Trauma Splint Case #2
Displacement of an upper permanent tooth

The 13-year old male patient had an accident involving his bicycle and received a blow in the anterior region of his maxilla. The clinical examination showed displacement of his upper anterior tooth (21). Whilst radiographs indicated no bone- or dental fractures, substantial soft-tissue damage occurred.

After the tooth was re-positioned in the dental surgery, a trauma splint was bonded onto the labial surfaces of the upper anterior teeth. everStick® Ortho (Stick Tech Ltd) was bonded to the teeth using Xeno® III (Dentsply) and Tetric® Flow (Ivoclar Vivadent) as luting cement.

Trauma Splint Case #3
Alveolar bone fracture of the mandible

During play the 4-year old female patient received a blow in the anterior mandibular area. On examination it was found that the alveolar bone had fractured, a finding that was confirmed by a radiograph.

The fractured bone segment was re-positioned under general anesthetic and a trauma splint was placed; everStick® Ortho fibres were bonded on the lower anterior teeth. After etching it with 37% phosphoric acid, a bonding agent (Prime&Bond® NT, Dentsply) was placed, light-cured for 20 seconds per tooth and then a flowable composite), Filtek™ Flow (3M-ESPE) was used as a luting cement, securing the fibres to the labial aspects of the six lower anterior primary incisors.

Healing took place without any further incident and the splint was removed 12 weeks later.