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Esthetic splinting as a therapy for emergency case in patient with periodontitis
Ranny Rachmawati1, Rudhanton2.
Periodontitis is an inflammatory disease of the periodontal tissue that can cause alveolar bone resorption, causing the tooth’s mobility. In the case of anterior tooth’s mobility and indications for extraction, it will usually cause esthetic problems for the patient, while the use of immediate denture is often rejected because it is uncomfortable. This case report will explain how to do the ideal splinting while still considering the aesthetic aspect. A 35-year-old female patient came with case mobility of anterior teeth and feeling pain when eating. Clinical examination found that tooth 32 were grade 3 mobility, periodontal pocket depth of 5 mm, recession was 3 mm, while teeth 31,33 was grade 2 mobility, periodontal pocket depth of 4 mm. On radiographic examination, there was the alveolar bone resorption reaching the 1/3 apical of tooth 32 and 1/3 cervical of teeth 31,33. The patient objected to having her teeth extracted due to aesthetic consideration. The treatment carried out in this case was extraction of tooth 32, because from the prognosis it could not be preserved, while teeth 31,33 could still be preserved. To overcome aesthetic problems and comfort the patient after tooth 32 extraction, the root of the tooth was cut to the cervical line, then the crown of tooth 32 was attached to teeth 31 and 33 using wire and composite. At the time of installation, the incisal position of tooth 32 should not be in contact with the opposing teeth to avoid occlusion pressure. On tooth 32, wire splinting were placed intra-coronally and on teeth 34,33,31,41,42,43 were placed extra-coronally. Splinting using the patient’s tooth to be reattached is one way to stabilize tooth mobility of anterior teeth while considering aesthetics aspect.
Affiliation:
- Universitas Brawijaya, Indonesia
- Universitas Brawijaya, Indonesia
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Indexation |
Indexed by |
MyJurnal (2021) |
H-Index
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3 |
Immediacy Index
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0.000 |
Rank |
0 |
Indexed by |
Scopus 2020 |
Impact Factor
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CiteScore (0.2) |
Rank |
Q4 (Medicine (all)) |
Additional Information |
SJR (0.144) |
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