The method of splinting mobile teeth in complex treatment of chronic periodontitis

Nowadays, the prevalence of inflammatory periodontal diseases in the population remains at a high level. Meanwhile, periodontal diseases are chronic foci of oral infection, which often cause the development of focal-related diseases. In addition, tooth loss due to complications of chronic periodontitis leads to dysfunction of the dental alveolar system and mandibular joint. In this regard, the study of these aspects is an urgent general medical problem, including clinical dentistry. Thus, a comprehensive study of chronic periodontitis was carried out in the population living in the North, and on the basis of the obtained results, a method for splinting teeth in periodontitis was developed. To carry out the developed method in periodontological practice, a double silicone cast of the upper and/or lower jaw is first taken with further personalized planning of the splinter apparatus on a plaster model of the jaws, further, a splinting structure for immobilisation of movable teeth is made from colourless plastic and titanium woven wire, and the ready combined splint is additionally fixed from lingual or palatal sides of teeth with light hardening composite material on upper and/or lower jaw; splinting is performed with duration from 1 to 3 months. Depending on the complexity of the clinical situation, patchwork operations are performed to reduce the size of the periodontal pockets and create conditions for the formation of a new tight attachment of the gum to the teeth, followed by orthopedic treatment. The results of clinical-functional analysis of developed method application in complex treatment of chronic periodontitis of moderate severity confirm its clinical efficiency.

1. The use of Dentapreg fiberglass splinting material for generalized periodontitis / S.B. Fischev, A.A. Storina, S.G. Galstyan [et al.] // Modern science: current problems of theory and practice. Series: Natural and Technical Sciences. 2024; No. 4-2: 197-200. DOI: 10.37882/2223-2966.2024.4-2.34.

2. Complex treatment of periodontitis / V.V. Frolov, A.S. Goryachy, P.A. Lagutin, A.V. Efremova // Research. Innovation. Practice. 2025; V.14. No. 1: 90-92. DOI: 10.18411/iip-02-2025-23.

3. Microbiological landscape of periodontal pockets against the background of local antibacterial therapy of chronic generalized periodontitis: a multicenter clinical study / Z.K. Shamanova, O.N. Risovannaya, V.N. Lenev [et al.] // Kuban Scientific Medical Bulletin. 2024; V.31. No. 2: 55-68. DOI: 10.25207/1608-6228-2024-31-2-55-68.

4. Periodontitis: causes, symptoms and treatment / L. Ataeva, A. Uroshevich, V. Slivchuk, D. Aliyev // Topical issues of modern scientific research: collection of articles of the XII International Scientific and Practical Conference, Penza, July 05, 2024. Penza: Science and Enlightenment (IP Gulyaev G.Yu.); 2024: 149-151.

5. Pinelis I.S. Splinting for periodontitis // Aesthetic dentistry: Materials of the V Baikal All-Russian Dental Forum, Irkutsk, October 2224, 2024. Irkutsk: "Irkutsk Scientific Center for Surgery and Traumatology"; 2024: 99-103.

6. Yashnova N. B., Pinelis Yu. I., Dutova A. A. Microbial composition of the periodontal pocket in chronic generalized periodontitis/ //Actual problems of medicine. 2024; Vol. 47. No.1: 89-98. DOI: 10.52575/2687-0940-2024-47-1-89-98.

7. Batih I. Prevalence of maxillofacial anomalies and their relation to periodontal diseases in young people // Medical Science. 2024. Vol.28. No.143: 1-6. DOI: 10.54905/disssi.v28i143.e3ms3256.

8. Influence of gum recession in periodontitis on oral health: causes, consequences, diagnosis, and surgical treatment methods / I.K. Bankin, V.P. Proshina, V.V. Fedechkin [et al.] // WEEK OF RUSSIAN SCIENCE (WERUS-2024), April 6-19 2024. Saratov, 2024: 574-575.

9. Kydenko V.A., Budyansky S, Senyshyn R. Modern view of etiopathogenesis of periodontal diseases. Annali d'Italia. 2024. No. 56: 64-67. DOI: 10.5281/zenodo.12550393. EDN LZRKBR.

10. Patil, R.T., Dhadse P.V., Salian Sh.S., Punse S.D. Role of Oxidative Stress in Periodontal Diseases / // Cureus. 2024. DOI: 10.7759/cureus.60779. EDN KFROLS.

11. Şahin T. Investigation of the relationships between peri-implant diseases, periodontal diseases, and conditions: a cross-sectional study. Peer J. 2024. Vol.12: 163-186. DOI: 10.7717/peerj.18663.

12. Verma K., Singh A. Biomarkers in periodontal health and diseases. IP International Journal of Periodontology and Implantology. 2024. Vol. 9. No.2: 64-67. DOI: 10.18231/j.ijpi.2024.014. EDN ZXNDLY.