IADR Abstract Archives
Clinical Comparison of Fiber-reinforced Composite and Stainless Steel Wire for Periodontal Splinting
Objectives: To evaluate the clinical performance of fiber-reinforced-composite resin (FRC) splints versus metal splints applied on mandibular anterior teeth.
Methods: A total of 20 patients (11 females, 9 males, 26-54 years old) who completed periodontal therapy were randomly assigned to one of the two treatment groups: FRC splint group (INTERLIG Perio, Brazil) (n=10), or stainless steel metal splint (n=10). Mobility of teeth was measured using periotest only in patients with vital teeth. Splints were bonded to teeth with flowable resin-composites (3M ESPE Filtek Flow). Patients were followed at 6 months and 1 year. The evaluation protocol involved technical failures [(chipping, debonding or fracture (tooth/restoration)] and biological failures (caries)]. Patient satisfaction was assessed using the General (formerly Geriatric) Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14). Before and after splint therapy, plaque index (PI), gingival index (GI), gingival recession (GR), periodontal pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP) were recorded.
Results: Two partial debonding of the FRC splint and two complete debonding of metal splint were observed. Splints were made again and no failures were observed up to final observation. No caries was found around any of the splints. Mobility values at 6th month follow up decreased significantly after splinting compared to baseline (p<0.05) but remained stable at 1 year follow up (p>0.05). According to GOHAI, patient satisfaction improved significantly after both splint therapy (p<0.05) but OHIP-14 did not show significant difference between baseline and after splint therapy (p>0.05). While GI, PI, PPD, GR, CAL and BOP did not show significant differences at one year follow up (p<0.05).
Conclusions: Splint therapy with both FRC and stainless steel decrease mobility of teeth in patients after periodontal therapy, improving chewing comfort. Frequency of technical failures was similar with both materials but more repairable with FRC.
Methods: A total of 20 patients (11 females, 9 males, 26-54 years old) who completed periodontal therapy were randomly assigned to one of the two treatment groups: FRC splint group (INTERLIG Perio, Brazil) (n=10), or stainless steel metal splint (n=10). Mobility of teeth was measured using periotest only in patients with vital teeth. Splints were bonded to teeth with flowable resin-composites (3M ESPE Filtek Flow). Patients were followed at 6 months and 1 year. The evaluation protocol involved technical failures [(chipping, debonding or fracture (tooth/restoration)] and biological failures (caries)]. Patient satisfaction was assessed using the General (formerly Geriatric) Oral Health Assessment Index (GOHAI) and the Oral Health Impact Profile-14 (OHIP-14). Before and after splint therapy, plaque index (PI), gingival index (GI), gingival recession (GR), periodontal pocket depth (PPD), clinical attachment loss (CAL) and bleeding on probing (BOP) were recorded.
Results: Two partial debonding of the FRC splint and two complete debonding of metal splint were observed. Splints were made again and no failures were observed up to final observation. No caries was found around any of the splints. Mobility values at 6th month follow up decreased significantly after splinting compared to baseline (p<0.05) but remained stable at 1 year follow up (p>0.05). According to GOHAI, patient satisfaction improved significantly after both splint therapy (p<0.05) but OHIP-14 did not show significant difference between baseline and after splint therapy (p>0.05). While GI, PI, PPD, GR, CAL and BOP did not show significant differences at one year follow up (p<0.05).
Conclusions: Splint therapy with both FRC and stainless steel decrease mobility of teeth in patients after periodontal therapy, improving chewing comfort. Frequency of technical failures was similar with both materials but more repairable with FRC.