Problems with a Permanently Splinted Mandibular Anterior Tooth

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Terry Pannkuk, DDS, MScD – Instructional, Endo-Perio Combined Lesions, Recall Observations, Endo Implantology

Should mandibular anterior teeth be indefinitely splinted after orthodontics?

Patient: 50 year-old male (time of 2014 recall) with hyperthyroidism

Chief Complaint: Occasional “pulsating” in the past, currently asymptomatic

Dental History: Previous endodontic therapy on the mandibular right central incisor (tooth #25) with internal bleaching afterwards (10-15 years prior to the author’s initial consultation) ,orthodontics (1985) and the patient reported having the lower bonded splinting of the mandibular anteriors the entire time since 1985.

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