Journal of AdvancedMedical and Dental Sciences Research

Background: Periodontal mobility of teeth is a common clinical challenge necessitating effective management strategies. Dental splinting, a widely utilized approach, traditionally employs stainless steel wire (SSW). Recent advancements introduce fibre reinforced composite (FRC) as a potential alternative, combining strength and esthetic benefits. Objective: This prospective, randomized, controlled clinical trial aims to systematically compare the clinical effectiveness of FRC and SSW in the management of periodontally treated mobile teeth. Methods: A total of 136 participants, meeting inclusion criteria and providing informed consent, were randomly assigned to either the FRC or SSW group. Baseline characteristics were recorded, and interventions were meticulously carried out following standardized protocols. Primary outcomes included the reduction in tooth mobility, assessed using a periodontal probe. Secondary outcomes encompassed gingival health, patient-reported outcomes (PROs) related to comfort and satisfaction and the survival rate of splints. Participants were followed up at 3, 6, and 12 months post-intervention. Results: The FRC and SSW groups exhibited comparable baseline characteristics. Reduction in tooth mobility was significantly greater in the FRC group at all post-intervention time points (p < 0.001). Gingival health, PROs, and splint survival favored the FRC group across all assessments (p < 0.05). Conclusion: This study provides comprehensive insights into the clinical efficacy of FRC and SSW as dental splinting materials. FRC demonstrated superior outcomes in reducing tooth mobility, improving gingival health, enhancing patient comfort and satisfaction, and increasing splint durability.