Comparison of Replantation and Splinting Alone in Lower Anterior Teeth

CAL is measured as the change in distance from the cementoenamel junction to the bottom of the gingival sulcus (the most coronal attachment) using a Williams periodontal probe. The changes in clinical attachment loss was measured for determining the severity of disease.

The pre- and post-treatment tooth length/bone ratio around the tooth root will be determined using CBCT and periapical radiographs. The amount of bone loss (% bone loss, BL) will be determined using a millimeter scale from both the mesial and distal regions of the teeth, according to the method described by Schulte and colleagues (10) using periapical radiographs. To determine individual bone loss, intra-alveolar root length (hi) and total root length (hg) are measured. Hg, the total root length, is defined as the distance from the apex to the proximal enamel-cementum junction, parallel to the long axis of the teeth. Since the distance between the alveolar bone crest and the enamel-cementum junction varies between 0.75 and 1.49 mm, 1.5 mm is subtracted from the total root length during calculation. The intra-alveolar root length is defined as the distance from the apex to the highest point on the alveolar margin. The change in bone loss at baseline and at 6 months will be examined.

Probing pocket depth (PPD) measured as the change in distance from the gingival margin to the bottom of the gingival sulcus using a Williams periodontal probe.

All six sites of all teeth were probed to assess whether this elicited bleeding (+) or not (-). The severity of gingival inflammation was expressed as a percentage (BOP=number of bleeding sites×100/number of sites evaluated).

Tooth mobility will be assessed using a 5N (500g) manual measurement. Changes in mobility will be examined with treatment.

0th degree: no mobility

• st degree: slight movement
• nd degree: up to 1 mm
• rd degree: more than 1 mm and movement in all directions vertical mobility

To determine the gingival index (Löe & Silness), gingival bleeding caused by running a Williams periodontal probe inside the pocket on the mesial, distal, buccal, and palatal surfaces of all teeth was evaluated. The gingival index of an individual was obtained by summing the values determined for each tooth and calculating the averages. Scoring was as follows:

0: Healthy gums.

• Mild discolouration and oedematous gingiva. No bleeding on probing.
• Red, oedematous and shiny gingiva. There is bleeding on probing.
• Red, oedematous and ulcerated gingiva. There is spontaneous bleeding. Gingival index was recorded for classifying and evaluating sulcular gingival inflammation.

Patients' plaque indices will be recorded according to the Silness and Löe plaque index. After the teeth are dried with air, the amount of plaque near the gingival margin of each tooth is examined with an inspection and examination probe. Index values between 0 and 3 are given according to the amount of plaque on the tooth surface.

According to this index:

0: No plaque.

• A thin layer of plaque is observed along the gingival margin. This thin layer can be detected with an examination probe.
• A moderate layer of plaque is observed along the gingival margin. The plaque in question can be detected with the naked eye.
• A significant amount of plaque is observed along the gingival margin, and the interdental spaces are filled with plaque.

VAS is the most commonly used scale for measuring pain intensity and tracking the degree of pain relief. VAS is a 10 cm line with the extremes of "no pain" and "worst possible pain," and the measurement is determined by the patient marking the line that best describes their pain intensity. The average of the values obtained for patients is calculated.