Space Maintenance with an Innovative “Tube and Loop” Space Maintainer (Nikhil Appliance)

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

Journal of Evolution of Medical and Dental Sciences ◽

10.14260/jemds/2021/512 ◽

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

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Semi-Fixed Space Maintainer Treatment In Premature Loss Deciduous Tooth

SONDE (Sound of Dentistry) ◽

10.28932/sod.v5i2.2112 ◽

2020 ◽

Vol 5 (2) ◽

pp. 9-21

Author(s):

Nabila Clara ◽

Jeffrey .

Keyword(s):

Child Development ◽

Growth And Development ◽

Loop Space ◽

Tooth Loss ◽

Development Process ◽

Deciduous Teeth ◽

Lower Jaw ◽

Space Maintainer ◽

Fixed Space ◽

Jaw Model

Introduction: The period of deciduous teeth is an important period in child development. Damage to deciduous teeth that occur and cannot be treated conservatively will cause premature decay of teeth which is often called premature loss. A space maintainer is a passive tool used to maintain dental arches due to premature loss of deciduous teeth. Method: An 11-year-old girl accompanied by her mother came to RSGMP Unjani in 2018 with complaints of lower right back teeth missing because they have removed. The patient's mother is worried that her replacement teeth will not grow properly. Intraoral examination revealed tooth loss 85. The study model was analyzed using the Moyers method. Results: Analysis of the lower jaw model showed excess space. Patients were treated with a semi-fixed band and loop space maintainer on teeth 85. Conclusion: Premature loss results in excess space in the arch, so as to prevent further occlusion abnormalities in the child's growth and development process, we need a special tool used to maintain space due to premature loss of deciduous teeth.

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Prevalence of Gropers Appliance in Pediatric Dentistry

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl3.3412 ◽

2020 ◽

Vol 11 (SPL3) ◽

pp. 1348-1353

Author(s):

Swetha Ilangovan ◽

Vignesh Ravindran ◽

Geo Mani

Keyword(s):

Primary Teeth ◽

Statistical Significance ◽

Pediatric Dentistry ◽

Dental Arch ◽

Oral Habit ◽

Fixed Partial Denture ◽

Space Maintainer ◽

Space Maintenance ◽

The Common ◽

University Setting

Space maintainers are used to minimise undesirable drifting of teeth in the dental arch. Using space maintenance after the loss of primary teeth restricts the creation of spaces. Space maintainers also prevent the development of malocclusion due to space. The primary teeth loss can lead to different dental malocclusions like midline shifts, space loss and also crowding of teeth. Gropers appliance is a space maintainer used for children who have lost their primary anterior due to accident or caries. Gropers appliance is a fixed partial denture used for aesthetic purposes. This is used to restore mastication and speech to prevent abnormal oral habit development and also for aesthetics. The aim of the study is to find the prevalence of Gropers appliance in Pediatric Dentistry. This was a retrospective study done under a University setting. All the patients' records were collected from June 2019 to March 2020 and were reviewed. The data included patients who required space maintainers. The data was tabulated and entered in excel and the data were analysed using SPSS package software. p<0.05 was considered to be the level of statistical significance in the study. The prevalence of Gropers appliance in Pediatric Dentistry was found to be 39.6%. There was a male prevalence of 55.6% in receiving a Gropers appliance. The common age who received it was 3 years old. Within the limitation of current study, the prevalence of Gropers appliance was 39. 6% with the common age of children being 3 yrs.

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Clinical Effectiveness of Fiber-reinforced Composite Space Maintainer and Band and Loop Space Maintainer in a Pediatric Patient: A Systematic Review and Meta-analysis

International Journal of Clinical Pediatric Dentistry ◽

10.5005/jp-journals-10005-2044 ◽

2021 ◽

Vol 14 (S1) ◽

pp. S79-S90

Author(s):

Ritesh Kalaskar ◽

Ashita Kalaskar ◽

Shruti Balasubramanian ◽

Henpu Kamki ◽

Hemraj Badhe

Keyword(s):

Systematic Review ◽

Pediatric Patient ◽

Loop Space ◽

Meta Analysis ◽

Clinical Effectiveness ◽

Fiber Reinforced ◽

Fiber Reinforced Composite ◽

Reinforced Composite ◽

Space Maintainer ◽

Band And Loop

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Application of CAD-CAM for Fabrication of Metal-Free Band and Loop Space Maintainer

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2017/23459.9246 ◽

2017 ◽

Author(s):

Harleen Kaur Soni

Keyword(s):

Loop Space ◽

Metal Free ◽

Space Maintainer ◽

Cad Cam ◽

Free Band ◽

Band And Loop

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3D Printed Band and Loop Space Maintainer: A Digital Game Changer in Preventive Orthodontics

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-45.3.1 ◽

2021 ◽

Vol 45 (3) ◽

pp. 147-151

Author(s):

Suhani Khanna ◽

Dinesh Rao ◽

Sunil Panwar ◽

Bhaggyashri A Pawar ◽

Safna Ameen

Keyword(s):

3D Printing ◽

Loop Space ◽

Three Dimensional ◽

Permanent Tooth ◽

Mixed Dentition ◽

Primary Molar ◽

Current Case ◽

Digital Dentistry ◽

Space Maintainer ◽

Band And Loop

Premature loss of primary molars often leads to loss of arch circumference in the primary and mixed dentition. It can lead to malpositioning and even impaction of permanent tooth, if not prevented. Space maintainers in preventive orthodontics, are imperative in maintaining arch integrity. Band and loop space maintainers are indicated whenever there is premature loss of primary molar. The conventional band and loop space maintainer is most routinely fabricated, but poses certain limitations. Three-dimensional (3D) printing in digital dentistry is one of the major developments in dentistry. It replicates the dental cast in the most accurate forms. This allows for supreme precision and minimal human errors. Besides decreasing the laboratory procedures, it has the least chance of failure or breakage. The current case report discusses 3D printing technology for the fabrication of band and loop space maintainer, which can revolutionize preventive orthodontics for children.

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