Clinical evaluation of the loop-design fibre-reinforced composite and the band-and-loop space maintainers

BACKGROUND Premature loss of primary teeth requires orthodontic intervention to prevent the occurrence of malocclusions in the future. The most preferred way to maintain this space is by using space maintainers. Band and loop maintainers are the most commonly used fixed space maintainers. Despite being the most effective, it has several disadvantages. Hence, the objective of this review was to compare the efficiency between fiber reinforced composite (FRC) space maintainer and the conventional band & loop space maintainer. METHODS A systematic review was performed. Electronic and hand search retrieved 260 records, 246 were screened. The intervention and outcomes were assessed in the study included for systematic review. RESULTS Seven studies were included in this systematic review. These studies compared the fiber reinforced composite and the conventional band & loop and provided results about their clinical efficacy and patient satisfaction. CONCLUSIONS Despite being one of the gold standard appliances for space maintenance, the conventional band and loop space maintainers have multiple disadvantages. The major disadvantages included failure of the appliance due to cement loss and bending of the wire. Out of the 7 articles included in this study, 6 of the articles concluded that the FRC space maintainers are as effective as the conventional band and loop. FRC space maintainers proved to be time effective, more aesthetic, has better patient acceptance and is easier to fabricate. Hence, fiber reinforced composite space maintainers can be used as a more aesthetic and effective alternative to the conventional band and loop space maintainers if proper technique and protocol is followed. KEY WORDS Space Maintainers, Band and Loop Space Maintainer, Fiber Reinforced Space Maintainer, Interceptive Orthodontics, Orthodontics

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Fiber reinforced composite loop space maintainer: An alternative to the conventional band and loop

Contemporary Clinical Dentistry ◽

10.4103/0976-237x.95099 ◽

2012 ◽

Vol 3 (5) ◽

pp. 26 ◽

Cited By ~ 4

Author(s):

Ramakrishna Yeluri ◽

AutarKrishen Munshi

Keyword(s):

Loop Space ◽

Fiber Reinforced ◽

Fiber Reinforced Composite ◽

Reinforced Composite ◽

Space Maintainer ◽

Band And Loop

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Clinical Evaluation of the Effectiveness of Glass Fiber-reinforced Composite Space Maintainer vs Band-and-loop Space Maintainer following Loss of Primary Teeth: An in vivo Study

10.5005/jp-journals-10060-0002 ◽

2017 ◽

Vol 1 (1) ◽

pp. 5-9

Author(s):

Yusuf Chunawala ◽

Abdul Morawala ◽

Arti Ambiye ◽

Kapil Jain ◽

Shruti Kataria

Keyword(s):

Glass Fiber ◽

Loop Space ◽

Primary Teeth ◽

Fiber Reinforced ◽

Fiber Reinforced Composite ◽

Reinforced Composite ◽

Glass Fiber Reinforced ◽

Group I ◽

Space Maintainer ◽

Band And Loop

ABSTRACT Introduction and aim Premature exfoliation or extraction of primary tooth may lead to loss of space due to drifting of the adjacent teeth. This may also lead to undesirable effects, such as impaction of the succedaneous tooth, overeruption of the opposing tooth, and a shift of the midline, with consequent functional impairment. It is prudent to consider space maintenance when primary teeth are lost prematurely. The current study aims to clinically evaluate the effectiveness of space maintainers comparing conventional band and loop space maintainer with glass fiber-reinforced space maintainer following loss of primary teeth in mixed dentition. Materials and methods A total of 30 children aged 4 to 8 years were randomly assigned into two groups – band-and-loop space maintainer (group I) and glass fiber-reinforced composite (GFRC) space maintainer (group II). Distortion/dislodgment of the loop or the fiber frame, fracture of loop or fiber frame, gingival health, and space loss were evaluated clinically and radiographically at 1, 3, 6, and 12 months interval. Gingival health was assessed by gingival index given by Loe and Silness. Results Based on the statistical analysis, overall success rate of group I was found to be 69.2% and of group II was 95.7% (p = 0.026), which was statistically significant. Conclusion The GFRC space maintainers showed an overall success rate compared with band-and-loop space maintainers. How to cite this article Kataria S, Chunawala Y, Morawala A, Jain K, Ambiye A. Clinical Evaluation of the Effectiveness of Glass Fiber-reinforced Composite Space Maintainer vs Band-and-loop Space Maintainer following Loss of Primary Teeth: An in vivo Study. Int J Clin Dent Res 2017;1(1):5-9.

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Functional Band and Loop Space Maintainers in Children

Case Reports in Dentistry ◽

10.1155/2019/4312049 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

V. Vinothini ◽

A. Sanguida ◽

A. Selvabalaji ◽

G. S. Prathima ◽

M. Kavitha

Keyword(s):

Clinical Application ◽

Loop Space ◽

Single Tooth ◽

Space Maintainer ◽

Space Maintenance ◽

Band And Loop

Premature loss of teeth in children leads to space loss and affects arch integrity. The band and loop space maintainer is used in majority of patients requiring single tooth space maintenance in both primary and mixed dentitions. It preserves the proximal dimensions, but it is nonfunctional. This paper describes a method to modify the conventional band and loop space maintainer into a functional one and reports its clinical application and follow-up in five children.

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