Various dental diseases should not be ignored, since in the future this usually leads to undesirable consequences. Over time, symptoms may intensify, which is not good. Everything can reach the point that you have to restore a full smile in a variety of ways. For example, with periodontitis - splinting of teeth and so on.
Not everyone knows what this process is. Moreover, the trip to the dentist is not for everyone. But I also don’t want to completely ignore the state of the oral cavity, since there is nothing worse than a toothache! And sooner or later, it’s still necessary to go to the doctor.
What is splinting teeth?
This procedure is one of the effective methods of combating a disease such as periodontitis. Usually they resort to it already at the last stage, when the mobility of the teeth is felt stronger and other methods are already ineffective. And due to splinting, the patient still has the opportunity to keep his teeth in place, excluding their loss.
Understanding the whole essence is nothing complicated. The main purpose of such an operation is to immobilize the teeth in order to prevent their further loosening. This is done using special orthopedic devices, called tires. Immobilization is achieved due to the fact that the design combines several movable teeth in a single block. The method shows itself well even in the case of the mobility of a number of elements. It also helps to restore periodontal tissues.
At present, it doesn’t matter exactly where the splinting of teeth is done in case of periodontitis - in Lipetsk or any other city. Thanks to modern technologies and materials, the splinting procedure is highly efficient and painless.
Indications for the procedure
Often, people turn to the dentist for the purpose of splinting as a result of mechanical damage or to correct the consequences of periodontitis.
But in addition to this, a specialist may be required in the following cases:
- The dentition is broken or severely displaced.
- Damage to the tissues of the oral cavity.
- After wearing braces.
- Non-standard arrangement of teeth.
- Strong gum exfoliation, as a result of which the roots of the teeth are exposed.
- The presence of tartar and strong plaque, which is impossible to cope on their own.
Only a dentist can prescribe a splinting procedure. But first, he needs to study the condition of the oral cavity in detail, based on x-ray data and visual inspection.
A kind of contraindication
According to some reviews, the technique of splinting teeth with periodontitis is not always applicable. In particular, if the dentition has many defects. It is also undesirable to resort to such an operation in the presence of pulpitis or gingivitis. Periodontitis is not a kind of contraindication, however, it is first necessary to conduct gum treatment in order to completely eliminate the inflammatory process. And only after that it will be possible to impose an orthopedic splint.
Features of the procedure
If the operation was nevertheless scheduled, it is worth noting that the need for such a procedure can be either permanent or temporary. In this case, everything depends on the state of the oral cavity, as well as teeth and gums. Based on this, the dentist decides for what period the tire will be installed.
All designs can be divided into two main groups: removable and non-removable. In this case, removable tires can be installed in the absence of one tooth or several elements. For clarity, the surgery for splinting teeth with periodontitis in the photo below is visible very well.
In addition, there is the opportunity for a second procedure. In addition, all conditions are created for maintaining proper oral hygiene. Fixed structures are prescribed primarily for preventive purposes, as well as to minimize the load on periodontal tissues.
Thus, the following main varieties of orthopedic tires can be distinguished:
- Temporary. Shelf life is less than a year, in some cases a little less than 6 months. Tires are placed at the initial and main stages of treatment. They are inexpensive, do not cause injuries to surrounding tissues, and there are opportunities for other necessary surgical, therapeutic and hygienic operations.
- Long term. Designs are designed for a period of 1 to 12 months, although there have been cases up to several years. The doctor cannot establish an accurate prognosis of treatment due to extensive damage to periodontal tissues. However, there is no direct indication for tooth extraction.
- Permanent. This technique of splinting teeth for periodontitis is designed for a year or more. Used as a prophylaxis. Tires do not interfere with caring for the oral cavity, are characterized by high functionality and aesthetics.
Thanks to the development of modern technologies, a splinting operation is possible using a wide variety of solutions.
Varieties of orthopedic devices
Some time ago, teeth were fixed using crowns or removable dentures. However, this technique caused discomfort in patients due to the unpleasant sensation of using prostheses. In addition, it was impossible to exclude damage to nearby teeth.
But time does not stand still, and now more humane and effective methods and varieties of orthopedic tires are used:
- fiberglass;
- crowns;
- arch prostheses;
- aramid thread (cable-stayed splinting).
The choice of the type of splinting tires for periodontitis in each case is the prerogative of the dentist. In many respects, it relies on the patient examination data, its features (age, how mobile the dentition is, the presence of diseases, malocclusion, etc.). It is important how selected the material is compatible with living tissue.
Fiberglass
This material can still be considered a novelty in dentistry, which is fully compatible with the human body. Although the technique is still new, it has already become popular. And there are reasons for this:
- The procedure is applicable even in the case of loosening of the teeth to a great extent.
