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The three primary correlates of human dental occlusion – dentitional development, craniofacial growth, and neuromuscular maturation, while constantly interrelated in function, nevertheless develop at different schedules. As a result, the development of occlusion is one of the most fascinating and complicated problems in all of development biology. Every oral health care provider must take necessary measures to evaluate and monitor the development toward optimal results. There are many morphogenetic and environmental influences affecting the occlusal development, and a disorder in any of these elements may influence the occlusion.1 Premature exfoliation or extraction of primary tooth may lead to loss of space due to drifting of the adjacent teeth. This may also lead to undesirable effects, such as impaction of the succedaneous tooth, overeruption of the opposing tooth, and a shift of the midline, with consequent functional impairment.2 It is prudent to consider space maintenance when primary teeth are lost prematurely. Factors to consider include specific tooth lost, time elapsed since tooth loss, preexisting occlusion, favorable space analysis, presence and root development of permanent successor, amount of alveolar bone covering permanent successor, patient’s health status, patient’s cooperative ability, active oral habits, and oral hygiene.3 The function of a space maintainer is to preserve arch length following the premature loss of a primary tooth (or teeth). The space maintainer allows the permanent tooth to erupt unhindered into proper alignment and occlusion. A space maintainer is recommended after the extraction of a primary molar. Just “watching” often results in the creation of a more difficult arch length problem.4 Adverse effects associated with conventional space maintainers include dislodged, broken, and lost appliances; plaque accumulation; caries; interference with successor eruption; undesirable tooth movement; inhibition of alveolar growth; soft tissue impingement; and pain. The present study compares glass fiber-reinforced composite (GFRC) vs conventional band-and-loop space maintainers. ABSTRACT Introduction and aim: Premature exfoliation or extraction of primary tooth may lead to loss of space due to drifting of the adjacent teeth. This may also lead to undesirable effects, such as impaction of the succedaneous tooth, overeruption of the opposing tooth, and a shift of the midline, with consequent functional impairment. It is prudent to consider space maintenance when primary teeth are lost prematurely. The current study aims to clinically evaluate the effectiveness of space maintainers comparing conventional band and loop space maintainer with glass fiber-reinforced space maintainer following loss of primary teeth in mixed dentition.

Clinical Evaluation of the Effectiveness of Glass Fiber-reinforced Composite Space Maintainer vs Band-and-loop Space Maintainer following Loss of Primary Teeth: An in vivo Study