CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS

Oleg Yanushevich; Konstantin Bolgov; Elena Vaitsner; Zlata Akimova

doi:10.18481/2077-7566-2025-21-1-107-112

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CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS

Published in Actual problems in dentistry · Volume 21, Issue 1 · Pages 107–112 · Rubric: PERIODONTIC DENTISTRY

DOI: https://doi.org/10.18481/2077-7566-2025-21-1-107-112

Received: 24.04.2025 Accepted: 01.05.2025 Published: 01.05.2025 Language of publication: RUS

Authors

Oleg Yanushevich

Konstantin Bolgov

Elena Vaitsner

Zlata Akimova

Oleg Yanushevich

Academic degree: doctor of medical sciences

Science rang: professor ; academician author.academy_titles.32

Russian University of Medicine Head of the Department · Department of Propedeutics of Therapeutic Dentistry · Russian Federation · Moscow

Konstantin Bolgov

Russian University of Medicine Department of Propedeutics of Therapeutic Dentistry · Russian Federation · Moscow

Elena Vaitsner

Russian University of Medicine Associate Professor · Department of Propedeutics of Therapeutic Dentistry · Russian Federation · Moscow

Zlata Akimova

Smolensk State University Resident at the Department · Department of Surgical Dentistry · Russian Federation · Smolensk

ABSTRACT

Subject. The clinical efficacy of stabilizing mobile mandibular incisors in periodontitis using fiberglass splints. The relevance is driven by the lack of consensus on the optimal timing for splinting mobile teeth (early in treatment or after inflammation control) to improve the periodontal condition. Objectives. To evaluate the clinical efficacy of using fiberglass splints on the lower incisors in the treatment of periodontitis. Methodology. A randomized clinical trial involved 22 patients with generalized periodontitis who met the following criteria: involvement of ≥6 teeth with a periodontal pocket depth of ≥4 mm and the presence of ≥2 lower incisors with Grade II–III mobility. Patients with bruxism, occlusal anomalies, anterior implants, or recent periodontal therapy were excluded. Participants were randomly divided into two groups: 1 (n=9), where teeth 3.3–4.3 were splinted before the start of anti-inflammatory treatment, and 2 (n=13), where splinting was performed one month after therapy completion. Efficacy was assessed by changes in mean probing pocket depth (PPD) and clinical attachment loss (CAL) from baseline over 6 months. Results. After 6 months, both groups exhibited a significant improvement in PPD and CAL (p<0.05). Group 1 demonstrated a tendency toward a more pronounced reduction in PPD and CAL in the 3.3–4.3 region compared to Group 2: PPD decreased by 0.91 mm vs. 0.27 mm, and CAL improved by 1.02 mm vs. 0.47 mm (difference not statistically significant, p=0.06). Conclusion. Early splinting with fiberglass structures in periodontitis offers better stabilization of mobile teeth and improved parameters compared to delayed splinting. However, incidents of splint detachment indicate the need for technique refinement and further research.

KEYWORDS

periodontitis, fiberglass splinting, tooth mobility, periodontal pocket depth, periodontal treatment

1. Antonenko M.Yu., Simonenko R.V. Sravnitel'nyy analiz effektivnosti adgezivnyh metodov prolongirovannogo shinirovaniya podvizhnyh zubov v processe kompleksnoy reabilitacii bol'nyh generalizovannym parodontitom. Sovremennaya stomatologiya. 2018;(1):60-64. [Antonenko M.Yu., Simonenko R.V. Comparative analysis of the effectiveness of adhesive methods of durable immobilization of mobile teeth in the process of complex rehabilitation of patients with generalized periodontitis. 2018;(1):60-64. (In Russ.)]. https://www.elibrary.ru/item.asp?id=32736398

2. Astashina N.B., Kazakov S.V., Rogozhnikova E.P., Goryachev P.S. Razrabotka neinvazivnoy shiniruyuschey konstrukcii kak lechebno-profilakticheskogo apparata, ispol'zuemogo pri lechenii pacientov s hronicheskim generalizovannym parodontitom. Problemy stomatologii. 2018;14(1):52-56. [Astashina N.B., Kazakov S.V., Rogozhnikova E.P., Goryachev P.S. Development of a non-invasive splint as a curative and preventive deviceused in treatment of patients with chronic generalized periodontitis. Actual problems in dentistry. 2018;14(1):52-56. (In Russ.)]. https://doi.org/10.18481/2077-7566-2018-000010

3. Zhuravlev V.A., Kazakova A.V. Metody fiksacii podvizhnyh zubov pri lechenii hronicheskogo generalizovannogo parodontita. Problemy stomatologii. 2014;10(2):4-8. [Jhuravlev V.A., Kazakova A.V. Methods of mobile teeth splinting in chronic generalized periodontitis treatment (review). Actual problems in dentistry. 2014;10(2):4-8. (In Russ.)]. https://doi.org/10.18481/2077-7566-2014-0-2-4-8

4. Parhamovich S.N. Primenenie adgezivnyh shin dlya stabilizacii podvizhnyh zubov pri kompleksnom lechenii zabolevaniy periodonta. Sovremennaya stomatologiya. 2007;(1);90-95. [Parhamovich S.N. The use of adhesive splints to stabilize mobile teeth in the complex treatment of periodontal diseases. Sovremennaâ stomatologiâ. 2007;(1);90-95. (In Russ.)]. https://www.mednovosti.by/journal.aspx?article=354

