What does the literature say about splinting?

“Severely mobile teeth, if in health, can be retained almost indefinitely.” - (Pollack, 1999)

“Used correctly, periodontal splinting can greatly improve the comfort, prognosis and outcome for a patient with serious periodontal disease. But used incorrectly, splinting can cause further deterioration in periodontal health.” - (Roger F Mosedale, Dental Update 2007)

“Splinting is not a substitute for periodontal treatment.” - (RE Rada, ‘Mechanical stabilization in mandibular anterior segment’, Quintessence Int 30:243-248, 1999)

But more importantly:

  • The underlying periodontal disease must first be treated
  • Splinting is not a quick solution to simply stabilize loose teeth
  • Splinting is always a part of a periodontal treatment plan
  • The patient must be able to maintain the splint and the gingivae and keep the area clean, and thus disease free.
  • The necessity of regular follow-up visits to an oral hygienist cannot be stressed enough.