A Novel FRC Splint of Periodontally Treated Anterior Mandibular Teeth using Translucent Rigid Special Tray Technique (A Case Report)

Case Report

Austin Dent Sci. 2016; 1(1): 1001.

A Novel FRC Splint of Periodontally Treated Anterior Mandibular Teeth using Translucent Rigid Special Tray Technique (A Case Report)

Moazzami SM1*, Zakeri M2, Arjmand N3 and Koohestanian N4

1Dental Research Center and Department of Operative and Esthetic Dentistry, Mashhad Dental School, Mashhad University of Medical Sciences (MUMS), Iran

2General Dentists, Mashhad, Iran

3Department of Operative and Esthetic Dentistry, North Khorasan University of Medical Sciences, Iran

4Department of Biomedical Engineering, Brigham and Woman`s Hospital, Harvard Medical School, USA

*Corresponding author: Moazzami SM, Dental Research Center and Department of Operative and Esthetic Dentistry, Mashhad Dental School, Mashhad University of Medical Sciences (MUMS), Iran

Received: May 05, 2016; Accepted: June 08, 2016; Published: June 09, 2016

Abstract

Direct splinting of periodontal treated teeth is sometimes complicated with the current splinting techniques and materials. Splinting of mobile teeth has always been a challenge to clinicians. The development of Fiber Reinforced Composites (FRCs) has opened up new possibilities of chairside treatment options to manage these types of clinical situations. This paper describes novel direct-indirect teeth Fiber Reinforced Composite (FRC) splinting method-using Translucent Rigid Special Tray Technique (TRSTT) to allow for a single visit, chair side, durable and more accurate splinting of mobile mandibular periodontal treated anterior teeth.

Clinical significance: The combination of Fiber Reinforced Composite (FRC) and Translucent Rigid Special Tray Technique (TRSTT) can provide minimally invasive and a more durable, accurate and functional treatment option for splinting of mobile teeth. The completed splint provided tooth stability, improved function, and fulfilled the patient’s aesthetic expectations and satisfaction.

Keywords: Dental Fixed Splint; Fiber Reinforced Composite; Rigid Tray

Case Report

A 60-year-old patient with the chief complaint of discomfort while functioning on the mandibular anterior teeth with a mobility of 2 according to the Miller’s Index as a result of secondary occlusal trauma of the mandibular incisors was referred to the clinic through his periodontist in order to teeth splinting.

The clinical steps were as follows:

Scaling and root planning: Initially, the teeth were scaled and root-planed to assure that all calculus and stain was removed from the tooth surfaces. The teeth were cleansed on the facial and lingual surfaces using a prophylaxis cup with a non-fluoridated fine-sized pumice paste. After the teeth were thoroughly rinsed and dried, the interproximal surfaces of the teeth were cleansed and prepared with a gapped, fine-grit diamond finishing strip (Gateway Vision strips, Brasseler). Where the teeth have large interproximal spaces, a fine diamond bur can be carefully used to clean the interproximal surfaces. To minimize the thickness of the splint on the aesthetic interproximal aspect of the facial surfaces, a thin, round-end, chamfer diamond (Revelation, No. 854-016, SS White Burs,) was used to barrel into the interproximal areas.

Temporary fixation: Before taking impression, temporary fixation was done by a flowable resin composite (GRADIA® Direct Flo, GC Corporation, Tokyo, Japan) in order to create primary stabilization for mobile teeth while taking impression.

Alginate impression and making the study/master casts: Two full-arch alginate impressions (GC Aroma Fine DF III, GC Corporation, Tokyo, Japan) were taken from the upper and lower arches. After that, the alginate impressions were poured with dental stone (Moldano, Bayer, and Leverkusen, Germany) to make the study/master casts (Figure 1).

Citation:Moazzami SM, Zakeri M, Arjmand N and Koohestanian N. A Novel FRC Splint of Periodontally Treated Anterior Mandibular Teeth using Translucent Rigid Special Tray Technique (A Case Report). Austin Dent Sci. 2016; 1(1): 1001.