Periodontal splinting – an adjunct to non-surgical periodontal therapy for teeth with increased mobility

Introduction: Periodontitis is a chronic inflammatory disease leading to the loss of the supporting apparatus of the tooth, and tooth mobility is a common complication of advanced stages of the disease. Splinting is a therapeutic measure stabilizing mobile teeth and improves function in the patient. Aim: To present the clinical procedure and therapeutic outcome of splinting of mobile lower incisors in a patient with stage 3, class B periodontitis. Methods: A case of a 40-year-old patient with pronounced gingival recessions, moderate plaque index, subgingival calculus and mobility of the lower frontal teeth is presented. After initial non-surgical therapy and subgingival curettage, splinting of the lower incisors was performed using Ribbond fibers. The procedure included etching, adhesive preparation, adaptation of the fibers to the contour of the tooth and finishing with composite material, with occlusion check and polishing. Clinical effects were monitored through multiple visits. Discussion: Splinting with fiber-reinforced composite materials is an effective and aesthetically acceptable method of tooth stabilization in patients with periodontitis. In this case, stabilization of mobile teeth and reduction of subjective symptoms of hypersensitivity after treatment were achieved. The literature confirms that adequately planned and timely splinting can contribute to the improvement of periodontal parameters, bone remodeling and increased oral health quality of life. An individualized approach and estimation of optimal intervention timing are key to achieving stable long-term outcomes.