Original Article

Year : 2022

Volume : Volume 13

Issue : Issue 3

Comparison of the Conventional Band and Loop Space Maintainers with Modified Space Maintainers: A Split-mouth Randomized Clinical Trial

Dr. Sabika Mazhar

Address for correspondence :
Dr. Sabika Mazhar
dr.sabikamazharsana77@gmail.com

Abstract


Background: Space maintainers (SMs) have been utilized to fill in the gaps left by the elimination of deciduous teeth before expected time period. The most often utilized band and loop SM (B and L SMs) have a number of drawbacks, including non-functionality, inadequate periodontal condition, restricted durability, development in a laboratory, and a lengthy technique, among others. Aim: In terms of gingival inflammation, overall survival, this study was conducted to compare the effectiveness of traditional B and L SMs with conventional tube and loop (CTL), bonded tube and loop (BTL), and bonded band and loop. Materials and Methods: Thirty children between 4 years and 8 years of age with at least two fresh extraction sites of primary molars contra- or bilaterally in each child (total 60 fresh extraction sites) were included in the study. Conventional band and loop on one site while bonded loop or CTL or BTL on the other site were delivered, based on random allocation. An evaluation was done at 1st, 3rd, 6th, and 9th months for survival time, gingival health. Results were statistically analyzed using independent t-test and Chi-square test. Results: 100% Band and loop and CTL while only 60% bonded loop and 80% BTL survived till the end of the study. For gingival health, statistically significant differences were obtained at 1st, 3rd, 6th, and 9th month’s intervals (P < 0.05) with less incidence of gingivitis in CTL as compared with other SM. Conclusion: CTL SMs were found to be most efficacious in terms of survival
time and gingival health.

Keywords: Conventional band and loop space maintainers, Modified space maintainers, Clinical trial