5. Sadaeva A.D., Hachaturyan N.V., Pisarenko D.I. Ispol'zovanie steklovolokonnoy lenty Interlig dlya shinirovaniya zubov pri lechenii zabolevaniy parodonta. Glavvrach Yuga Rossii. 2019;(3):15-16. [Sadayeva A.D., Khachaturian N.V., Pisarenko D.I. Use of interlig glass-fiber tape for treating teeth in the treatment of periodontal diseases. Glavnyj vrač Ûga Rossii. 2019;(3):15-16. (In Russ.)]. https://www.elibrary.ru/item.asp?id=38508735

6. Starovoytova V.S. Issledovanie mikroskopicheskogo stroeniya adgezivnyh shiniruyuschih konstrukciy, soderzhaschih v svoey strukture razlichnye po himicheskoy prirode lenty dlya armirovaniya. Vestnik medicinskogo instituta «REAVIZ». Reabilitaciya, Vrach i Zdorov'e. 2022;(5):106-116. [Starovoytova V.S. Research of the microscopic structure of adhesive splinting constructions containing different chemical nature of reinforcing tapes in their structure. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2022;(5):106-116. (In Russ.)]. https://doi.org/10.20340/vmi-rvz.2022.5.DENT.1

7. Yanushevich O.O., Atrushkevich V.G., Ayvazova R.A., Sokolova E.Yu. Mikrobiologicheskaya ocenka effektivnosti metoda mestnoy dostavki antiseptikov pri lechenii hronicheskogo generalizovannogo parodontita. Cathedra. 2016;(58):18-21. [Yanushevich O., Atrushkevich V., Aivazova R., Sokolova E. Microbiological evaluation of the effectiveness of the method of local delivery of antiseptics in the treatment of chronic generalized periodontitis. Cathedra. 2016;(58):18-21. (In Russ.)]. http://cathedra-mag.ru/wp-content/uploads/2017/04/Cathedra_58_2016.pdf

8. Eickholz P., Koch R., Kocher T., Hoffmann T., Kim T. S., Meyle J. et al. Clinical benefits of systemic amoxicillin/metronidazole may depend on periodontitis severity and patients' age: an exploratory sub-analysis of the ABPARO trial. Journal of clinical periodontology. 2019;46(4):491-501. https://doi.org/10.1111/jcpe.13096

9. AWMF. Adjuvante systemische Antibiotikagabe bei subgingivaler Instrumentierung im Rahmen der systematischen Parodontitistherapie: S3-Leitlinie (Kurzversion); stand November 2018. https://www.dgzmk.de/documents/10165/1373255/S3-Leitlinie+%28Kurzversion%29+Adjuvante+systemische+Antibiotikagabe+bei+subgingivaler+Instrumentierung+im+Rahmen+der+systematischen+Parodontitistherapie/f71079c2-1cd4-4aca-bd64-f11b4e2b725d

10. Lindhe J., Nyman S. The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease. Journal of clinical periodontology. 1975;2(2):67-79. https://doi.org/10.1111/j.1600-051X.1975.tb01727.x

11. Sonnenschein S.K., Ziegler P., Ciardo A., Ruetters M., Krisam J., Kim T.S. The impact of splinting mobile mandibular incisors on Oral Health-Related Quality of Life – preliminary observations from a randomized clinical trial. Journal of clinical periodontology. 2021;48(6):816-825. https://doi.org/10.1111/jcpe.13454

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GOST

Yanushevich O. O., Bolgov K. S., Vaitsner E. Y., Akimova Z. D. CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS // Actual problems in dentistry. 2025. no. 1. pp. 107-112. DOI: https://doi.org/10.18481/2077-7566-2025-21-1-107-112. (Date of access 02.10.2026).

MLA

Oleg Yanushevich, Bolgov K. S., Vaitsner E. Y., Akimova Z. D.. "CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS." Actual problems in dentistry 21.1 (2025): 107-112. DOI: https://doi.org/10.18481/2077-7566-2025-21-1-107-112.

APA

Yanushevich O. O., Bolgov K. S., Vaitsner E. Y., Akimova Z. D. (2025). CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS. Actual problems in dentistry, 21(1), 107-112. https://doi.org/10.18481/2077-7566-2025-21-1-107-112

Chicago

Oleg Yanushevich, Bolgov K. S., Vaitsner E. Y., Akimova Z. D.. "CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS." Actual problems in dentistry 21, no. 1 (2025): 107-112. https://doi.org/10.18481/2077-7566-2025-21-1-107-112.

WIKI

{{cite journal | author = Yanushevich O. O., Bolgov K. S., Vaitsner E. Y., Akimova Z. D. | title = CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS | journal = Actual problems in dentistry | year = 2025 | volume = 21 | issue = 1 | pages = 107-112 | doi = 10.18481/2077-7566-2025-21-1-107-112 }}

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CLINICAL EVALUATION OF THE EFFECTIVENESS OF USING FIBERGLASS SPLINTING STRUCTURES IN THE TREATMENT OF PERIODONTITIS

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