Strongest indication for splinting

 # Which of the following patient conditions is the strongest indication for splinting?
A. Mobility with a unilateral shift from centric relation to centric occlusion
B. Mobility with discomfort
C. Presence of diastemas
D. Primary occlusal trauma

The correct answer is B. Mobility with discomfort.

Unstable teeth that cannot maintain normal position during centric occlusion need additional support to maintain position and therefore must be splinted to the adjacent teeth.

Presence of a diastema does not necessarily require splinting except when the diastema is caused by the movement of teeth due a periodontally compromised status.

Primary occlusal trauma can be resolved once the cause of trauma
is removed.

Discomfort associated with tooth mobility may:
• Be due to other periodontal conditions
• Be due to pulpal conditions
• NOT be a direct indication alone for splinting therapy

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