Periodontal Therapy With Intracoronal Fiber Splint in Case of Tooth Mobility With Crowded Anterior in Adolescents: A Case Report

Background: Plaque is a significant factor that leads to periodontal disease. One of the most common areas for plaque accumulation is the lower anterior region. Crowding acts as a predisposing factor for plaque accumulation and if not treated eventually leads to periodontal disease. Periodontal disease progression may lead to pathological tooth mobility which can result from acute periodontal inflammation, traumatic occlusion and an apical shift of the rotational center of the tooth as it occurs in advanced alveolar bone loss, and the increased mobility can cause inconveniences for the patient. The new classification of periodontal disease states that teeth with progressive mobility may require splinting therapy to improve patient comfort and additional improvement for the Oral Health-related Quality of Life. Objective: To describe the correction of tooth mobility with intracoronal fiber splint to improve function and comfort. Case Report: A 26-year-old male patient with crowded anterior presented to the Periodontics Department of the Dental and Oral Hospital of Gadjah Mada University (RSGM UGM) with the main complaints of lower front teeth mobility and frequently bleeding of gums, especially when brushing the teeth. The treatment plans of periodontal therapy begins with the initial phase, followed by the correction and the maintenance phases. In the initial phase, DHE, SRP, desensitization, occlusion adjustment and intracoronal fiber splint were carried out to eliminate inflammation and stabilize the mobility of the teeth. Conclusion: The splint is a periodontal therapy done through the redistribution of forces on the affected teeth, the splint minimizes the impact of the loss of support. The loss of support structures of the teeth leads to the mobility of the teeth. Increased mobility of the teeth affects the function, aesthetics and comfort of the patient. Splints are used to overcome all these Keywords: periodontal therapy, intracoronal fiber splint, mobility