Effectiveness of Wire Composite Splints in Managing Pain and Mobility in Different Luxation Injuries of Permanent Anterior Teeth
Wire Composite Splints in Managing Pain
DOI:
https://doi.org/10.54393/pjhs.v4i06.787Keywords:
Wire Composite Splints, Luxation Injuries, Tooth Splinting, Tooth MobilityAbstract
Permanent teeth are susceptible to luxation injuries. Different methods of splinting have been used for better healing outcomes. Pain relief, mobility and gingival lacerations come out to be better managed when traumatic teeth are splinted for a required time. Objective: To determine the effectiveness of wire composite splints in managing pain and mobility in various luxation injuries. Methods: A count of 85 patients meeting the criteria of inclusion were included in the study that was conducted in Pedodontics department at Nishtar Institute of Dentistry Multan from 15th August 2022 to 15th January 2023 in a duration of 6 months. Patients were assessed for pain relief, comfort, and mobility at day zero and then at 7th and 14th day post splinting with 0.4mm wire and composite splints. Results: Grade I mobility was improved by 75.3 % and grade II and III mobility were improved by 100% at 14th day. On VRS scale moderate to severe pain was improved by 100% and mild one was by 73% on 14th day. These splints were effective in relieving pain and improving mobility at 7th and 14th day post splinting. Chi square test shows insignificant associations between pre and post splint mobility. Conclusions: It comes out that wire composite is not only an easy, at hand and quick method but has made mark for patient comfort, relief of pain, improving and managing mobility of different luxation injuries of young permanent anterior. This popular method of tooth stabilization enjoys its popularity for all the right reasons.
References
Kallel I, Douki N, Amaidi S, Ben Amor F. The incidence of complications of dental trauma and associated factors: a retrospective study. International Journal of Dentistry. 2020 Mar; 2020: 1-8. doi: 10.1155/2020/2968174. DOI: https://doi.org/10.1155/2020/2968174
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta‐analysis—One billion living people have had traumatic dental injuries. Dental Traumatology. 2018 Apr; 34(2): 71-86. doi: 10.1111/edt.12389.
Tewari N, Bansal K, Mathur VP. Dental trauma in children: a quick overview on management. The Indian Journal of Pediatrics. 2019 Nov; 86: 1043-7. doi 10.1007/s12098-019-02984-7. DOI: https://doi.org/10.1007/s12098-019-02984-7
Borges TS, Vargas-Ferreira F, Kramer PF, Feldens CA. Impact of traumatic dental injuries on oral health-related quality of life of preschool children: a systematic review and meta-analysis. PloS One. 2017 Feb 28; 12(2): e0172235. doi: 10.1371/journal.pone.0172235. DOI: https://doi.org/10.1371/journal.pone.0172235
Jamal S, Motiwala M, Ghafoor R. Conventional and contemporary approaches of splinting traumatized teeth: A review article. Journal of Pakistan Medical Association. 2020 Feb; 70(2): 53-9.
Horisk K and Gartshore L. Technique Tips: Replantation and Stabilization of Avulsed Permanent Teeth. Dental Update. 2020 May; 47(5): 456-61. doi: 10.12968/denu.2020.47.5.456. DOI: https://doi.org/10.12968/denu.2020.47.5.456
Levin L, Day PF, Hicks L, O'Connell A, Fouad AF, Bourguignon C, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction. Dental Traumatology. 2020 Aug; 36(4): 309-13. doi: 10.1111/edt.12574. DOI: https://doi.org/10.1111/edt.12574
Paz JL, Soares CJ, Rodrigues JF, de Araújo Almeida G, Soares PB. Fractured alveolar process displacement evaluation—Effect of the rigidity of wire-composite splints. Dental Traumatology. 2021 Apr; 37(2): 247-55. doi: 10.1111/edt.12616. DOI: https://doi.org/10.1111/edt.12616
Mirza KS, Tayyab MA, Ali W, Kazmi SS. A Comparison of Two Wire-Composite Splints Having Different Wire Diameters in the Management of Traumatic Dental Injuries. Pakistan Oral & Dental Journal. 2019 Apr 30; 39(1): 56-9.
