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Maxillary tooth splinting in periodontally compromised patients using fiber-reinforced composite: the Targis-Vectris
Aldo Giancotti1, Gianluca Mampieri, Alessandro Caleffi
1University of Rome Tor Vergata, Fatebenefratelli Hospital, Isola Tiberina Department of Orthodontics, Rome, Italy. giancott@uniroma2.it
Aim:
To show the Targis-Vectris retention technique, illustrating its features and clinical applications in periodontally compromised patients.
Methods:
The Targis-Vectris technique is constituted by an esthetic external layer (Targis) combined with and supported by a metal-free structure (Vectris). An adult female with a full Class II malocclusion and compromised periodontal condition with significant bone loss on the maxillary central incisor was treated. Before debonding, a fiber-reinforced splint was placed on the palatal surface of the maxillary anterior teeth, using the Targis-Vectris method, to permit long-term stability. The final result remained stable at 5 years posttreatment.
Results:
The correction of the Class II malocclusion took 24 months. The Targis-Vectris method ensured maintenance of tooth position and periodontal condition.
Conclusion:
The Targis-Vectris technique represents a useful procedure for splinting maxillary teeth in selected periodontally compromised patients. The 5-year posttreatment follow-up visit showed no relapse. Correct occlusal relationships are necessary to reduce the risk of breakage.
