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Periodontal Splinting

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"I've been going to the Smile Cliniq for the past couple of years, and the treatment, care and advice from Chetan and his team has been faultless. Highly recommended." - A.S.
"Yet again I have been blown away by Smile Cliniq. After my filling fell out on Sunday night, I was distraught. But I phoned the Cliniq in the morning and got an appointment for the same morning. Dr Kaher put me at ease, even though I was very anxious, and did an amazing job on my..." - Robyn B
"What a great dental clinic! I was having issues with a tooth and Dr Sarita Kotecha was brilliant. Solved my dental issue quickly and explained everything in a way that made me actually enjoy the appointment (!!). They were able to squeeze me in last minute too. Highly recommend t..." - Saya Jones
"The service was so good at Smile Cliniq by Dr Sarita Kotecha, I recommended my wife to change dentist. We've been looking for a good dentist since moving to London 2 and 1/2 years ago and the quality we had received from our previous dentist was sub-standard. That all changed at ..." - Greg Jones
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Fantastic service, professional and top notch technology. Very hygenic and Dr Chetan Kaher has a very steady and experienced hand. Highly recommend." - Amrita Chauhan
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Friendly and helpful manager. Dentist was also friendly and efficient,Gave me lots of advice about dental care showing video." - Filippa Milioto
"Needed an emergency appointment, I was seen the same day! Great service and friendly staff" - Elena Milioto
"I found the the team at smile very professional and friendly, nothing was too much trouble. Chet presented all the options and my selected course of treatment took place over a year. As it involved one of my front top teeth I had some concerns and Chet was always available to ans..." - Irin Wu
"I have a hereditary tendency to get dental cavities, ensuing painful dental treatments, which left me scared of visiting dentists. Now, in my early thirties, I did everything to avoid dental checks. I also gave up on having cavity-free teeth. Two years ago, I was forced to find a..." - Rukmini
"I have just finished my year long lingual brace treatment with Dr Sarita Kotecha which has been a huge success. I'm so happy with the results! The staff at Smile Cliniq have always been friendly, helpful and welcoming; fitting me in for last minute appointments when necessary and..." - Maayan Bianca
"My wife needed to see a dentist on an emergency basis on a Saturday after a bad fall the evening before. We called on Saturday morning and they were able to take us that afternoon. The quality of care, both technically and inter-personally, could not have been better. If we lived..." - Hal N.

Periodontal Splinting (for mobile teeth)

What is periodontal splinting?

This is a form of treatment in which mobile teeth carefully splinted together therefore reducing/eliminating mobility.  However, this will not treat any gum disease (which would’ve caused the teeth to become loose in the first place).  Maintaining a high level of oral hygiene is advised.

Treatment options for mobile/ loose teeth (or teeth becoming loose)?

  • Do nothing – this is not recommended as the gum disease will likely progress leading to loss of teeth. As the teeth become more mobile they are likely to drift therefore resulting in the change of the bite and creating spaces between the teeth and at their necks.
  • See a periodontist/ dentist to stabilise the gum disease, the teeth may appear firmer and then it is up to you whether you want to pro-actively have them splinted.
  • Following stabilisation of periodontal disease to have orthodontic treatment to align the teeth. In most cases this is not possible due to the teeth being compromised.
  • Have the teeth extracted and replaced with a bridge. This is a suitable option as long as the teeth supporting the bridge have sufficient tooth structure and adequate bone support.
  • Have the teeth extracted and have implants placed. Prior to having implants (which involves surgery), the patient must have the periodontal condition stabilised to reduce failure.  Not all patients are suitable for implants.
  • Have the teeth extracted and have dentures placed. This is a removable appliance (advised to remove at night) replacing missing teeth and soft tissues.
  • Have the teeth splinted. This can be carried out using various techniques (outlined below).  This is least invasive, reliable form of treatment.  Unfortunately, many patients are not presented with this treatment option and have teeth extracted which could’ve potentially been delayed.

How is the treatment carried out?

There are several methods when it comes to splinting teeth.  However, many can lead to failure due to the intricate nature of the treatment and compromised condition of the teeth.

The treatment recommended is using EverStick Perio.  This is a bundle of pre-impregnated unidirectional glass fibres allowing us to reliably splint teeth using the minimally invasive dentistry concept.  This offers a long lasting, minimally invasive and a comfortable solution for periodontally compromised patients.

The aesthetic glass fibre is hidden behind the teeth and is bonded to teeth using aesthetic resin (after a shade match).  This fibre splint is not visible therefore providing excellent aesthetics.  This is a very technique sensitive procedure which can allow us to carefully reposition mobile teeth (close any spaces that may have recently opened up) and splint them together.  By splinting the teeth, the adjacent teeth are used for anchorage creating one solid unit and reducing/eliminated any mobility.  Furthermore, an added bonus is if the tooth does require extraction in the future, the root can be sectioned off (amputated) leaving the patients natural crown in the splint (aesthetically the most natural bridge as the patient’s own tooth is used).

The steps are highlighted below:

 

 

 

 

 

 

 

This can be completed in under an hour.

Dr. Krishen Shah who is always looking at ways to increase patient comfort, has extensive experience splinting periodontally compromised teeth with Everstick Perio.

Case Examples 

Case 1:

Having splinted the lower arch in 2016, the patient returned wanting the upper arch to be splinted in 2017, as gaps started to appear between his front teeth (as one was becoming very loose)

Before:

 

 

 

 

 

 

 

 

 

 

After:

There is a reduction in the gap between the front two teeth.

 

 

 

 

 

 

 

 

 

 

Case 2:

Unfortunately, due to ill health, this patient’s teeth have really suffered in the last few years.  This patient had a loose front tooth which she was resigned to losing.  She wanted to delay having a bridge/denture and wanted to avoid invasive treatment (implants).

Several other front teeth were also mobile and this patient opted for a glass fibre reinforced splint (having presented all options), with the possibility of amputating the really loose tooth in the future leaving the crown of the tooth acting as a natural bridge.

This was a difficult case to splint due the severe mobility, the teeth were also re-contoured and the patient opted not to have the black triangles concealed as she was already ecstatic with the results.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost

 

This treatment takes approximately 60 minutes and comes with 5 year guarantee. The cost starts from £350

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