{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:05:40Z","timestamp":1790150740460,"version":"4.0.1"},"reference-count":11,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Aim<\/jats:title>\n                    <jats:p>Premature loss of primary maxillary incisors after traumatic dental injuries may require secondary rehabilitation in preschool children. Evidence on complications associated with fixed anterior prostheses in this context remains limited. This retrospective cohort study evaluated recorded complications of fixed anterior prostheses supported by preformed crowns for prematurely lost primary maxillary incisors, with emphasis on trauma\u2010related tooth loss and recurrent traumatic episodes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>In this retrospective cohort study, clinical records of children treated consecutively with fixed anterior prostheses supported by preformed metal crowns on primary molars were reviewed. Variables included sex, age at treatment onset, aetiology of tooth loss, oral habits, number of replaced teeth, anchorage type, treatment duration, new traumatic episodes during appliance use, and clinical complications. The primary outcome was the presence of any recorded complication. Bivariate analyses and multivariable logistic regression were performed. Complication incidence was also expressed per 100 patient\u2010years to account for variable follow\u2010up duration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The final sample included 123 children. Trauma was the main aetiology (112\/123; 91.1%). The prostheses were supported by maxillary first primary molars in 107 cases (87.0%) and by maxillary second primary molars in 16 cases (13.0%). Mean treatment duration was 28.0\u2009\u00b1\u200912.43\u2009months (range: 8\u201385), corresponding to approximately 287.0 patient\u2010years of follow\u2010up. Overall, 30 patients (24.4%) experienced at least one recorded complication, with an incidence rate of 10.5 complications per 100 patient\u2010years (95% CI: 7.1\u201314.9). New traumatic episodes during appliance use were independently associated with complications (adjusted odds ratio\u2009=\u20093.62; 95% confidence interval: 1.37\u20139.59;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.010).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this retrospective cohort, fixed anterior prostheses supported by preformed crowns showed a low\u2010to\u2010moderate frequency of recorded complications after premature loss of primary maxillary incisors, most frequently of traumatic origin. Recurrent trauma was the main independent factor associated with complications. Overall treatment effectiveness, survival, and patient\u2010centred outcomes were not assessed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.70135","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:28:06Z","timestamp":1790148486000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Complications of Fixed Anterior Prostheses After Traumatic Premature Loss of Primary Maxillary Incisors: A Retrospective Cohort Study"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-2137","authenticated-orcid":false,"given":"Alberto","family":"Adanero Velasco","sequence":"first","affiliation":[{"name":"Faculty of Biomedical and Health Sciences, University Dental Clinics Universidad Europea de Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3770-1735","authenticated-orcid":false,"given":"Eva","family":"Mart\u00ednez P\u00e9rez","sequence":"additional","affiliation":[{"name":"Clinical Specialties Department, Faculty of Dentistry Complutense University of Madrid  Madrid Spain"},{"name":"Department of Dentistry, School of Medicine CEU San Pablo University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0909-1382","authenticated-orcid":false,"given":"V\u00edctor","family":"G\u00f3mez Clemente","sequence":"additional","affiliation":[{"name":"Department of Orthodontics University Francisco de Vitoria  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paloma","family":"Planells Del Pozo","sequence":"additional","affiliation":[{"name":"Clinical Specialties Department, Faculty of Dentistry Complutense University of Madrid  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12574"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12576"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12081"},{"issue":"1","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1111\/j.1600-9657.1998.tb00806.x","article-title":"Sequelae of Trauma to Primary Maxillary Incisors. I. Complications in the Primary Dentition","volume":"14","author":"Borum M. K.","year":"1998","journal-title":"Endodontics & Dental Traumatology"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12644"},{"issue":"2","key":"e_1_2_13_7_1","first-page":"147","article-title":"Anterior Esthetic Fixed Appliances for the Preschooler: Considerations and a Technique for Placement","volume":"23","author":"Waggoner W. F.","year":"2001","journal-title":"Pediatric Dentistry"},{"issue":"2","key":"e_1_2_13_8_1","first-page":"124","article-title":"Fabrication of a More Durable Fixed Anterior Esthetic Appliance","volume":"51","author":"Jasmin J. R.","year":"1984","journal-title":"ASDC Journal of Dentistry for Children"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/children10111734"},{"key":"e_1_2_13_10_1","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-025-87005-8","article-title":"Evaluation of Anterior Fixed Appliances on Maxillary Arch Growth in Preschool Children","volume":"15","author":"Ghaly M.","year":"2025","journal-title":"Scientific Reports"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/edt.12262"},{"issue":"1","key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1111\/edt.12929","article-title":"The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) Guidelines for Prevention of Traumatic Dental Injuries: Secondary Prevention of Dental Injuries","volume":"40","author":"Tewari N.","year":"2024","journal-title":"Dental Traumatology"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70135","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.70135","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70135","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T07:28:07Z","timestamp":1790148487000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.70135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":11,"alternative-id":["10.1111\/edt.70135"],"URL":"https:\/\/doi.org\/10.1111\/edt.70135","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]},"assertion":[{"value":"2026-07-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"edt.70135"}}