Abstract
Background: Stabilization of luxated, avulsed, and root-fractured teeth is a part of the dental trauma treatment. The aim of the study was to assess the power chain and its comparison with two commonly used splinting materials. Methods: The evaluated splints were a wire-composite splint (WCS) with a diameter of 0.5 mm, a titanium trauma splint (TTS), and a power chain-composite splint (PCS). The splints were all fixed to the labial surfaces of permanent maxillary incisors in 10 human volunteers. The following parameters were measured: tooth mobility with Periotest before and after the splint application and removal, Aproximal Plaque Index (API), Sulcus Bleeding Index (SBI), and time needed to apply and to remove the splint. Each volunteer was also given a visual analogue scale (VAS) questionnaire to assess his/her subjective attitudes to splint materials. Results: The PCS was the most flexible material as it had the lowest horizontal Periotest values. For the two other methods, horizontal splint effects were similar and were also low. The PCS was the fastest to apply and remove and was also the most aesthetic splint. Conclusion: In this experimental study among volunteers, all three tested materials were found suitable for splinting the PCS has some advantages worth it to be further evaluated clinically in trauma patients.
Highlights
Splinting is a part of the management of the teeth after traumatic injuries
The time needed for the splint fixation was the shortest for the power chain (4.82 min) and it was significantly shorter than time needed for application of the wire-composite splint (WCS)
We focused on three different materials in our study: the wire with a diameter of 0.5 mm, the titanium trauma splint (TTS), and the power chain
Summary
Splinting is a part of the management of the teeth after traumatic injuries. The splinting protocol has changed over the years. The trend to ligate or splint the injured teeth using rigid, prolonged fixation, the same as in jaw fractures, was maintained for many years These splinting principles, which are still necessary for the treatment of broken jaws, have proven to be inadequate for the management of dental trauma [1]. Striving to improve the quality of splinting, to optimize the healing of damaged dental tissues, to simplify techniques, and the availability of materials, caused the devices like arch bars, wire ligatures, or cap splints to no longer be recommended. They have been replaced by flexible splints fixed with adhesive techniques [4]. Conclusion: In this experimental study among volunteers, all three tested materials were found suitable for splinting the PCS has some advantages worth it to be further evaluated clinically in trauma patients
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