Dentists - Clinical Cases: Splinting

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	Trauma Splint Case #1



	Trauma Splint Case #2



	Occlusal Splint

	Step 1 Rubber Dam placed.

	Step 2 Shallow trench preparation and embrasures blocked out. Can only surface retain – no trench!

	Step 3 Etch, rinse and dry. Apply bonding agent and light cure. Place flowable composite in trench preparation. Embed splint in flowable composite.

	Step 4 Tac splint. The Stepper instrument is very handy to prevent the light from curing the rest of the splint.

	Step 5 Splint tacked on the teeth.

	Step 6 Cover with composite.

	Step 7 Finish and polish splint.

Trauma Splint Case #1
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.

	1. Mobile premolar with fractured filling causing food impaction.

	2. Labial view.

	3. Amalgam restorations removed.

	4. Extend the margins supra-gingivally.

	5. Fibres placed. Use a wooden wedge to keep embrasure spaces open.

	6. Restorations completed.

	7. Bite adjusted.

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