Comparison of two composite resin materials for splinting of dental luxation injuries: A double blind randomized controlled trial.

Abstract

BACKGROUND/AIM:

Luxation is a common traumatic dental injury treated with a wire composite (WC) splint. However, bulk-fill flowable composite and conventional packable composite have not been compared for retaining these splints. Therefore, the objectives of this randomized controlled trial were (1) to compare retention of WC splints, and (2) to compare adhesive point dimension, application and removal time, and effect on tooth mobility between the two WC splints.

MATERIALS AND METHODS:

In this parallel group, non-inferiority double blind randomized controlled trial, a total of 90 patients, aged 16-50 years participated. They were randomly allocated into two groups, the packable composite group (PC) n = 45 and the bulk-fill flowable composite group (BF-FC) n = 45 by lottery method. Following measurements were taken at the splint application appointment. Horizontal tooth mobility measured via Periotest, splint application time, and frontal images of splinted teeth to measure the percentage composite adhesive point area. After 2 weeks, splints were visually inspected for retention, whereas mobility and removal times were also recorded. Statistically, comparisons were made using independent samples sample T-test, Fisher's exact test, and Mann-Whitney U at p ≤ .05.

RESULTS:

A total of 88 patients with 156 luxated teeth completed the trial, as two patients were lost to follow-up. Two patients in the PC group reported with completely de-bonded splints while none de-bonded in the BF-FC group. Both groups were similar in terms of splint retention (p = .352), reduction of mobility (p = .426), and splint removal times (p = .372). The BF-FC group performed significantly better in adhesive point dimension percentages (p < .001) and splint application time (p < .001).

CONCLUSION:

Both groups were comparable in most parameters of the study. However, for BF-FC group application time and adhesive point dimension were significantly less.

• Authors: Misbah Ali Raza, Javeria Ali Khan, Hira Akhtar, Waqas Ahmed Farooqui, Hira Faraz, Arshad Hasan
• Journal: Dental traumatology : official publication of International Association for Dental Traumatology (Dent Traumatol) (Aug 24 2023) ISSN: 1600-9657 [Electronic] Denmark
• PMID: 37615239 (Publication Type: Journal Article)
• Copyright: © 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.