For a permanent tooth that has been reimplanted after avulsion or is very loose from extrusion, you can form a splint using periodontal paste. Mix equal parts base and catalyst and place on a tongue depressor in water. Dry the patient's teeth and gingiva using gauze and air through a Yankeur or nasal cannula. Either wet your gloves or cover in lubrication. Roll the paste into a cigar shape. Gently press into the teeth and gingiva, splinting to at least one stable tooth on either side. Allow paste to dry. Presented by Jess Mason, MD.
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Tim V. - January 3, 2019 2:23 AM
Hey Jess,
Thanks as always for the helpful videos.
Would you be willing to share the name of the product you use? Trying to get some for my department.
Thanks,
Tim
Jess Mason - January 3, 2019 5:58 AM
Hi Tim, that is Coe-Pak.
Mari C. - October 27, 2019 4:08 PM
This is great in theory, but I always find that these patients have a lot of associated bleeding and oozing, making it difficult to keep the splint in place (despite using gauze, suction, or even topical TXA).
James P. - August 2, 2020 12:15 AM
ha ha ha. I just tried this again after watching how easily you made it look. It was a mess. the paste turned rock solid immediately when it went in the water (cold water? hot water?). I like the lube trick to keep it from sticking but mine was all over the place. Maybe our paste is different. I tried twice but no luck.
Jess Mason - August 2, 2020 8:58 AM
It is a challenging material to work with. Definitely takes some practice. I used cold water.