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

2021 ◽  
Vol 14 (S1) ◽  
pp. S79-S90
Author(s):  
Ritesh Kalaskar ◽  
Ashita Kalaskar ◽  
Shruti Balasubramanian ◽  
Henpu Kamki ◽  
Hemraj Badhe
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.


2020 ◽  
Vol 123 (2) ◽  
pp. 239-245 ◽  
Author(s):  
Victor Eduardo de Souza Batista ◽  
Sandro Basso Bitencourt ◽  
Natália Almeida Bastos ◽  
Eduardo Piza Pellizzer ◽  
Marcelo Coelho Goiato ◽  
...  

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.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Maciej Jedliński ◽  
Katarzyna Grocholewicz ◽  
Marta Mazur ◽  
Joanna Janiszewska-Olszowska

Abstract Background Orthodontic retention aims to maintain optimal teeth positions after active treatment. The stability is affected by numerous factors, including patients’ individual features, thus retention should be adjusted in the most optimal way. Bonding a retainer makes retention less dependent on patient’s compliance. Questions arise What wire or fiber splint type provides the best treatment stability? What materials should be used to bond the wire or fiber splint? Should be the bonding procedure be direct or indirect? The aim of the study is to assess and synthesize available controlled trials investigating failures of fixed retainers. Methods Literature searches of free text and MeSH terms were performed in Scopus, Web of Science, Embase and PubMed Central in order to find studies, referring to failures of fixed retention (12th February 2021). The keywords were: (“orthodontic retainers AND failure AND wire”). The framework of this systematic review according to PICO was: Population: orthodontic patients; Intervention: fixed orthodontic retainer bonding; Comparison: Different protocols of fixed orthodontic retention applied; Outcomes: failure rate, survival rate. Three different specific scales from the Cochrane Collaboration Handbook were used, according to each study type. Additionally, a meta-analysis was conducted to compare the effectiveness of retention using fiber reinforced composite and multistranded steel wire. Results The search identified 177 potential articles: 114 from PubMed, 41 from Scopus, 20 from Web of Science and 2 from Embase. After excluding studies inconsistent with selection criteria, 21 studies were included and subjected to qualitative analysis. The main outcome investigated was failure rate. This systematic review has some potential limitations due to the heterogeneity of design between included studies. Conclusions No retainer is proved to guarantee a perfect stability of dental alignment. The retainer should be bonded to all adherent teeth, preferably with additional use of bonding resin. No wire or fiber splint present superior characteristics concerning failure rate. Fiber reinforced composite retention is more sensitive to operator skills, and with imperfect bonding technique, failure rate is much higher. During the first 6 months after bonding retainer the patient should be under frequent control. The study protocol was registered in PROSPERO database with the number CRD42021233406.


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