Clinical success of fixed space maintainers: Conventional band and loop versus fiber-reinforced composite loop space maintainer

2020 ◽  
Vol 9 (15) ◽  
pp. 1
Author(s):  
Reena Rani ◽  
Sanjay Chachra ◽  
Abhishek Dhindsa ◽  
Manu Sharma
Keyword(s):  
Loop Space ◽  
Clinical Success ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Space Maintainer ◽  
Fixed Space ◽  
Band And Loop

scholarly journals Fiber Reinforced Composite Space Maintainers Versus Band and Loop Space Maintainers – A Systematic Review

2021 ◽  
Vol 10 (31) ◽  
pp. 2505-2510
Author(s):  
Vaishnavi Padmanabhan ◽  
Shreya Kishore ◽  
Suvetha S
Keyword(s):  
Systematic Review ◽  
Loop Space ◽  
Patient Acceptance ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Hand Search ◽  
Reinforced Composite ◽  
Space Maintainer ◽  
Space Maintenance ◽  
Band And Loop

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

scholarly journals 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

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.

Clinical Success of Fiber-reinforced Composite Resin as a Space Maintainer

2017 ◽  
Vol 18 (3) ◽  
pp. 188-193 ◽  
Author(s):  
Zuhal Kirzioğlu ◽  
Z Zahit Çiftçi ◽  
Ceylan Ç Yetiş
Keyword(s):  
Composite Resin ◽  
Clinical Performance ◽  
Clinical Success ◽  
Statistical Significance ◽  
Survival Rates ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Reinforced Composite ◽  
Space Maintainer ◽  
Deciduous Molars

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.

scholarly journals Multi-Fiber-Reinforced Composites for the Coronoradicular Reconstruction of Premolar Teeth: A Finite Element Analysis

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Raphaël Richert ◽  
Philip Robinson ◽  
Gilbert Viguie ◽  
Jean-Christophe Farges ◽  
Maxime Ducret
Keyword(s):  
Finite Element Analysis ◽  
Finite Element ◽  
Clinical Success ◽  
Root Anatomy ◽  
Fiber Reinforced ◽  
Element Analysis ◽  
Fiber Reinforced Composite ◽  
Risk Of Fracture ◽  
Extreme Stress ◽  
Reinforced Composite

A coronoradicular reconstruction (CRR) has conventionally used a metallic inlay core (MIC) or a single-fiber-reinforced composite (sFRC) but extensive dentin removal can lead to root fracture. We propose herein a multi-fiber-reinforced composite (mFRC) based on a bundle of thin flexible fibers that can be adapted to the root anatomy without removing additional dentin. The aim of this study was to compare the mechanical behavior of the root reconstructed with mFRC, MIC, or sFRC using a finite element analysis (FEA). Models with or without a ferrule effect were created using Autodesk© software and divided into four parts: root, post, bonding composite or cement, and zirconia crown. For both models, extreme stress values (ESV), stress distribution, and risk of fracture were calculated for an oblique force (45°) of 100 N applied to the top of the buccal cusp. Results indicated that mFRC and mFRCG present a lower risk of fracture of the root and of the CRR without ferrule and thus could be valuable alternatives for premolar CRR. Further studies are necessary to evaluate the clinical success of these CRR.

scholarly journals Fiber-reinforced Composite Space Maintainers: A Literature Review of their Survival Rate

2020 ◽  
Vol 1 (5) ◽  
Author(s):  
Mohammed S. Aldossary ◽  
Aref M. Althobity ◽  
Nader A. Assal ◽  
Moath I. Alfraih
Keyword(s):  
Survival Rate ◽  
Clinical Effectiveness ◽  
Permanent Tooth ◽  
Fiber Reinforced ◽  
Fiber Reinforced Composite ◽  
Non Invasive ◽  
Reinforced Composite ◽  
Space Maintainer ◽  
Invasive Device

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.

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