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

2012 ◽  
Vol 3 (5) ◽  
pp. 26 ◽  
Author(s):  
Ramakrishna Yeluri ◽  
AutarKrishen Munshi
2021 ◽  
Vol 10 (31) ◽  
pp. 2505-2510
Author(s):  
Vaishnavi Padmanabhan ◽  
Shreya Kishore ◽  
Suvetha S

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


2017 ◽  
Vol 1 (1) ◽  
pp. 5-9
Author(s):  
Yusuf Chunawala ◽  
Abdul Morawala ◽  
Arti Ambiye ◽  
Kapil Jain ◽  
Shruti Kataria

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.


2017 ◽  
Vol 18 (3) ◽  
pp. 188-193 ◽  
Author(s):  
Zuhal Kirzioğlu ◽  
Z Zahit Çiftçi ◽  
Ceylan Ç Yetiş

ABSTRACT Introduction The early loss of deciduous molars is a frequently encountered problem in dentistry. Various space maintainer designs were developed to prevent the loss of the space. The aim of this study was to evaluate long-term clinical performance and survival rates of fiber-reinforced composite resin (FRCR) as a space maintainer clinically. Materials and methods This study was designed on 44 children who had early missed deciduous molars. Space maintainers were prepared on plaster models of patients and fixed directly to the adjacent teeth. Survival rate and whether it causes any damage to adjacent teeth were examined clinically and radiographically for 24 months or until failure. Kaplan–Meier survival analysis was used for the statistical analyses. Results Overall, 16.2% of space maintainers were dislodged and accepted to be failed at the end of 12 months. At the 24-month control, 52.2% success was stated with the FRCR space maintainer and because of permanent tooth eruption, 31.8% of space maintainer were taken out. The mean duration of space maintainers was measured to be 14.8±3.48 months. There was no statistical significance between survival time and gender, tooth number, localization, and measured space (p > 0.05). Conclusion After all 24 months follow-up, as well as esthetic properties of FRCR space maintainer, their applicability in a single seance and strength against the forces are determined as the advantages of the technique. Clinical significance The FRCR space maintainers can be thought of as alternatives to metal space maintainers. How to cite this article Kirzioğlu Z, Çiftçi ZZ, Yetiş CÇ. Clinical Success of Fiber-reinforced Composite Resin as a Space Maintainer. J Contemp Dent Pract 2017;18(3):188-193.


2020 ◽  
Vol 1 (5) ◽  
Author(s):  
Mohammed S. Aldossary ◽  
Aref M. Althobity ◽  
Nader A. Assal ◽  
Moath I. Alfraih

Premature loss of posterior primary teeth necessitates space maintaining to prevent space loss and compromising the dentition. Conventional stainless steel band-and-loop space maintainer (BL-SM) is a non-invasive device commonly used to maintain space after the early loss of a single deciduous tooth until the permanent tooth erupts. However, these devices require laboratory work, consume time, and are relatively expensive. Clinically, they tend to fracture, bend or debond under occlusal forces, and they are not considered esthetic. Thus, alternatives to the BL-SM have been investigated. The fiber-reinforced composite space maintainer (FRC-SM) has various advantages and has been suggested as an alternative to the BL-SM. The aim of this review is to explore the survival rate of FRC-SM reported in the literature. We have found a wide variation in the reported results, with promising results shown for FRC-SM, especially over short periods. Therefore, longer follow-up periods, placement techniques and clinical effectiveness with respect to this type of space maintainer need to be further evaluated.


2018 ◽  
Vol 2 (1) ◽  
pp. 36-43
Author(s):  
Dendy Murdiyanto ◽  
Widjijono Widjijono ◽  
Nuryono Nuryono

Perawatan di kedokteran gigi mulai menggunakan material fiber reinforced composite (FRC) sebagai bahan penyusun alat-alat tertentu seperti gigi tiruan cekat, restorasi onlay, splinting gigi goyah, pasak gigi dan space maintainer. Penyusun FRC terdiri dari fiber dengan jenis terbanyak glass fiber dan matriks berupa dental composite. Non dental glass fiber merupakan jenis glass fiber yang digunakan pada pembuatan gypsum, patung dan alat-alat otomotif yang mudah dijumpai di pasaran dengan harga terjangkau. Tujuan penelitian ini adalah untuk mengetahui potensi sitotoksisitas jenis dan lama perendaman non dental glass fiber reinforced composite terhadap sel fibroblas yang mati. Penelitian ini menggunakan FRC yang diperkuat oleh 3 jenis non dental glass fiber I, II, III dan dental E-glass fiber sebagai pembanding. Uji sitotoksisitas dilakukan dengan methyl tetrazolium test (MTT) menggunakan sel vero terhadap air hasil rendaman FRC selama 1, 4, 7 dan 10 hari masing-masing 6 pengulangan sampel tiap kelompok. Jumlah sel yang mati menunjukkan tingkat sitotoksisitas dan kemudian dianalisa dengan Anava dua jalur (α = 0,05).Hasil penelitian menunjukkan rata-rata kematian sel tertinggi yaitu 8,55 ± 0,27 % pada FRC III dengan lama perendaman 10 hari, sedangkan rata-rata kematian sel terendah yaitu 8,48 ± 0,35 % pada dental glass fiber dengan lama perendaman 1 hari. Berdasarkan pedoman dari Sjögren bahan tidak bersifat sitotoksis jika kematian sel masih dibawah 10%. Uji Anava dua jalur menunjukkan bahwa jenis non dental glass fiber reinforced composite dan lama perendaman mempunyai pengaruh tidak bermakna (p>0,05) terhadap sitotoksisitas sel fibroblas. Kesimpulan hasil penelitian yaitu non dental glass fiber reinforced composite tidak bersifat sitotoksis terhadap sel fibroblas, jenis non dental glass fiber reinforced composite dan lama perendaman tidak berpengaruh terhadap sitotoksisitas sel fibroblas


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