory. Based on the impression taken, the technician makes a plaster model of the prosthesis, and then a crown.

The production time for the prosthesis depends on the material. The longest wait is for metal-ceramic and ceramic crowns. While permanent dentures are being prepared, the patient is given temporary ones made of plastic. In addition to their aesthetic function, temporary dentures help protect a weakened, ground tooth from the negative effects of bacteria and environmental factors.

Therapeutic method

The therapeutic approach involves “tying” the moving elements together with fiberglass tape or armid thread and securing them with filling material. Depulpation is not needed for intervention. Having assessed the condition of the gums, the following types of splinting of the front teeth are used:

Extracoronary
– the splint is fixed to the enamel surface with dental cement.
Intracoronary
- the splinting element is placed in a small groove on the enamel and secured with a filling composite. Splinting of the upper teeth is performed from the outside, and of the lower teeth from the inside. When laying the thread on the chewing units, a groove is made at the top to ensure better fixation. The tape or thread is applied to the elements that are loose, and to healthy units too.
Occlusal
- splints or retainers act as a splint.

Therapeutic treatment is indicated when all units are present in the row. Splinting teeth with fiberglass tape or armid thread is a gentle method, since it does not involve severe trauma to the coronal part or depulpation.

Orthopedic method

This method of treatment is used in the absence of one or more units. To fix moving elements, fixed orthopedic crowns and removable clasp dentures are used. The structures are made from an impression of the patient’s jaw, which makes them comfortable to wear. Crowns and prostheses reliably hold moving elements and also replace missing ones, restoring the full functionality of the row.

Stages of the procedure

The procedure for splinting teeth on the lower jaw and upper jaw is performed using the same technology

Anesthesia
- the drug is selected taking into account the general condition (sensitivity to painkillers, pregnancy, allergies, etc.).
Forming
grooves of the required depth (up to 1 mm) on the enamel (just above the gingival margin) from the inside of the tooth using a spherical bur.
Place
fiberglass tape or armid thread in the furrow, on loose and healthy units.
Filling the cut
with a composite or light-curing material selected to match the shade of the enamel.

Splinting of chewing teeth involves creating a groove not on the inner surface of the molars, premolars, but on top - for more reliable fixation. To eliminate the mobility of chewing teeth, an aramid thread of increased strength is often used. A fiberglass splint is placed on the front incisors - the tape is aesthetic, invisible when talking, smiling, and can be easily removed.

If more than 4-5 units

, the row is splinted with a clasp prosthesis or crowns. Using fiberglass or aramid thread is not advisable, since the result cannot be preserved for a long time. Crown installation technology:

depulpation and filling of root canals;
giving dental units the desired shape (turning);
installation of permanent orthopedic crowns.

The clasp prosthesis simultaneously strengthens the movable units and replenishes the lost ones. It is installed in a gentle way, but the metal elements of the prosthesis are visible when smiling or talking. Splinting the front teeth with crowns provides a more aesthetic result.

Kinds

Today in dentistry, the following types of crowns are most often used for dental prosthetics:

metal-ceramic. They have a durable metal frame and are lined with ceramics on top. The advantages of dental prosthetics with metal-ceramic crowns include strength, aesthetics, long service life - up to 15 years;
ceramic. Metal-free ceramics are the best option when it comes to dental prosthetics with crowns in aesthetically significant areas. The advantages of dental prosthetics with ceramic crowns: hypoallergenic, high aesthetics, service life up to 20 years, no need for extensive preparation of healthy teeth;
zirconium. Prostheses made from zirconium dioxide are the most durable and reliable. Advantages of dental prosthetics with zirconium dioxide crowns: high biocompatibility, excellent aesthetics, ability to withstand heavy loads, wear resistance, minimal grinding, service life up to 20 years;
metal. These are the predecessors of modern dentures, which are used less and less in modern dentistry. They are made from an alloy of chromium and cobalt. Outwardly, they are very different from healthy units, so they are placed in the chewing department. The advantages of dental prosthetics with metal crowns: high strength, minimal grinding of supporting teeth, low price.

Result

Splinting teeth using reliable materials and structures can significantly reduce the mobility of elements and restore chewing function. A rigid, but at the same time elastic tire binds the elements into one block, holding them securely and preventing them from loosening further. The more units covered by the bus, the better the result. Tire service life is 3-4 years. The biocompatible material does not irritate the mucous membrane, does not injure the gums, and does not interfere with hygiene.

Article Expert

Kopylova Lyubov Ivanovna Dentist-therapist, doctor of the highest category

Work experience: more than 12 years

Advantages of treatment at the RUTT clinic

The RUTT network of clinics approaches the problem of dental mobility in a comprehensive manner. Treatment is aimed at eliminating the cause of the pathology. In addition to splinting, patients undergo a number of other measures - professional hygiene, therapy of periodontal canals with the Vector device, injections, curettage, physiotherapy, etc. The clinic performs permanent, temporary splinting of the lower teeth.

Permanent intervention is performed for a period of 12 months or more. The procedure is indicated for mobility of grades 1 and 2, at the first stage of periodontitis, when the jaw bone has not yet been destroyed.
Temporary fixation of the splint is intended for up to 6 months, if there is a chance of losing loose teeth, but it is small. Also, temporary structures are installed after jaw injuries (fracture, etc.).

The price for splinting teeth in Moscow depends on the technique, materials, and the number of moving elements. The cost of treatment in ROOTT dentistry is formed on a turnkey basis.

Pros and cons of the splinting technique

Of course, the use of this technique makes it possible to regenerate damaged teeth, helps the body recover and, if necessary, carry out further treatment. Moreover, during the development of periodontitis and periodontal disease, splinting helps distribute the load as needed, increasing it on healthy teeth and decreasing it on damaged teeth. This makes it possible to avoid injury to the gums and quickly restore them.

In addition to significant advantages, splinting also has some disadvantages. Such therapy does not bring results when the disease takes on an advanced form and the inflammatory process progresses; in this case, splints may be ineffective and fall out along with the teeth. Also, patients who do not pay the necessary attention to oral hygiene can increase their problems and acquire pathologies such as pulpitis or the development of caries. If the procedure was performed by an inexperienced specialist, then discomfort for the patient may occur.

Even if the procedure has some disadvantages, this is not a reason not to use the method. To do this, you need to go to a good clinic and see a professional who can carry out all the manipulations clearly and competently. Also, while wearing splints, you should constantly monitor your dental hygiene and thoroughly clean them.