- Hygienic procedures can be carried out at a higher level.
- A beautiful smile is maintained.
- Tooth injury occurs at a minimum level.
- The chewing load between the fixed teeth is evenly distributed.
The method of splinting of movable teeth during periodontitis takes place during one visit to the dentist in several stages:
- Local anesthesia is performed.
- On the teeth that should be aligned, a groove is drilled.
- The fiberglass tape is being laid.
- Both the groove and the tape are closed with a light composite.
In the process of flashing the tape, the material begins to harden and ultimately becomes like a beam, which securely fixes the teeth, linking them together.
In order for the tire to serve as long as possible, it is necessary to observe oral hygiene, as well as comply with all the requirements of a doctor. In particular, it is mandatory to visit the dentist to polish the tire.
Crowns
This technique is relevant in the case when the number of loose teeth is more than 4 pieces. At the same time, durability, reliability and an aesthetic appearance are provided, which allows everyone around to smile unhindered. The type of material used directly depends on the teeth themselves, which need to be combined, as well as on the financial ability of the patient. As for a specific variety of crowns for splinting teeth with periodontitis, they can be made:
- from metal;
- ceramics;
- cermets.
The whole procedure is carried out during three visits:
- Stage 1 - local anesthesia, after which the nerve is removed and the root canals are filled;
- 2nd stage - teeth are grinded, and casts are taken from them;
- 3rd stage - after the teeth are prepared, crowns are put on them and the whole group is fixed.
As a rule, ceramic-metal constructions or solid ceramic tires are often selected on the front row. To fix distant, chewing teeth, metal products are suitable due to the optimal cost.
Perhaps a couple of minuses in this method still have. The first is the need for turning the teeth. The second is the relative high cost. But sometimes this method becomes irrelevant, for example, in the case of periodontitis in the early stage.
Clasp prostheses
Splinting prostheses is an ideal option for surgery in the absence of one or more teeth. A feature of the clasp prosthesis is an arcuate design with a metal frame. The entire structure is held by special hooks - clasps.
There are several varieties of prostheses, and they are made individually for each patient. At the same time, several factors affect the procedure for splinting teeth with periodontitis:
- number of missing teeth;
- degree of fragility of the elements;
- deformation of the dentition;
- type of bite;
- patient age.
Thanks to removable dentures, the teeth are firmly fixed in one place, which contributes to the uniform redistribution of the entire load between them. Moreover, most of the pressure is experienced by a metal arc, and the chewing elements function sparingly.
Aramid thread
The technology of cable-stayed splinting is somewhat reminiscent of a technique using fiberglass yarn. Only here the teeth are fixed by means of an aramid thread. It is fully compatible with tooth enamel, does not respond to food or saliva, but most importantly, it is highly durable and durable.
The operation is done according to the same scheme described above. That is, horizontal grooves are also drilled into which the aramid thread is placed, and after that everything closes the composite material.
What else is typical for this splinting of teeth with periodontitis in HLW (and not only)? It has the same advantages of fiberglass. And in some cases, replaces prosthetics.
Public opinion
Many patients who had to resort to a splinting procedure, note a good effect from such an operation. The teeth are actually firmly fixed, and the periodontal condition improves. Moreover, it does not matter in which cases and with what the procedure was carried out. Whether it be fiberglass, cermet, cable-stayed method or using an aramid thread - the result met the expectations of almost all patients.
It would seem that, in the presence of many advantages, the procedure for fixing movable teeth simply should not have drawbacks. In addition, most patients were satisfied. In fact, there is one drawback, and sometimes even a significant one. According to some reviews about splinting teeth with periodontitis, not everyone likes the high cost. But here, if necessary, you can’t get anywhere, because your own health is priceless!
Issue price
Now it is time to address the most important question for many patients: how much does such a healing procedure cost? The exact price can only be found at the dentist’s appointment, since many factors influence the formation of the final cost.
On average, the price of splinting using fiberglass for anterior teeth is 6000-7000 rubles, for chewing the lower limit starts from 3000 rubles.
The cost of crowns vary depending on the material:
- metal - 3,500 rubles;
- cermet - 5000-6000 rubles;
- from whole ceramics - 12 000-13 000 rubles.
Prices are per unit. The cost of a guy’s operation will be approximately 2-3 thousand rubles per tooth.
The most expensive method is arch prosthetics. The final price can vary in a rather wide range: 25-50 thousand rubles.
As you can see, if you do not treat dental diseases and do not periodically visit a dentist to examine the oral cavity, then you can later spend a pretty round amount, however, it can be lucky. Nevertheless, in order not to resort to splinting teeth during periodontitis, it is better to initially treat diseases, observe hygiene and not refuse to prevent.