Space maintainers application, indication and complications

Authors

  • Mohammed Albati College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Riham Showlag Department of Dentistry, North Jeddah Speciality Dental Center, Jeddah, Saudi Arabia
  • Alaa Akili College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Halah Hanafiyyah College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Hanadi AlNashri College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Waad Aladwani College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Ghaida Alfarsi College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Mashael Alharbi College of Dentistry, Alfarabi Colleges, Jeddah, Saudi Arabia
  • Abdulrahman Almutairi College of Dentistry, Qassim Private Colleges, Qassim, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20184251

Keywords:

Application, Bands, Complications, Dental appliances, Fixed lingual arch, Indications, Loops, Nance appliance, Space maintainers, Transpalatal arch

Abstract

Dental space maintenance is essential in cases of premature loss of primary dentition to prevent malposition, supra-eruption, impaction, or crowding of the developing permanent teeth. Many types of space maintainers are available and each type is specifically designated for particular indications. Space maintainers have many classifications according to their design, their fixation pattern, their position, and their site. They can be fixed, semi-fixed, or removable, with or without loops, wires, and/or bands, unilateral or bilateral, and are placed on mandibular or maxillary arches. The most commonly used space maintainers are loops and bands, fixed lingual arches, Nance appliances, and transpalatal arches. Though space maintainers are generally safe, several complications are sometimes inevitable. This article will review the different types of space maintainers and their application and will discuss their indications and potential complications.

 

References

Barberia E, Lucavechi T, Cardenas D, Maroto M. Free-end space maintainers: design, utilization and advantages. J Clin Pediatr Dent. 2006;31(1):5-8.

Tunison W, Flores-Mir C, ElBadrawy H, Nassar U, El-Bialy T. Dental arch space changes following premature loss of primary first molars: a systematic review. Pediatr Dent. 2008;30(4):297-302.

Setia V, Pandit IK, Srivastava N, Gugnani N, Sekhon HK. Space maintainers in dentistry: past to present. J Clin Diagnos Res. 2013;7(10):2402-5.

Laing E, Ashley P, Naini FB, Gill DS. Space maintenance. Int J Paediatr Dent. 2009;19(3):155-62.

Rao AK, Sarkar S. Changes in the arch length following premature loss of deciduous molars. J Indian Soc Pedod Prev Dent. 1999;17(1):29-32.

Lin Y-TJ, Lin Y-T. Long-term space changes after premature loss of a primary maxillary first molar. J Dent Sci. 2017;12(1):44-8.

Woods WD. Space Maintainers. J Am Dent Assoc. 2010;141(5):501-2.

Leifert MF, Leifert MM, Efstratiadis SS, Cangialosi TJ. Comparison of space analysis evaluations with digital models and plaster dental casts. Am J Orthod Dentofac Orthop. 2009;136(1):16.

Patil PG. Implants Or Pontics. J Am Dent Assoc. 2010;141(1):14-5.

Roberts-Harry D, Sandy J. Orthodontics. Part 5: Appliance choices. Br Dent J. 2006;196:9.

Fathian M, Kennedy DB, Nouri MR. Laboratory-made space maintainers: a 7-year retrospective study from private pediatric dental practice. Pediatric Dentistry. 2007;29(6):500-6.

Kupietzky A, Tal E. The transpalatal arch: an alternative to the Nance appliance for space maintenance. Pediatric Dentistry. 2007;29(3):235-8.

Al-Awadhi EA, Garvey TM, Alhag M, Claffey NM, O'Connell B. Efficacy of the Nance appliance as an anchorage-reinforcement method. Am J Orthod Dentofac Orthop. 2015;147(3):330-8.

Singh P, Cox S. Nance palatal arch: a cautionary tale. J Orthod. 2009;36(4):272-6.

Tayab T, Vizhi K, Srinivasan I. Space maintainer using fiber-reinforced composite and natural tooth--a non-invasive technique. Dent Traumatol. 2011;27(2):159-62.

