The evaluation of different splınt types used in dental trauma with periodest method

Öz

Background: The stabilization of the tooth exposed to dental trauma is one of the important factors in the healing of both the tooth and the adjacent tissues. Various types of splint and methods are used according to trauma. The aim of this in vitro study is to evaluate the periotest results of various splint methods commonly used in clinical practice.

Methods: In this study, 30 extracted, fixed anterior teeth placed in acrylic models were used. The teeth were divided into 5 groups, one of them as control group. 4 different splint methods were applied to all groups except control group. Before and after the periotests of each group were measured.

Results: The results of the study showed that the peri-test values were lower than the negative values in the groups except Ribbond (Group D) after the procedure. In addition, the most significant difference in periotest value was seen in Group D.

Conclusion: It is thought that ribbond splints should be preferred in the treatment of mobility in teeth due to trauma according to the data obtained in the study.

Anahtar Kelimeler

• Dental splint,Periotest,Dental trauma

Dental travmada kullanılan farklı splint tiplerinin periotest yöntemi ile değerlendirilmesi

Öz

Amaç: Dental travmaya maruz kalan dişin stabilizasyonunun sağlanması hem dişin hem de komşu dokuların iyileşmesinde önemli faktörlerden biridir. Travma sonucu dişte meydana gelen yaralanma şekline göre çeşitli splint tipleri ve yöntemleri kullanılmaktadır. Bu in vitro çalışmamızın amacı klinik uygulamada sık kullanılan çeşitli splint yöntemlerinin periotest sonuçlarını değerlendirmektir.

Materyal ve Metot:  Bu çalışmada akrilik modellere yerleştirilmiş 30 adet çekilmiş daimi ön grup dişler kullanıldı. Dişler, biri kontrol grubu olmak üzere 5 gruba ayrıldı. Kontrol grubu hariç diğer gruplara 4 farklı splint yöntemi uygulandı. Her grubun işlem öncesi ve sonrası periotestleri ölçüldü.

Bulgular: Çalışmada elde edilen bulgular neticesinde işlem sonrası Ribbond (Grup D) haricindeki gruplarda periotest değeri eksi değerlerin altına indiği görüldü. Ayrıca periotest değer farkı da en fazla Grup D’de görüldü.

Sonuç: Çalışmada elde edilen veriler doğrultusunda travma sonucu dişlerde oluşan mobilitenin tedavisinde Ribbond splintlerin tercih edilmesinin daha uygun olacağı düşünülmektedir.

Anahtar Kelimeler

• Dental splint,periotest,Dental travma

Kaynakça

1. 1. Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012;28:2–12.2. Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. Guidelines for the management of traumatic dental injuries. II. Avulsion of permanent teeth. International Association of Dental Traumatology. Dent Traumatol. 2007;23(3):130-6.3. von Arx T, Filippi A, Buser D. Splinting of traumatized teeth with a new device: TTS (Titanium Trauma Splint). Dent Traumatol. 2001;17:180–4.4. Mazzoleni S, Meschia G, Cortesi R, Bressan E, Tomasi C, Ferro R, et al. In vitro comparison of the flexibility of different splint systems used in dental traumatology. Dent Traumatol. 2010;26(1):30-6.5. Cengiz SB, Atac AS, Cehreli ZC. Biomechanical Effects of splint types on traumatized tooth: a photoelastic stres analysis. Dental Traumatol. 2006;22:133–8.6. Kwan SC, Johnson JD, Cohenca N. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model. Dent Traumatol. 2012;28(4):277-81.7. Berthold C, Holst S, Schmitt J, Goellner M, Petschelt A. An evaluation of the Periotest method as a tool for monitoring tooth mobility in dental traumatology. Dent Traumatol. 2010;26(2):120-8.8. Berthold C, Auer FJ, Potapov S, Petschelt A. Rigidity evaluation of quartz-fiber splints compared with wire-composite splints. Dent Traumatol. 2012;28(1):65-74.9. Berthold C, Auer FJ, Potapov S, Petschelt A. In vitro splint rigidity evaluation-comparison of a dynamic and a static measuring method. Dent Traumatol. 2011;27(6):414-21.10. Kwan SC, Johnson JD, Cohenca N. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model. Dent Traumatol. 2012;28(4):277-81. 11. Yildirim Oz G, Ataoğlu H, Kir N, Karaman AI. An alternative method for splinting of traumatized teeth: case reports. Dent Traumatol. 2006;22(6):345-9.12. Filippi A, von Arx T, Lussi A. Comfort and discomfort of dental trauma splints - a comparison of a new device (TTS) with three commonly used splinting techniques. Dent Traumatol. 2002;18(5):275-80.13. Yasuda T, Kinoshita M, Abe M, Shibayama Y. Unfavorable effect of knee immobilization on Achilles tendon healing in rabbits. Acta Orthop Scand. 2000;71(1):69-73.
2. 14. Murrell GA, Lilly EG 3rd, Goldner RD, Seaber AV, Best TM. Effects of immobilization on Achilles tendon healing in a rat model. J Orthop Res. 1994;12(4):582-91. 15. Amiel D, von Schroeder H, Akeson WH. The response of ligaments to stress deprivation and stress enhancement. In: Daniel DM, Akeson WH, O’Connor JJ, editors. Knee ligaments: structure, function, injury and repair, Vol. 16. New York: Raven Press. 1990:329–36.16. Feller L, Lemmer J. Tooth mobility after periodontal surgery. SADJ. 2004;59(10):407-11.17. Chakrapani S, Goutham M, Krishnamohan T, Anuparthy S, Tadiboina N, Rambha S. Periotest values: Its reproducibility, accuracy, and variability with hormonal influence. ContempClin Dent. 2015;6:12-5.18. Shirako T, Churei H, Wada T, Uo M, Ueno T. Establishment of experimental models to evaluate the effectiveness of dental trauma splints. Dent Mater J. 2017;36(6):731-9. 19. Andresen M, Mackie I, Worthington H. The Periotestintraumatology. Part I. Does it have the properties necessary for use as a clinical device and can the measurements be interpreted?. Dent Traumatol.2003;19:214–7.20. Andresen M, Mackie I, Worthington H. The Periotest in traumatology. Part II. The Periotest as a special test for assessing the periodontal status of teeth in children that have suffered trauma. Dent Traumatol. 2003;19:218–20.21. Berthold C, Thaler A, Petschelt A. Rigidity of commonly used dental trauma splints. Dent Traumatol. 2009;25(3):248-55.22. Berthold C, Auer FJ, Potapov S, Petschelt A. Influence of wire extension and type on splint rigidity--evaluation by a dynamic and a static measuring method. Dent Traumatol. 2011;27(6):422-31.23. Von Arx T. Splinting of traumatized teeth with focus on adhesive techniques. J Calif Dent Assoc. 2005;33(5):409-14.24. Stellini E, Avesani S, Mazzoleni S, Favero L. Laboratory comparison of a titanium trauma splint with three conventional ones for the treatment of dental trauma. Eur J Paediatr Dent. 2005;6(4):191-6.