Evaluation of Dental Trauma Splints in Early Permanent Dentition Through Finite Element Analysis
Source abstract
Abstract
Background: This study aims to evaluate the stress accumulation and distribution created by three different splint types and lengths in the early permanent dentition teeth, using finite element analysis. Methods: A total of 10 simulations were performed using three different splint materials, three different splint lengths, and a control group. Using finite element analysis, a vertical and an oblique force with 150 N was applied to the teeth. von Mises stress and its amounts occurring in enamel, dentin, and pulp as a result of the applied forces were evaluated. Results: In the control and operating models, it was determined that the highest von Mises stress values under vertical and oblique forces occurred at the points where the forces were applied. It was determined that the highest von Mises stress value in splint materials under vertical and oblique forces was in the composite orthodontic wire splint group. It was observed that the most negative results in terms of rigidity were observed in the composite orthodontic wire splint, and the most positive results were observed in the nylon fishing line splint. Conclusions: Within the limitations of this study, the results demonstrate that different splint materials and splint lengths showed varying stress distribution patterns. These findings provide useful insight into the biomechanical behavior of dental trauma splints and may help in selecting appropriate splinting approaches. Further studies on this subject are needed to better understand the effects of these materials on enamel, dentin, and pulp.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Dental Trauma and Treatments · dental development and anomalies · Dental materials and restorations
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Nuh Çimento Industry Foundation Oral and Dental Health Center, Kocaeli 41000, Türkiye
Department of Pedodontics, Faculty of Dentistry, Selçuk University, Konya 42075, Türkiye
Funding
Selcuk University Scientific Research Projects Unit Türkiye
References (33)
Show source-provided references
1. Epidemiology of traumatic dental injuries—A 12-year review of the literature10.1111/j.1600-9657.2008.00696.x ↗
2. Splinting of teeth following trauma: A review and a new splinting recommendation10.1111/adj.12398 ↗
3. Avulsion of permanent teeth: Theory to practice10.1111/j.1600-9657.2011.01003.x ↗
4. Andersson, L. (2025). Traumatic dental injuries. Oral and Maxillofacial Surgery, John Wiley & Sons.10.1002/9781119842958.ch6.2 ↗
5. Biomechanical effects of splint types on traumatized tooth: A photoelastic stress analysis10.1111/j.1600-9657.2006.00339.x ↗
6. Three-dimensional stress distribution in the human periodontal ligament in masticatory, parafunctional, and trauma loads: Finite element analysis10.1902/jop.2009.090220 ↗
7. Surgical extrusion of anterior teeth with intrusion traumatic injury: A report of two cases
8. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model10.1111/j.1600-9657.2011.01086.x ↗
9. The evaluation of the removal forces on the conus crowned telescopic prostheses with the finite element analysis (FEA)10.1046/j.1365-2842.2002.00953.x ↗
10. Three-dimensional finite element stress analysis of teeth adjacent to a traumatized incisor10.1111/edt.12453 ↗
11. Dynamic finite element analysis of the human maxillary incisor under impact loading in various directions10.1097/01.don.0000157992.29221.41 ↗
12. Mechanical properties of cancellous bone in human mandibular condyle are anisotropic10.1016/S0021-9290(01)00030-6 ↗
13. Quality assessment of the cortical bone of the human mandible10.1016/S8756-3282(02)00921-3 ↗
14. Finite element stress analysis of short-post core and over restorations prepared with different restorative materials10.4012/dmj.27.499 ↗
15. Sumanariu, C.A., Amza, C.G., Baciu, F., Vasile, M.I., and Nicoara, A.I. (2024). Comparative Analysis of Mechanical Properties: Conventional vs. Additive Manufacturing for Stainless Steel 316L. Materials, 17.10.3390/ma17194808 ↗
16. Biomedical applications of titanium and its alloys10.1007/s11837-008-0031-1 ↗
17. Revascularization and periapical repair after endodontic treatment using apical negative pressure irrigation versus conventional irrigation plus triantibiotic intracanal dressing in dogs’ teeth with apical periodontitis10.1016/j.tripleo.2009.12.046 ↗
18. Determination of stress distribution on periodontal ligament and alveolar bone by various tooth movements—A 3D FEM study10.1016/j.jobcr.2020.10.011 ↗
19. Effects of a newly designed orthodontic miniplate platform for elevating the miniplate over the gingiva: A 3-dimensional finite element analysis10.1016/j.ajodo.2015.02.024 ↗
20. Gingival diseases in childhood—A review
21. On the Regulation of Interincisor Bite Force in Man10.1111/j.1365-2842.1980.tb00459.x ↗
22. Prevalence of Dental Trauma and Their Relationship to Risk Factors among 8–15-Year-Old School Children10.1155/2022/3343827 ↗
23. Dental injuries in Norwegians aged 7–18 years10.1034/j.1600-9657.2003.00133.x ↗
24. Traumatic intrusion of primary teeth and its effects on the permanent successors: A clinical follow-up study10.1016/j.tripleo.2008.10.016 ↗
25. Dental splints: Types and time of immobilization post tooth avulsion
26. Measurement of tooth and implant mobility under physiological loading conditions10.1016/j.aanat.2011.09.007 ↗
27. Splinting and replantation after traumatic avulsion10.14219/jada.archive.1986.0328 ↗
28. Rigidity of commonly used dental trauma splints10.1111/j.1600-9657.2008.00683.x ↗
29. Sobczak-Zagalska, H., and Emerich, K. (2020). Assessment of a power chain as a new dental trauma splint and its comparison with two commonly used splinting materials. Appl. Sci., 10.10.3390/app10238398 ↗
30. Finite element analysis of six endosseous implants10.1016/0022-3913(90)90325-7 ↗
31. Liu, Y., Fang, M., Zhao, R., Liu, H., Tian, M., Zhong, S., and Bai, S. (2022). Effects of periodontal splints on biomechanical behaviors in compromised periodontal tissues and cement layer: 3D finite element analysis. Polymers, 14.10.3390/polym14142835 ↗
32. Fidancıoğlu, Y.D. (2020). Evaluation of Stress Distributions Created by Different Splint Types Applied to Traumatized Teeth Using Finite Element Analysis. [Ph.D. Thesis, Necmettin Erbakan University].
33. Dental trauma splints for the mixed dentition–a finite element analysis of splint material, splint extension, missing teeth, and PDL representation10.1111/edt.12777 ↗