Clinical comparison of fiber-reinforced composite and stainless steel wire for splinting periodontally treated mobile teeth


  • Aliye Akcalı Ege University
  • Pınar Gümüş Ege University, School of Dentistry, Department of Periodontology, İzmir, Turkey
  • Mutlu Özcan University of Zurich, Dental Materials Unit, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, Zurich, Switzerland



Objective: This clinical study evaluated the success of two different splint materials bonded on periodontally treated mobile teeth.

Methods: A total of 14 patients were included in the study. Patients were randomly assigned to the groups to receive either with or wire composite splint (WCS) or fiber-reinforced composite splint (FCS). Clinical periodontal parameters were performed and periotest values were recorded at baseline, and after 6 and 12 months. Patients were asked to complete a self-administered questionnaire after the splinting procedures. Failure types for the splints were categorized.

Results: Baseline PI values showed significant decrease at 6 month follow up in the WCS (p=0.0019) and FCS (p<0.0001) groups and remained stable after 12 months (WCS; p=0.36, FCS; p=0.63). During the course of the study, PD and RD values exhibited no change between and within groups. Clinical parameters including PD, RD, PI and BOP were stable at 6 and 12 months follow-up period. In 6 patients (4 FCS, 2 WCS), reparable failures occurred during the observation period. In four patients (3 FCS, 1 WCS) splints failed completely and were removed. The periotest values of the failing teeth ranged between 47.3 and 50. In 3 patients in the WCS and 1 patient in the FCS group, periotest values were ? 40 but no splint failures were observed.

Conclusion: FCS tends to show increased mechanical limitations compared to WCS. Teeth with periotest values above 40 may be more prone to splint failures independent of the splint material. 

Author Biography

Aliye Akcalı, Ege University

Department of Periodontology






Clinical or Laboratorial Research Manuscript