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Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients

BACKGROUND/PURPOSE: Splinting mobile teeth is a choice to improve the patient's oral comfort. The purpose of this study was to assess the survival and stability of mobile anterior mandibular teeth after splinting in patients with periodontitis undergoing supportive periodontal therapy (SPT). MA...

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Autores principales: Zhang, Yong, Kang, Ni, Xue, Fei, Duan, Jinyu, Chen, Fan, Cai, Yu, Luan, Qingxian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association for Dental Sciences of the Republic of China 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831790/
https://www.ncbi.nlm.nih.gov/pubmed/36643235
http://dx.doi.org/10.1016/j.jds.2022.05.025
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author Zhang, Yong
Kang, Ni
Xue, Fei
Duan, Jinyu
Chen, Fan
Cai, Yu
Luan, Qingxian
author_facet Zhang, Yong
Kang, Ni
Xue, Fei
Duan, Jinyu
Chen, Fan
Cai, Yu
Luan, Qingxian
author_sort Zhang, Yong
collection PubMed
description BACKGROUND/PURPOSE: Splinting mobile teeth is a choice to improve the patient's oral comfort. The purpose of this study was to assess the survival and stability of mobile anterior mandibular teeth after splinting in patients with periodontitis undergoing supportive periodontal therapy (SPT). MATERIALS AND METHODS: Patients with splinted mobile anterior mandibular teeth were assessed retrospectively. Periodontal statuses were recorded at baseline and follow-up visits. Tooth and splint survival as well as splint repairs were recorded. Multilevel Cox regression analyses were performed to evaluate patient- and tooth-related factors that might have influenced the survival rates of splints. RESULTS: Sixty-one patients, collectively having 161 splints, were followed for an average of 5.44 years. On average, probing depth (PD) of splinted teeth decreased from 4.31 mm to 2.93 mm and clinical attachment loss (CAL) decreased from 5.02 mm to 4.58 mm. Alveolar bone was stable in the follow-up period. None of the splinted teeth were extracted, The overall survival rate of the splints was 65.2%. Splints made of composite resin alone were associated with a higher risk of breakage when compared to splints composed of composite resin with mesh grid strips. CONCLUSION: Splinting showed long-term survival and splinting combined with periodontal supportive treatment is a feasible option to maintain mobile mandibular anterior teeth.
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spelling pubmed-98317902023-01-13 Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients Zhang, Yong Kang, Ni Xue, Fei Duan, Jinyu Chen, Fan Cai, Yu Luan, Qingxian J Dent Sci Original Article BACKGROUND/PURPOSE: Splinting mobile teeth is a choice to improve the patient's oral comfort. The purpose of this study was to assess the survival and stability of mobile anterior mandibular teeth after splinting in patients with periodontitis undergoing supportive periodontal therapy (SPT). MATERIALS AND METHODS: Patients with splinted mobile anterior mandibular teeth were assessed retrospectively. Periodontal statuses were recorded at baseline and follow-up visits. Tooth and splint survival as well as splint repairs were recorded. Multilevel Cox regression analyses were performed to evaluate patient- and tooth-related factors that might have influenced the survival rates of splints. RESULTS: Sixty-one patients, collectively having 161 splints, were followed for an average of 5.44 years. On average, probing depth (PD) of splinted teeth decreased from 4.31 mm to 2.93 mm and clinical attachment loss (CAL) decreased from 5.02 mm to 4.58 mm. Alveolar bone was stable in the follow-up period. None of the splinted teeth were extracted, The overall survival rate of the splints was 65.2%. Splints made of composite resin alone were associated with a higher risk of breakage when compared to splints composed of composite resin with mesh grid strips. CONCLUSION: Splinting showed long-term survival and splinting combined with periodontal supportive treatment is a feasible option to maintain mobile mandibular anterior teeth. Association for Dental Sciences of the Republic of China 2023-01 2022-06-19 /pmc/articles/PMC9831790/ /pubmed/36643235 http://dx.doi.org/10.1016/j.jds.2022.05.025 Text en © 2022 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Zhang, Yong
Kang, Ni
Xue, Fei
Duan, Jinyu
Chen, Fan
Cai, Yu
Luan, Qingxian
Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
title Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
title_full Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
title_fullStr Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
title_full_unstemmed Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
title_short Survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
title_sort survival of nonsurgically splinted mandibular anterior teeth during supportive maintenance care in periodontitis patients
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831790/
https://www.ncbi.nlm.nih.gov/pubmed/36643235
http://dx.doi.org/10.1016/j.jds.2022.05.025
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