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Laboratory-made space maintainers: a 7-year retrospective study from private pediatric dental practice.
- Source :
-
Pediatric dentistry [Pediatr Dent] 2007 Nov-Dec; Vol. 29 (6), pp. 500-6. - Publication Year :
- 2007
-
Abstract
- Purpose: The purpose of this study was to report survival times and problems encountered with laboratory made space maintainers placed over 7 years by one pediatric dentist.<br />Methods: Charts were reviewed for 235 patients with fixed space maintainers placed between January 1, 1997, and December 31, 2003, and followed to December 31, 2005. Problems encountered and appliance lifetimes were recorded and assessed. Failures were recorded as: (1) cement loss; (2) solder breakage; (3) split bands; (4) eruption interference; (5) bent wire; (6) complete loss; or (7) not specified. Appliance outcomes, transferred patients, and those lost to follow-up were recorded.<br />Results: A total of 323 appliances were followed, with: (a) 93 (29%) successes; (b) 110 (34%) still in service; and (c) 104 (32%) known failures. Of the latter, most (62%) were from cement loss (60%) and 13 (12%) were totally lost. No statistically significant differences were noted between types of appliances, gender, and types of failure, except for the fact that bands and loops exhibited more cement loss (P=.045). Mean pooled survival times were between 26 and 27 months.. Of the 104 failures: (a) 34 (33%) were no longer needed (being considered clinically successful); (b) 57 (55%) were recemented; and (c) 13 (12%) were remade. Sixteen appliances were lost to follow-up or transferred.<br />Conclusion: A total of 63% of all space maintainers lasted their anticipated lifetimes or were still in use.
- Subjects :
- Adolescent
Canada
Child
Dental Arch anatomy & histology
Equipment Failure statistics & numerical data
Follow-Up Studies
Humans
Mandible
Maxilla
Orthodontic Appliance Design
Orthodontic Retainers classification
Pediatric Dentistry methods
Pediatric Dentistry statistics & numerical data
Retrospective Studies
Space Maintenance, Orthodontic statistics & numerical data
Survival Analysis
Tooth, Deciduous
Treatment Outcome
Orthodontic Retainers statistics & numerical data
Pediatric Dentistry instrumentation
Space Maintenance, Orthodontic instrumentation
Tooth Migration prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 0164-1263
- Volume :
- 29
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Pediatric dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 18254421