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Dentistry
Splint Preparation
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1. Thoroughly remove any plaque and calculus and clean the teeth to be splinted with a nonfluoridated abrasive paste (Figures 1 & 2) 2. Apply rubber dam (Figure 3). 3. Etch the lingual and approximal areas of the teeth for 60 seconds. spraying it 5) Remove the acid by for 30 seconds and carefully blow the entire operating site dry (Figure 4).
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4. Determine the length of Fiber-Splint material required, using either a piece of lead foil (Figure or a calibrated periodontal probe.
5. Cut approximately six strips of the correct length from the roll of material (Figure 6)
Splint Placement
1. Apply a thin coat of liner to the etched surfaces and air blow lightly to spread it. Note : To maintain the position of very loose teeth, splint them slightly by applying small amounts of liner interdentally and curing it. 2. Dispense a small amount of liner on a chilled glass slab and immerse the first strip. Note : The fluid soak completely into the fiber, and excess should be squeezed out onto the slab (Figure 7). must
3. Place the strip on the etched tooth surface and press it as far as possible into the interdental space (Figure 8). Note : Take care that no air is trapped between the strips, tooth, and liner. 4. Cure the liner on each tooth separately and then cure the interdental spaces. 5. Apply and cure the remaining strips in the same manner. Depending on the space available, four of to six strips are usually applied. fiber in the interdental spaces (from the buccal) and coat them with composite and cure. 6. If the creation of any number of interdental fiberglass "bridges" is desired, place small pieces 7. Apply the final coat, which consists of a mixture of liner and low-viscosity composite, in a thin layer to the oral surface and cure it. Note : This coating smoothes the roughness caused by the fiber and makes the surface easier to polish (Figure 9).
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Splint Finishing
1. If necessary, add composite to the buccal surface to improve the cosmetic effect. 2. Trim the splint, including the interdental areas, with diamond burs and then with discs. 3. Fluoridate the enamel of the splinted teeth and remove the rubber dam. Note : Any occlusal high spots should be ground in and polished (Figure 10).
The splint was replaced with a restoration such as telescopic bridgework10%. The splint fractured after some time and, after attempting to renew it, was removed15%.
Immediate restoration after extracting a single anterior tooth from an intact dental arch.
The upper right central incisor must be extracted as it is periodontally involved (Figure 11). A bridge could not be considered for economic reasons. Following extraction, the incisor was reduced apically and secured in place during the same appointment (Figure 12). The splinted tooth has been in situ for four years.
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