Title |
Splinting of Mobile Teeth Improves Outcomes in Guided Tissue Regeneration |
Clinical Question |
In patients with mobile teeth and associated vertical bony defects, does splinting the teeth before guided tissue regeneration provide a better clinical outcome than splinting after regeneration? |
Clinical Bottom Line |
When attempting guided tissue regeneration on a mobile tooth, splinting of mobile tooth will improve clinical outcomes. |
Best Evidence |
|
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
11218508 | Schulz A./2000 | 45 patients with mobile teeth | Randomized Controlled Trial | Key results | Splinting of mobile teeth to at least two adjacent rigid teeth prior to bone replacement graft surgery showed a pocket depth (PD) reduction of 5.4 mm and clinical attachment level (CAL) gain of 5.1 mm. Teeth that were splinted 1 week after surgery had PD reduction of 4.3 mm and CAL gain of 3.5 mm. Non-splinted teeth had 2.2 mm of PD reduction and 1.7 mm of CAL gain. | |
Evidence Search |
splinting[All Fields] AND ("tooth"[MeSH Terms] OR "tooth"[All Fields] OR "teeth"[All Fields]) AND periodontal[All Fields] AND ("reconstructive surgical procedures"[MeSH Terms] OR ("reconstructive"[All Fields] AND "surgical"[All Fields] AND "procedures"[All Fields]) OR "reconstructive surgical procedures"[All Fields] OR "reconstruction"[All Fields]) |
Comments on
The Evidence |
The article suggests that providing more stability to mobile teeth when attempting periodontal bone grafting will provide better pocket depth reduction and clinical attachment gain. There are minimal differences between splinting before bone graft versus after graft. However, to provide the patient with the best possible outcome, the practitioner should consider splinting before guided tissue regeneration. With only one article addressing this topic, the data are limited; further studies are needed to evaluate the relationship between tooth mobility and periodontal bone grafting surgery. |
Applicability |
This study evaluated tooth mobility and success of bone replacement grafting with splinting at various time points. Only calcium carbonate bone replacement graft material was used in the study; however, the concepts presented in the article may hold true with other bone replacement graft materials. |
Specialty |
(General Dentistry) (Periodontics) |
Keywords |
Splinting; bone graft; guided tissue regeneration; periodontal reconstruction; periodontics
|
ID# |
3100 |
Date of submission |
11/01/2016 |
E-mail |
Trobough@uthscsa.edu |
Author |
Kyle Trobough, DDS |
Co-author(s) |
|
Co-author(s) e-mail |
|
Faculty mentor |
Brian Mealey DDS, MS |
Faculty mentor e-mail |
mealey@uthscsa.edu |
|
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Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
None available | |
 |
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
None available | |