About this trial
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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
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
Disqualifiers
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
Trial design
Crossover
Treatments tested in this trial
space maintainer
Other intervention3-D printed partial denture space maintainer will designed for each child patient who has premature loss of primary teeth after doing intraoral scanning
space maintainer
Other interventiona conventional impression will be done for a child patient with premature loss of his primary teeth, then a plaster model will gained. A conventional acrylic partial denture will be designed and delivered to the patient.
Treatment groups
Trial outcomes
Primary outcomes
clinical evaluation
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
gingival health
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.
plaque index
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.
Sponsors and contacts
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