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Tooth stabilization and splinting before and after periodontal therapy with fixed partial dentures
S C Siegel1, C F Driscoll, S Feldman
1Department of Restorative Dentistry, University of Maryland, Baltimore, USA. scs001@dental.umaryland.edu
Dental Clinics of North America
|February 4, 1999
Summary
This review covers fixed partial dentures for stabilizing teeth and splinting patients with weakened periodontium. It discusses implant controversies and advises dentists to explain all ramifications of splinting.
Area of Science:
- Dental Prosthodontics
- Periodontology
Background:
- Fixed partial dentures (FPDs) are used for stabilizing and splinting teeth.
- Provisionalization is a key part of treatment for patients with compromised periodontium.
- The integration of implants in patients requiring splinting presents ongoing debate.
Purpose of the Study:
- To review the design and application of FPDs for tooth stabilization.
- To describe provisionalization strategies for periodontally compromised patients.
- To discuss and provide recommendations regarding the use of implants in conjunction with splinting.
Main Methods:
- Literature review on FPD design and application.
- Analysis of provisionalization techniques in periodontally compromised patients.
- Discussion of current controversies and evidence regarding implants in splinted cases.
Main Results:
- FPDs serve as definitive restorations for stabilizing and splinting teeth.
- Provisionalization is integral to managing patients with weakened periodontium.
- Recommendations are provided for incorporating implants in splinting scenarios.
Conclusions:
- Dentists must fully inform patients about the implications of FPD splinting.
- Potential ramifications include costs, treatment duration, and prosthesis modifications.
- Patient education is crucial for managing expectations regarding prosthesis longevity and function.