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Maintenance of Periodontally Compromised Teeth Using Periodontal Splints
Janina Golob Deeb1, Caroline K Carrico2, Anne Miller1
1Department of Periodontics, Virginia Commonwealth University, Richmond, Virginia, USA.
International Journal of Dentistry
|September 8, 2025
Summary
Periodontal splinting offers a durable, long-term solution for stabilizing mobile teeth, even in cases with significant bone loss. Over half of splints studied lasted 10 years, demonstrating their effectiveness in maintaining compromised teeth.
Area of Science:
- Dentistry
- Periodontology
Background:
- Periodontal splints are a non-invasive and cost-effective method for stabilizing mobile teeth.
- Evaluating the long-term efficacy and durability of periodontal splints is crucial for clinical practice.
Purpose of the Study:
- To assess the longevity and long-term stability of periodontal splints used for stabilizing mobile teeth.
- To identify factors influencing the success and duration of periodontal splint treatment.
Main Methods:
- A retrospective chart review of 154 patients who received splints on anterior teeth.
- Data collected included patient demographics, splint type, indication, bone loss percentage, and reinforcement use.
- Statistical analysis, including t-tests, was used to examine associations with bone loss.
Main Results:
- The majority of splints were for periodontal reasons (68%) or trauma (18%).
- Average bone loss in periodontal cases was 76.5%; not significantly associated with splint location, gender, or reinforcement.
- Over half (55%) of the splints achieved a longevity of 10 years or more.
Conclusions:
- Periodontal splinting provides sustained support for mobile and periodontally compromised teeth.
- Splints with pontics can serve as stable provisional prostheses for replacing missing anterior teeth.
- The study highlights the long-term viability of splinting as a treatment option.
