Veras Samuel Rodrigo de Andrade, Bem Jéssica Silva Peixoto, de Almeida Elvia Christina Barros, Lins Carla Cabral Dos Santos Accioly
Dentist,Brazil.
Department of Prosthodontic and Maxillofacial Surgery of Federal University of Pernambuco, Recife, Pernambuco, Brazil.
J Istanb Univ Fac Dent. 2017 Dec 2;51(3 Suppl 1):S69-S75. doi: 10.17096/jiufd.93579. eCollection 2017.
Avulsion is defined as the complete displacement of the tooth out of its socket with disruption of the fibers of periodontal ligament, remaining some of them adhered to the cementum and the rest to the alveolar bone. This condition is more frequent in young permanent teeth, because the root development is still incomplete. Splints are used to immobilize traumatized teeth that suffered damage in their structures of support, preventing their constant movement. The literature has shown that after replantation, it is necessary to use splints in order to immobilize the teeth during the initial period, which is essential for the repair of periodontal ligament; the use of semi-rigid splint is more indicated than the rigid one, and long periods of splinting showed that substitutive resorption or ankylosis is an expected complication. Thus, the aim of this review is to describe the different types of splints; their time of permanency, and its influence on the process of healing and reparation on the occurrence of substitutive resorption or ankylosis. It is very important to keep gathering knowledge about this content, since it has been proved that the approaches and the protocols keep changing over time.
牙脱位是指牙齿完全从牙槽窝中脱出,牙周膜纤维断裂,部分纤维仍附着于牙骨质,其余附着于牙槽骨。这种情况在年轻恒牙中更为常见,因为牙根发育仍不完全。夹板用于固定在支持结构上受损的外伤牙齿,防止其持续移动。文献表明,再植后,在初始阶段有必要使用夹板固定牙齿,这对牙周膜的修复至关重要;使用半刚性夹板比刚性夹板更合适,长时间使用夹板表明替代性吸收或牙骨质粘连是预期的并发症。因此,本综述的目的是描述不同类型的夹板;它们的固定时间,以及其对愈合和修复过程中替代性吸收或牙骨质粘连发生的影响。不断收集关于这方面内容的知识非常重要,因为事实证明,方法和方案会随着时间不断变化。