Bida V. I., Gurin P. O., Viun G. I.

DENTISTRY

Scentific article

Purpose of the study. The purpose of this retrospective study is to evaluate the clinical efficacy of the use of an adhesive fiber splint and a universal folding periodontal splint in patients with chronic generalized periodontitis of the II degree of severity and 2-3 degrees of mobility of the mandibular anterior teeth of the after a conservative phase of treatment. Object and methods: 50 patients with generalized periodontitis of the II degree of severity and 2-3 degrees of mobility of the anterior teeth of the jaw after a conservative phase of treatment were splinted by adhesive fiber splint or a universal folding periodontal splint. To assess the effectiveness of the use of the splints used indices of oral hygiene and the periodontal status. Results. 12 months after splinting, the remission of periodontitis was determined in both groups. In the comparison group, the indices of periodontal status were worse, but no statistical difference between the groups was determined (p> 0.05). The indices of oral hygiene is much better (p <0.05) in the main group (OHI-S = 0.7 ± 0.38, O’Leary = 25.7 ± 10.15), and in the comparison group the values were higher (OHI-S = 1.17 ± 0.59; O’Leary = 39.9 ± 20.6). Among patients with a universal folding periodontal splint, after 12 months, there was no damage of the splint and return of the mobility of the teeth, and in 59% of patients with an adhesive fiber tire, the first complications appeared in the form of cracks and splits of the composite material. Conclusions. The results of the research show that the use of a universal folding periodontal splint makes it possible to improve (on average, 2 times) the oral hygiene, compared with the use of adhesive fiber tires.

periodontitis, splinting, periodontal splint, oral hygiene

1. Ambic K, Sangeeta T, Mahesh V. Single Visit rehabilitation with anterior fiber-reinforced resin composite bridges: a review. Indianian Journal Appllied Research. 2013;3:287-9.
2. Beloklitskaya GF, Luzina OV. Shinirovanie podvizhnyih zubov i vosstanovlenie vklyuchennyih defektov zubnyih ryadov v kompleksnom lechenii generalizovannogo parodontita. Sovremennaya Stomatologiya. 2004;2:64-5. [in Russian].
3. Kathariya R, Devanoorkar A, Shetty N. To Splint or Not to Splint: The Current Status of Periodontal Splinting. Journal of the International Academy of Periodontology. 2016;18(2):45-56.
4. Segio FG. Clinical rationale for tooth stabilization and splinting. Dental Clinics of North America. 1999;43:1-6.
5. Akulovich AV, Orehova LYu. Sovremennyie metodiki shinirovaniya podvizhnyih zubov v kompleksnom lechenii zabolevaniy parodonta. Novoe v stomatologii. 1999;4:25-32. [in Russian].
6. Kumbuloglu O, Aksoy G, User A. Rehabilitation of advanced periodontal problems by using a combination of a glass fiber-reinforced composite resin bridge and splint. Journal of Adhesive Dentistry. 2008;10:67-70.
7. Zholudev SE, Delets AV. Obosnovanie primeneniya razlichnyih shiniruyuschih konstruktsiy pri atroficheskih protsesah v tkanyah parodonta Problemyi stomatologii. 2013;4:16-22. [in Russian].
8. Leonenko PV, Zakiev IM. Sravnenie fiziko-mehanicheskih svoystv konstruktsionnyih materialov dlya izgotovleniya shiniruyuschih apparatov i shin-protezov pri generalizovannom parodontite. Sovremennyie problemyi nauki i obrazovaniya. 2013;6:111-20. [in Russian].
9. Epidemiology, etiology and prevention of periodontal disease: Report of WHO Scientific Group. Geneva; 2001. 227 p.
10. Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression a systematic review. J Clin Periodontol. 2015;16:59-70.
11. Віda VI, Gurin PO, Vіun GI. Klіnіchniy vipadok vikoristannya unіversalnoi rozbіrnoi parodontologіchnoi shini. Problemi bezperervnoi medichnoi osvіti na nauki. 2017;3:82-5. [in Ukrainian].
12. Danilevskiy NF, Borisenko AV, Antonenko MYu, Sidelnikova LF. Terapevticheskaya stomatologiya: uchebnik: v 4 t. T. 3. Zabolevaniya parodonta. Kiev.: VSI «Meditsina»; 2011. s. 616. [in Russian].
13. Віda VI, Gurin PO, Vіun GI, Sliusarenko NIa. Universalna rozbirna parodontolohichna shyna. Ukrainskyi zhurnal klinichnoi ta laboratornoi medytsyny. 2016;11(3):8-11. [in Ukrainian].

«Bulletin of problems biology and medicine» Issue 2 (144), 2018 year, 359-363 pages, index UDK 616.314.17- 008.1-089.23-06+615.242

10.29254/2077-4214-2018-2-144-359-363