Ahmad AJ, Parekh S, Ashley PF. Methods of space maintenance for premature loss of a primary molar: a review. European archives of paediatric dentistry: official J Euro Acad Paediatric Dent. 2018.

Xu HH, Weir MD, Simon CG. Injectable and strong nano-apatite scaffolds for cell/growth factor delivery and bone regeneration. Dent Mater. 2008;24(9):1212-22.

Chiang YC, Chang HH, Wong CC, Wang YP, Wang YL, Huang WH, et al. Nanocrystalline calcium sulfate/hydroxyapatite biphasic compound as a TGF-beta1/VEGF reservoir for vital pulp therapy. Dent Mater. 2016;32(10):1197-208.

Appliance Construction: Impression Taking. https://depts.washington.edu/peddent/AtlasDemo/space091.html. Accessed 18 September 2018.

Nayak UA, Loius J, Sajeev R, Peter J. Band and loop space maintainer--made easy. J Indian Soc Pedod Prev Dent. 2004;22(3):134-6.

Brill WA. The distal shoe space maintainer chairside fabrication and clinical performance. Pediatr Dentist. 2002;24(6):561-5.

Behr M, Rosentritt M, Wimmer J, Lang R, Kolbeck C, Burgers R, et al. Self-adhesive resin cement versus zinc phosphate luting material: a prospective clinical trial begun 2003. Dent Mater. 2009;25(5):601-4.

Khoroushi M, Keshani F. A review of glass-ionomers: From conventional glass-ionomer to bioactive glass-ionomer. ENT Res J (Isfahan). 2013;10(4):411-20.

Davidson CL. Advances in glass-ionomer cements. J Appl Oral Sci. 2006;14:3-9.

Morais N, Faustino F, Morais T, Kassis EN, de Castro FPL, Scriboni AB, et al. Dental space maintainers: a brief review. Int J Adv Res. 2016;4(10):2086-92.

Cornelius CP, Ehrenfeld M. The Use of MMF Screws: Surgical Technique, Indications, Contraindications, and Common Problems in Review of the Literature. Craniomaxillofac Trauma Reconstr. 2010;3(2):55-80.

Housley JA, Nanda RS, Currier GF, McCune DE. Stability of transverse expansion in the mandibular arch. Am J Orthod Dentofac Orthop. 2003;124(3):288-93.

Eliasson A, Palmqvist S, Svenson B, Sondell K. Five-year results with fixed complete-arch mandibular prostheses supported by 4 implants. Int J Oral Maxillofac Implants. 2000;15(4):505-10.

Zablocki HL, McNamara JA, Jr., Franchi L, Baccetti T. Effect of the transpalatal arch during extraction treatment. Am J Orthod Dentofac Orthop. 2008;133(6):852-60.

Kumar ND, Krishna BRG, Shamnur N, Mithun K. Modified Transpalatal Arch for Molar Intrusion. J Int oral Heal JIOH. 2014;6(6):88-9.

Arikan V, Kizilci E, Ozalp N, Ozcelik B. Effects of Fixed and Removable Space Maintainers on Plaque Accumulation, Periodontal Health, Candidal and Enterococcus Faecalis Carriage. Med Princ Pract. 2015;24(4):311-7.

Chandra SH, Krishnamoorthy SH, Johnson JS, Prabhu S. ILL effects of Conventional band and loop space maintainers ##time to revolutionise. Int Dent Med J Adv Res. 2018;4:1-4.

Downloads

Published

2018-10-25

How to Cite

Albati, M., Showlag, R., Akili, A., Hanafiyyah, H., AlNashri, H., Aladwani, W., Alfarsi, G., Alharbi, M., & Almutairi, A. (2018). Space maintainers application, indication and complications. International Journal Of Community Medicine And Public Health, 5(11), 4970–4974. https://doi.org/10.18203/2394-6040.ijcmph20184251

Issue

Section

Review Articles