Perawatan gigi goyang dengan splinting An increase in tooth mobility can occur due to several factors one of which

is trauma. Trauma is defined as trauma to the periodontium due to functional or parafunctional pressure which causes damage to the attachment of the periodontium due to exceeding the adaptive and reparative capacity. (Andreasen, 2007) Mobility occurrence is as an adaptation of the periodontium against excessive pressure it receives. In addition, the mobility of teeth due to trauma can also be accompanied by tooth migration, dental pain or discomfort when chewing or percussion in accordance with the case. (Andreasen, 2007) Generally, there are two forms, namely primary and secondary trauma which in this case refers to the primary trauma. Primary trauma is defined as injury or damage resulting from excessive external pressure on the gear teeth received the support of a healthy or normal periodontium. Influenced the degree of primary trauma excessive occlusal forces that increase the occurrence of bone loss and tooth mobility. (Andreasen, 2007) Mobility dental care can actually be done with a variety of treatments such as occlusal alignment, orthodontic treatment, or tooth extraction followed by bridge construction. But based on existing cases, the best treatment is splinting techniques. (Andreasen, 2007) Splinting dental is a tool designed to help stabilize the teeth and dental mobility to function normally despite the limited number of periodontium. Splinting also assist in performing its function when the gear tooths and its supporting tissues cannot function adequately. Basis of the treatment is to reduce mobility with splinting teeth and helps teeth become more stable and improving periodontal breakdown. Splinting classified based on time and usage purpose are temporary, provisional and permanent splinting. (Eley, 2009) a. Temporary splinting

Temporary splinting is kind of splinting that can be used to help healing after injury or after surgical treatment. Generally does not cause tissue damage. Splinting should be worn easily on a wobbly tooth and also easily removed after healing is obtained. Temporary splinting should not be placed on the tooth more than 6 months. If the specified time not robust stabilization of teeth then takes the form of a permanent splinting. (Eley, 2009) b. Provisional splinting Provisional splinting types have their uses are similar to temporary splinting. Splinting is often used for diagnostic purposes or in cases with treatment outcome can not be predicted. Splin provisional may be used for a certain time, from several months to several years. Splinting some form of temporary / provisional: (Eley, 2009) 1. Splinting with composite fillings This type of splinting is a form of temporary splinting the simplest and most useful in an emergency. Composite fillings are etched into the tooth surface and connected mobility experience. (Eley, 2009) 2. Wire and acrylic splinting. Wire and acrylic splinting is a form splinting who also easy to wear. Often used for stabilization of the incisors. This kind of splinting results in stronger and more reliable than the composite splinting. (Eley, 2009) 3. Orthodontic band Other form of temporary splinting is fixed orthodontic bands. Orthodontic bands mainly used as splinting the posterior segment. 0.005 inch stainless steel band paired to teeth together. Alternatively, splinting can be attached to the model and then cemented to the teeth. Edge of the band should be formed and polished so as to reduce plaque retention and keep the soft tissue to irritation. (Eley, 2009)

4. Removable splinting Biteguard acrylic used in the treatment bruxism can also be used as splinting. This should cover the occlusal surface of the tooth and extends 1-2 mm to the occlusal surface of the teeth. (Eley, 2009) 5. Splinting with Thin High Modulus Polyethylen Ribbon Splin using High Modulus materials polyethylen Thin Ribbon is one type that can be used in dental care mobility. A modification of the type of composite resin with the addition splin polyethylen fiber which has a high modulus of elasticity so as to improve the flexural strength than existing composites splin. High Modulus polyethylen Thin Ribbon has a diameter of 3 mm and a thickness of 0.18 11 mm.12 splin this type also has an excellent aesthetic because it does not require tooth preparation on the lingual surface. (Eley, 2009) c. Permanent splinting Permanent splinting is kind used in a long time. This tool is indicated if treatment with temporary or provisional splinting not indicate failure or success of treatment. This form can be permanent splinting fixed or removable. (Eley, 2009) 1. Crown and bridge Is a permanent form of splinting to immobilize most reliable gear. Splin this form is a form that is highly recommended but must be accompanied by attention to oral hygiene. In making this crown requires preparation of the tooth, the dentist and the expertise of a longer time. (Eley, 2009) 2. Lingual splinting Lingual splinting is a permanent form of removable splinting does not cause tooth tissue loss, easier made than splinting fixed and can be changed or

removed if necessary. Lingual splinting is basically removable partial dentures made of cobalt chrome cover with the expansion of the lingual surface of the tooth. (Eley, 2009)

Dapus

Eley BM, Manson JD, Periodontics. 5th ed. Elsevier Limited,2004:366-8. Andreasen JO, Andreasen FM, Andersson L. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Oxford, England, Wiley-Blackwell: 2007.