Maxillary tooth splinting in periodontally compromised patients using fiber-reinforced composite: the Targis-Vectris method.
OBJECTIVE
To show the Targis-Vectris retention technique, illustrating its features and clinical applications in periodontally compromised patients.


METHODS
The Targis-Vectris technique is constituted by an esthetic external layer (Targis) combined with and supported by a metal-free structure (Vectris). An adult female with a full Class II malocclusion and compromised periodontal condition with significant bone loss on the maxillary central incisor was treated. Before debonding, a fiber-reinforced splint was placed on the palatal surface of the maxillary anterior teeth, using the Targis-Vectris method, to permit long-term stability. The final result remained stable at 5 years posttreatment.


RESULTS
The correction of the Class II malocclusion took 24 months. The Targis-Vectris method ensured maintenance of tooth position and periodontal condition.


CONCLUSIONS
The Targis-Vectris technique represents a useful procedure for splinting maxillary teeth in selected periodontally compromised patients. The 5-year posttreatment follow-up visit showed no relapse. Correct occlusal relationships are necessary to reduce the risk of breakage.
Giancotti
Aldo
A
University of Rome Tor Vergata, Fatebenefratelli Hospital, Isola Tiberina Department of Orthodontics, Rome, Italy. giancott@uniroma2.it
Mampieri
Gianluca
G
Caleffi
Alessandro
A
D000328:Adult; D016301:Alveolar Bone Loss / Q000150:complications; D003764:Dental Materials / Q000737:chemistry*; D005260:Female; D005898:Glass / Q000737:chemistry*; D005899:Glass Ionomer Cements / Q000737:chemistry*; D006801:Humans; D008312:Malocclusion, Angle Class II / Q000628:therapy*; D008437:Maxilla; D016382:Orthodontic Appliance Design; D009967:Orthodontic Appliances; D009971:Orthodontics, Corrective / Q000379:methods; D010516:Periodontal Splints; D012823:Silicate Cement / Q000737:chemistry*
D003764:Dental Materials; D005899:Glass Ionomer Cements; C111282:dental polyglass; C009753:fiberglass; D012823:Silicate Cement