Author:
Ersa Savana,Amalia Martina
Abstract
Advanced bone loss in patients with periodontitis often leads to increased tooth mobility, sometimes resulting in tooth loss. The mobility of teeth necessitates splinting to optimize periodontal treatment outcomes in terms of aesthetics and periodontal health. This case report presents a novel approach using an artificial tooth pontic as a periodontal splint, utilizing wire stabilization to prevent severe tooth mobility and enhance esthetics. A 37-year-old male with aggressive periodontitis (Stage III, Grade C) exhibited extensive periodontal destruction, particularly in the upper and lower anterior regions. Pathological migration was evident following the loss of teeth 31 and 41, with additional anterior teeth in the lower jaw showing mobility and trauma from occlusion, notably tooth 33. The patient underwent nonsurgical periodontal therapy, including scaling, subgingival debridement, occlusal adjustment, and splinting. Stabilization was achieved by applying a wire splint from teeth 34 to 43, incorporating an artificial tooth pontic. Subsequent evaluations revealed improvements in clinical parameters such as probing pocket depth, tooth mobility, and bleeding on probing during supportive periodontal therapy visits. The splint remained stable, and the patient expressed satisfaction with their appearance remaining unaffected. This case demonstrates that severe tooth mobility can be effectively stabilized using a composite wire splint and an artificial tooth pontic, enhancing the patient's esthetic outcomes.
Publisher
PT. Heca Sentra Analitika
Reference22 articles.
1. Graziani, F., Karapetsa, D., Alonso, B., and Herrera, D. (2017). Nonsurgical and Surgical Treatment of Periodontitis: How Many Options for One Disease?, Periodontology 2000, Vol. 75, No. 1, 152–188. doi:10.1111/prd.12201.
2. Newman, M. G., Takei, H., Klokevold, P. R., and Carranza, F. (2018). Newman and Carranza’s Clinical Periodontology E-Book, Elsevier Health Sciences.
3. Astuti, L. A. (2015). Alternatif Splinting pada Kegoyangan Gigi Akibat Penyakit Periodontal, As-Syifaa Jurnal Farmasi, Vol. 7, No. 2, 209–218.
4. Cho, Y.-D., Kim, S., Koo, K.-T., Seol, Y.-J., Lee, Y.-M., Rhyu, I.-C., and Ku, Y. (2016). Rescue of a Periodontally Compromised Tooth by Non-surgical Treatment: A Case Report, Journal of Periodontal & Implant Science, Vol. 46, No. 2, 128. doi:10.5051/jpis.2016.46.2.128.
5. Koganti, V. P., Sekhar, L. C., Shankar, B. R., and Gopinath, A. (2011). A Comparative Study of Temporary Splints: Bonded Polyethylene Fiber Reinforcement Ribbon and Stainless Steel Wire + Composite Resin Splint in the Treatment of Chronic Periodontitis, The Journal of Contemporary Dental Practice, Vol. 12, No. 5, 343–349. doi:10.5005/jp-journals-10024-1057.