Despite the best efforts in prevention, premature loss of primary teeth continues to be a common problem in pediatric dentistry, resulting in disruption of arch integrity and adversely affecting the proper alignment of permanent successors. Space maintainers (SMs) are special appliances used for maintaining space created due to premature loss of primary teeth. Band and loop SM is mostly indicated for the premature loss of single primary molar, but this appliance has a number of limitations both for operators and for patients. Presented in this article is an innovative “Tube and Loop” SM (Nikhil appliance) which offers several advantages over the conventional band and loop SM. It is not only easy and quick to fabricate but can also be completed in a single sitting and cumbersome steps like impression making and laboratory procedures namely soldering are eliminated.
How to cite this article: Srivastava N, Grover J, Panthri P. Space Maintenance with an Innovative “Tube and Loop” Space Maintainer (Nikhil Appliance). Int J Clin Pediatr Dent 2016;9(1):86-89.
Sasa IS, Hasan AA, Quadeimat MA. Longevity of band and loop space maintainers using glass ionomer cement: a prospective study. Euro Arch Pediatr Dent 2009 Jan;10(1):6-10.
Nayak UA, Lous J, Sajeev R, Peter J. Band and loop space maintainer-made easy. J Indian Soc Pedod Prev Dent 2004 Sep;22(3):134-136.
Quadeimat MA, Fayle SA. The longevity of space maintainers: a retrospective study. Pediatr Dent 1998 Jul-Aug;20(4):267-272.
Christensen JR, Fields HW Jr. Space maintenance in the primary dentition. In: Pinkham JR, Casamassimo PS, Fields HW Jr, Mc Tigue DJ, Nowak AJ. Pediatric Dentistry: infancy through adolescences. Missouri: Elsevier Saunders; 2005. pp. 419-448.
Muthu, MS.; Sivakumar, N. Space maintainers and regainers. Pediatric dentistry – principles and practice. India: Elsevier; 2009. p. 302-318.
Law CS. Management of premature primary tooth loss in child patient. J Calif Dent Assoc 2013 Aug;41(8):612-618.
Horax S. Fixed space maintainer with molar band in premature loss of primary first molar teeth (case report). J Med Nurs 2006;27(3):174-176.
Wright GZ, Kennedy DB. Space control in primary and mixed dentitions. Dent Clin North Am 1978 Oct;22(4):579-601.
Foster, TD. Dental factors affecting occlusal development. In: Foster, TD., editor. A textbook of orthodontics. London: Blackwell; 1990. p 129-146.
Baroni C, Franchini A, Rimondini L. Survival of different types of space maintainers. Pediatr Dent 1994 Sep-Oct;16(5): 360-361.
Thornton JB. The space maintainer: case reports of misuse and failures. Gen Dent 1982 Jan-Feb;30(1):64-67.
Hill CJ, Sorenson HW, Mink JR. Space maintenance in a child dental care program. J Am Dent Assoc 1975 Apr;90(4):811-815.