Management of tooth mobility in the periodontology clinic: An overview and experience from a tertiary healthcare setting

Clement Chinedu Azodo, Paul Erhabor

African Journal of Medical and Health Sciences 2016 15(1):50-57

Background: Tooth mobility, considered as the extent of horizontal and vertical tooth displacement created by examiners force, is caused trauma and periodontal disease. It is a common presenting complaint in periodontal clinic and may result in occlusal instability, dietary restriction, masticatory disturbances, esthetic challenge, and impaired quality of life. The treatment of tooth mobility involves a combination of treatment of the etiology usually by nonsurgical and surgical periodontal treatment, occlusal adjustment, and splinting. This article reviewed occlusal adjustment and splinting in the management of tooth mobility and reported our experience in University of Benin Teaching Hospital, Benin City, Nigeria on tooth mobility managed with 0.5 mm hard stainless steel wire reinforced composite splint. Results: Composite splinting reinforced with 0.5 mm HSS wire facilitates healing of periodontally compromised teeth with mobility after they have been treated with nonsurgical periodontal therapy and occlusal adjustment. Conclusion: Splinting is a well-accepted integral part of holistic periodontal treatment which results in morale boost, improved patient comfort, and oral functions.

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