Vanka A, Ravi KS, Roshan NM, Shashikiran ND. Analysis of reporting pattern in children aged 7 to 14 years with traumatic injuries to permanent teeth. International Journal of Clinical Pediatric Dentistry. 2010 Jan; 3(1): 15. doi: 10.5005/jp-journals-10005-1048. DOI: https://doi.org/10.5005/jp-journals-10005-1048
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta‐analysis—One billion living people have had traumatic dental injuries. Dental Traumatology. 2018 Apr; 34(2): 71-86. doi: 10.1111/edt.12389.
Ge L, Chen J, Zhao Y, Xia B, Kimura M. Analysis of Traumatic Injury in 886 Permanent Anterior Teeth. Journal of Hard Tissue Biology. 2005; 14(2): 53–4. doi 10.2485/jhtb.14.53 DOI: https://doi.org/10.2485/jhtb.14.53
Zerman N and Cavalleri G. Traumatic injuries to permanent incisors. Endodontic and Dental Traumatology. 1993 Apr; 9(2): 61–4. doi: 10.1111/j.1600-9657.1993.tb00661.x. DOI: https://doi.org/10.1111/j.1600-9657.1993.tb00661.x
Vanka S, Vanka A, Wali O, Chauhan NS, Alhazmi LS, Alqazlan AA. Prevalence of Early Childhood Caries among the 3-5-year-old Children in Jeddah, Saudi Arabia. International Journal of Clinical Pediatric Dentistry. 2022; 15(Suppl 2): S197. doi: 10.5005/jp-journals-10005-2152. DOI: https://doi.org/10.5005/jp-journals-10005-2152
Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta‐analysis—One billion living people have had traumatic dental injuries. Dental Traumatology. 2018 Apr; 34(2): 71-86. doi: 10.1111/edt.12389. DOI: https://doi.org/10.1111/edt.12389
Borin-Moura L, Azambuja-Carvalho P, Daer-de-Faria G, Barros-Gonçalves L, Kirst-Post L, Braga-Xavier C. A 10-year retrospective study of dental trauma in permanent dentition. Revista Española de Cirugía Oral y Maxilofacial. 2018 Apr; 40(2): 65-70. doi: 10.1016/j.maxilo.2017.03.001. DOI: https://doi.org/10.1016/j.maxilo.2017.03.001
Berthold C, Auer FJ, Potapov S, Petschelt A. Influence of wire extension and type on splint rigidity–evaluation by a dynamic and a static measuring method. Dental Traumatology. 2011 Dec; 27(6): 422-31. doi: 10.1111/j.1600-9657.2011.01033.x. DOI: https://doi.org/10.1111/j.1600-9657.2011.01033.x
Franz F, Potapov S, Petschelt A, Berthold C. Influence of adhesive point dimension and splint type on splint rigidity–Evaluation by the dynamic P eriotest method. Dental Traumatology. 2013 Jun; 29(3): 203-11. doi: 10.1111/j.1600-9657.2012.01164.x. DOI: https://doi.org/10.1111/j.1600-9657.2012.01164.x
Kwan SC, Johnson JD, Cohenca N. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model. Dental Traumatology. 2012 Aug; 28(4): 277-81. doi: 10.1111/j.1600-9657.2011.01086.x. DOI: https://doi.org/10.1111/j.1600-9657.2011.01086.x
Goswami M and Eranhikkal A. Management of traumatic dental injuries using different types of splints: a case series. International Journal of Clinical Pediatric Dentistry. 2020 Mar; 13(2): 199. doi: 10.5005/jp-journals-10005-1746. DOI: https://doi.org/10.5005/jp-journals-10005-1746
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