CSS PERIO OBIE

8/7/2019 CSS PERIO OBIE

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CSSCSS

ModulModul PenyPeny. Periodontal. Periodontal

Robby Ramadhonie


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ProblemProblem

y Traumatically loosened, displaced or avulsed permanent teeth are

normally splinted.The splinting method used for stabilization should

support periodontal healing. There are many different types of

splinting technique.

y An ideal splint should be passive and flexible to allow physiologic

tooth mobility

y From the patients perspective, it is important that these splints are

comfortable anddo not interferewith oral hygiene, speaking and

eating. In addition, the splints should not irritate adjacent tissues

(gingiva, lips).

y The objective of this experimental study was to compare and

evaluate titanium trauma splint (TTS), a wire-composite splint

(WCS), a resin splint (RS) and a button-bracket splint (BS) with

respect to the subjective assessment by the patient.


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IntervensionalIntervensionaly The present experimental study compared four dental trauma splints in 10

volunteers. All subjects were female with amean age of 21years and

6months (range 17 years and 6months to 34years and 9months)

y All four maxillary incisors in all volunteers were free of caries and

periodontal diseases. All subjects were healthy and presented no medical

contraindications for the planned procedures.

y The evaluated splints included a wire-composite splint (WCS), a button-bracket splint (BS), a resin splint (RS), and the newly developed

titaniumtrauma splint (TTS). All splints were bonded to the labial surfaces

of the maxillary lateral and central incisors and left in place for 1week.

y After splint removal, the next splint was placed after a 1-week rest period.

The sequence of splint application was randomized for each individual. The

following subjective parameters were assessed using a visual analogue scale:sensitiveness of splinted teeth, irritation of the gingivalmargin, irritation of

the lips, impairment of speech, eating and oral hygiene.

y All datawere analysed by descriptive methods using box plots. As they

were not normally distributed, theWilcoxon test for paired data was

performed. When employing multiple comparisons, the P-valueswere

corrected using the Bonferroni adjustment procedure.


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OutputOutputy None ofthe subjects withdrew from the study; atotal of 4 splints could, therefore, be

evaluated.

y The parameters impairment of eatingand irritation of gingival margin showed no

statistical differences between the four splints. However, RS showed an increasing

irritation of the gingiva over time compared to the other splints

y Sensitiveness of teeth and lips was more severe for most splints on day 1, with a

continuous recovery on the following days (Figs.6 and 7). Statistically significant

di!erences of sensitive teeth on day 1 were found for BS compared to WCS

(P


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CriticalAppraisalCriticalAppraisal

ARETHERESULTS VALID?ARETHERESULTS VALID?

y

Did the individual assessing the outcome criteria knowwhether or not the patient had a potential prognostic factor,

i.e. were they blinded? (15)

The study not blinded, but there are have the outcome criteria such as

have aAll four maxillary incisors in all volunteers were free of caries

and periodontal diseases.All subjects were healthy and presented no

medical contraindications for the planned procedures. (10)

y Was there standardisation for potentially important

prognostic factors e.g. age? (10)

All subjects were female with amean age of21years and 6months

(range 17 years and 6months to 34years and 9months). (5)

y Was the follow-up of these patients sufficiently long and

complete? (15)

All splints were bonded and place for 1week. After splint removal, the

next splint was placed after a 1-week rest period. (10)


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WILL THERESULTS HELP MEWITHWILL THERESULTS HELP MEWITH

THIS PATIENT?THIS PATIENT?

y Will the results lead directly to selecting or avoiding a

treatment? (15)

The results of this study help us to choose from a variety of dental

splint technique (10)

y Are the results useful for reassuring or counselling mypatient? (10)

For this, could be an option as a dentist (10)

Decision to use this journal is60%


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Titanium Trauma Splint (TTS) WireTitanium Trauma Splint (TTS) Wire--composite splint (WCS)composite splint (WCS)

Bracket Splint (BS) Resin Splint (RS)Bracket Splint (BS) Resin Splint (RS)

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