Splinting of Traumatized Tooth - A Systematic Review

Abstract

Background A splint is recommended after toothteeth repositioning to stabilize the toothteeth and optimize healing outcomes of the pulp andor periodontal tissues. A splint is defined as an appliance used to support protect or fixate a tooth that has been loosened reimplanted fractured or undergone certain endodontic surgical procedure.Aim To analyze and determine the effect of certain factors like duration of splinting materials used for splinting and the splinting technique on long term prognosis of traumatized teeth.Methodology This review was conducted as per the PRISMA and JBI guidelines. A total of five randomized clinical trials published over the past 30 years were included in the qualitative synthesis.Results A total of 874 replanted repositioned permanent teeth from five publications reporting short-term up to 14 days and long-term ge14 days splinting according to current clinical guidelines were pooled. Evidence for the association between short-term splinting and increased odds of functioning reduced periodontal healing acceptable healing or replacement resorption seems decisive. This study found no evidence of contraindications. Splinting duration was found to have no effect on the success of reimplantation. With future research to the contrary pending dentists are advised to continue using the current recommended splinting duration when reimplanting avulsed permanent teeth.Conclusion This study found no evidence of contraindications to current guidelines suggesting that the success of periodontal healing after reimplantation is not affected by the duration of splinting. It is recommended that the dentists continue to use the current recommended splinting duration for reimplanting avulsed teeth