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 Table of Contents  
CASE REPORT
Year : 2017  |  Volume : 9  |  Issue : 2  |  Page : 117-118

An esthetic space maintainer for future prosthesis in growing patients


1 Department of Orthodontics and Dentofacial Orthopedics, V. Y. W. S. Dental College, Amravati, Maharashtra, India
2 Department of Orthodontics and Dentofacial Orthopedics, Himachal Dental College, Mandi, Himachal Pradesh, India

Date of Web Publication26-May-2017

Correspondence Address:
Amol A Verulkar
Department of Orthodontics and Dentofacial Orthopedics, V. Y. W. S. Dental College, I/O Model Railway Station, Amravati - 444 602, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJDS.IJDS_8_17

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  Abstract 

The treatment of congenitally/missing teeth at young age is unique challenges to the dental profession and often requires a coordinated interdisciplinary approach to achieve optimal esthetic and functional results. Space maintainers in orthodontics has widely played key role in early maintenance of space till growth ceases. In growing patients for aesthetics purpose the tooth colored material use provide additional patients compliance till it gets future prosthesis like implants. Here; the article gave unique type of space maintainer for growing patients.

Keywords: Congenital missing laterals, prosthesis, space maintainer


How to cite this article:
Verulkar AA, Kaur G, Tripathi AA, Singh M. An esthetic space maintainer for future prosthesis in growing patients. Indian J Dent Sci 2017;9:117-8

How to cite this URL:
Verulkar AA, Kaur G, Tripathi AA, Singh M. An esthetic space maintainer for future prosthesis in growing patients. Indian J Dent Sci [serial online] 2017 [cited 2020 Apr 6];9:117-8. Available from: http://www.ijds.in/text.asp?2017/9/2/117/207109


  Introduction Top


The treatment of congenitally missing teeth at young age is unique challenge to the dental profession and often requires a coordinated interdisciplinary approach to achieve optimal esthetic and functional results.[1]

Initially, prosthetic replacement was limited to removable partial dentures and conventional fixed bridges. Although conventional fixed bridges were more comfortable and esthetic than removable partial dentures, they required gross reduction of healthy tooth structure, which is generally contraindicated in young patients. A more recent option is the single-tooth implant, but implant placement should occur only after growth has been completed.[2],[3]

Furthermore, the amount of space between the roots is critical to successful implant placement, and orthodontic intervention is usually necessary to achieve not only the amount of interradicular space but also the proper root angulation.[2],[4] Because orthodontic treatment usually occurs at an early age, several years of maintenance therapy may be required until the appropriate age for implant placement.

This article presents an esthetic space maintainer for future prosthesis in growing patients with fiber reinforced GC (Everstick C and B) and composite restorative material.


  Procedure Top


Steps of fabrication are as follows:

  1. After the space regained by distalization of canines in congenitally missing lateral incisor area, it is then prepared (postacid etching) for further composite tooth preparation [Figure 1]
  2. Then, tooth preparation is initiated by fiber reinforced material (Everstick C and B) [Figure 2], in both vertical as well as horizontal aspect of missing lateral incisor [Figure 3]
  3. With the restorative composite, it is built identically like lateral incisor tooth anatomy and further light cured [Figure 4] and [Figure 5].
Figure 1: Etching of tooth surface.

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Figure 2: Material used for prosthesis.

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Figure 3: Bonding of fiber reinforced material.

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Figure 4: Preparation of composite crown.

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Figure 5: Occlusal view.

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  Conclusion Top


By this method, we get fixed, esthetically and functionally sound tooth without reduction of healthy tooth structure. This method is also used as maintenance therapy until the appropriate age for implant placement/future prosthesis.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Sabri R. Management of missing maxillary lateral incisors. J Am Dent Assoc 1999;130:80-4.  Back to cited text no. 1
[PUBMED]    
2.
Spear FM, Mathews DM, Kokich VG. Interdisciplinary management of single-tooth implants. Semin Orthod 1997;3:45-72.  Back to cited text no. 2
[PUBMED]    
3.
Kokich VO Jr. Early management of congenitally missing teeth. Semin Orthod 2005;11:146-51.  Back to cited text no. 3
    
4.
Chan E, Darendeliler MA, Vicker D. Implants and orthodontics. Brighter futures. Newsl Aust Soc Orthod 2006;3:1-4.  Back to cited text no. 4
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]



 

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Abstract
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Procedure
Conclusion
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