Long-term survival and maintenance efforts of splinted teeth in periodontitis patients

Abstract

ObjectivesThis study assessed the survival and maintenance needs of splinted teeth in periodontitis patients. MethodsPatients receiving active and supportive periodontal treatment involving teeth splinting in a university setting were retrospectively assessed. Tooth and splint survival and number of splint-repairs were recorded. Multilevel Cox and generalized-mixed linear regression analyses were performed. ResultsFifty-seven patients with 227 splinted teeth (maxilla/mandible: 148/79) were followed over mean ± SD 11.0 ± 7.2 [range: 2.0–32.4]) years. Twenty-six splinted teeth were extracted during this period, the mean (95% CI) time of splint retention was 7.3 ± 5.7 (0.1–22.7). Splinted teeth did not show significantly increased risk of tooth loss compared with non-splinted teeth (HR; 95% CI: 1.30; 0.87–1.93); while age (1.07; 1.05–1.09), PPD >6 mm (4.24; 1.26–14.31), bone loss (mean HR was 5.07–15.36 depending on severity), tooth location (posterior versus anterior teeth: HR 2.08; 1.24–3.49) and the number of occlusal contact areas (mean HR was 4.38–17.34 depending on the number of antagonistic contact areas) were associated with tooth loss. 75.3% splints required repair, with a mean of 2.6 ± 1.9 [1.0–8.0] repairs per splint during the mean observation time (0.4 ± 0.6 [0.0–3.5] repairs per splint/year). ConclusionSplinting did not significantly increase the risk of tooth loss; splinted teeth showed long-term survival. To maintain splints, frequent repairs were needed. Clinical significanceSplinted teeth were not at significantly higher risk of tooth loss than non-splinted teeth. While splinting does not improve the prognosis of periodontally affected teeth, it can assist their retention by reducing their mobility.