Abstract

1. Combining periodontal, surgical, and orthodontic treatment with operative and prosthetic procedures is often indicated in occluso-rehabilitation. 2. Considerations determining the advisability of combined therapy have been discussed. 3. A coordinated treatment plan has been proposed, presenting the correct sequential relationship of the various procedures. 4. A simplified accurate method of constructing a cold-cure acrylic resin splint has been described. If tooth mobility is present, the splint serves other important purposes: (1) It immediately stabilizes loose teeth. (2) It provides a temporary means for changing the direction of functional forces to the periodontium. (3) It permits undisturbed healing of the periodontium following the periodontal therapy. (4) It establishes a testing period to determine whether a loose tooth will become firm enough for use as an abutment for a fixed prosthesis. 5. The splint can be used as group anchorage for minor tooth movement and in general can serve in place of conventional orthodontic bands in the mechanics of anchorage. 6. Retention of orthodontically repositioned teeth is facilitated by the use of cold-cure acrylic resin splints.

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