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Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2017, Number 1

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Rev Odotopediatr Latinoam 2017; 7 (1)

Decision making on space maintainer placement after premature loss primary first molars: Literature review

Pino GEF, Castillo CJL

Language: Spanish
References: 29
Page: 44-53
PDF size: 292.52 Kb.


ABSTRACT

Introduction: The use of space maintainers after the premature loss of primary molars has been associated with space loss and eruptive difficulties. However, there are different opinions about the need to place space maintainers after the premature loss of a primary first molar. The purpose of this review is to provide a summary of the available evidence regarding whether to place space maintainer after premature loss of the primary first molar.
Methods: A literature review was conducted in electronic databases from 1977 to 2016, in the databases (Pubmed, Medline, EBSCO).
Results: Most studies concluded that the greatest space loss occurs after the premature loss of a primary mandibular first molar. Many factors condition this lost, such as the lack of available space, the eruption status of the first permanent molar, the time of premature loss, among others.
Conclusions: According to the studies consulted the magnitude of loss of space after the premature loss of a primary first molar is clinically questionable, it does not have a large effect on dental arches. However, a great effect has been demonstrated at the extraction site whereby the space maintainer should be used as early as possible to avoid displacement of the adjacent teeth. It should be noted that the sample size and the methodology of some articles are limited, which requires studies of better methodological quality.


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