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.
Tim V. - January 3, 2019 2:23 AM
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.
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.