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Banded vs Bonded Space Maintainers: Finding Better Way Out
Vikas Setia1, Inder Kumar Pandit2, Nikhil Srivastava3
1Assistant Professor, Department of Pediatric Dentistry, Adesh Institute of Dental Sciences and Research, Bathinda, Punjab, India.
International Journal of Clinical Pediatric Dentistry
|October 31, 2014
Summary
The prefabricated band with custom loop space maintainer demonstrated the highest survival rate and best gingival health. Other space maintainers showed lower success and poorer gingival health outcomes.
Area of Science:
- Pediatric Dentistry
- Biomaterials in Dentistry
Background:
- Space maintainers are crucial for preserving arch length after premature tooth loss in children.
- Evaluating the efficacy of different space maintainer designs is essential for optimal clinical outcomes.
Purpose of the Study:
- To compare the survival rates, gingival health, and caries development of four different space maintainers in vivo.
- To identify the most successful space maintainer for pediatric patients.
Main Methods:
- An in vivo study involving 60 extraction sites in children aged 4-9 years.
- Four groups of space maintainers were evaluated: conventional band and loop, prefabricated band with custom loop, Ribbond, and Super splint.
- Assessment of survival rate, gingival health, and presence of caries over 9 months.
Main Results:
- Prefabricated band with custom loop showed the highest success rate (84.6%) and minimal poor gingival health (27.2%).
- Super splint had the lowest success rate (33.33%) and the highest incidence of poor gingival health (50%).
- No caries were observed with any of the space maintainers after 9 months.
Conclusions:
- Prefabricated band with custom loop space maintainers offer superior performance in terms of survival and gingival health.
- Super splint appears to be a less favorable option for space maintenance in this age group.
- All evaluated space maintainers were found to be caries-free at the 9-month follow-up.
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