Gingival Health, Space Maintenance
Conditions
Keywords
partial denture space maintainer, 3-D printing, plaque index, gingival index
Brief summary
Primary dentition is the most suitable space maintainer for permanent teeth. However, as infants often lose their primary teeth too soon, using a space maintainer is the most efficient, long-lasting, and economical way to prevent malocclusions and function impairment in the future. Regarding personalized appliances, space maintainers in digital pediatric dentistry have made significant progress. Digital technology decreases the manual manufacturing stages that take a long time and increases the reliability and durability of digital fabrication procedures.
Interventions
3-D printed partial denture space maintainer will designed for each child patient who has premature loss of primary teeth after doing intraoral scanning
Sponsors
Study design
Intervention model description
A Randomized Controlled Clinical Crossover Study
Eligibility
Inclusion criteria
* apparently, healthy cooperative children having recent premature loss of lower primary molars * the permanent successors of the lost primary molars were not expected to erupt within 6 months * Angle's class 1 occlusion with normal primary molar relation * Presence of teeth on the mesial and distal side of the edentulous area * Absence of para-functional habits or abnormal occlusion conditions such as crossbite, open bite, or deep bite. * Radiographically, presence of permanent successors. * parents and children were accepting the new treatment modality.
Exclusion criteria
* children exhibited poor oral hygiene, para-functional oral habits, severe crowding, space loss, and abnormal occlusion * Extraction of primary molars exceeding three months. * Radiographically, absence of permanent successor. * uncooperative children
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| clinical evaluation | three months | the clinical performance of the partial denture space maintainers in the recall visits will be to assess: the Fracture of the space maintainer, and Lost or missing |
| plaque index | three months | using a Williams periodontal probe, the plaque index will be assessed using the Silness-Loe plaque index: 0: Absence of microbial plaque, 1: Thin film of microbial plaque along the free gingival margin, 2: Moderate accumulation with plaque in the sulcus, 3: Large amount of plaque in the sulcus or pocket along the free gingiva margin. |
| gingival health | three months | using a Williams periodontal probe, gingival index will be evaluated according to the following criteria: * 0: Healthy gingiva. * 1: There is mild inflammation, discoloration and edema, no bleeding on probing. * 2: Moderate inflammation, marked redness, edema, and bleeding on probing. * 3: Severe inflammation, prominent redness and edema, ulceration, spontaneous bleeding tendency. |
Countries
Egypt