Abstract:The mainstay of pediatric dental practice is the successful esthetic rehabilitation of a preschooler with advanced carious lesions. Loss of masticatory efficiency, compromised esthesis, mispronunciation of labiodentals sounds, and development of abnormal oral habits are compromises arising due to the loss of primary anterior teeth at an early age either due to trauma or due to caries. Parental desire is the most decisive factor for the placement of an anterior esthetic appliance. This unique case report highli… Show more
“…Fixed space maintainers are generally preferable for young patients due to their better acceptance. 8 The absence of the inner sides of front teeth can lead to speech issues and pronunciations of tongue-tip consonants (like "t," "d," "s," "sh," and "ch") and labial sounds ("f" and "v"). There is also a risk of developing deleterious tongue habit, which could lead to the subsequent dental malalignment.…”
Dental caries affects people of all ages, often leading to early loss of teeth in children. Early childhood caries starts with the primary maxillary anterior teeth, then primary molars, with about 48% of preschoolers experiencing it worldwide. Rehabilitating a young child with multiple missing teeth due to caries or trauma is a challenging task for any pediatric dentist. Parents often seek aesthetic treatments to preserve their child's appearance and boost their self-confidence. In this case report, a 41⁄2-year-old girl was given a fixed Hollywood bridge appliance, enhancing her appearance, speech, and function while preventing harmful oral habits and boosting her confidence.
“…Fixed space maintainers are generally preferable for young patients due to their better acceptance. 8 The absence of the inner sides of front teeth can lead to speech issues and pronunciations of tongue-tip consonants (like "t," "d," "s," "sh," and "ch") and labial sounds ("f" and "v"). There is also a risk of developing deleterious tongue habit, which could lead to the subsequent dental malalignment.…”
Dental caries affects people of all ages, often leading to early loss of teeth in children. Early childhood caries starts with the primary maxillary anterior teeth, then primary molars, with about 48% of preschoolers experiencing it worldwide. Rehabilitating a young child with multiple missing teeth due to caries or trauma is a challenging task for any pediatric dentist. Parents often seek aesthetic treatments to preserve their child's appearance and boost their self-confidence. In this case report, a 41⁄2-year-old girl was given a fixed Hollywood bridge appliance, enhancing her appearance, speech, and function while preventing harmful oral habits and boosting her confidence.
“…Additionally, masticator y ef fectiveness, labiodental sound articulation, parental inclinations, esthetic demands, and socio -ps ychological implications are signif icant considerations. 9 To accomplish the same, a modified design of the conventional Groper's appliance was intellectualized. Through this paper, we wish to name this appliance as a GrADS appliance and desire to propagate its use in similar clinical situations.…”
CASE REPORTrehabilitation, including multiple extractions, was planned chair-side under nitrous oxide and oxygen inhalational sedation. Owing to the parental demands of esthetics in the anterior region, apart from the need for space preservation, it was decided to customize a unique design of SM for the maxilla.
The aim of this case report is to introduce a modified Groper appliance that enables transverse growth of the maxilla in addition to improving the aesthetics of patients with missing anterior teeth. Patient 1 was a 16-year-old young woman in the late stages of growth who presented with a congenitally missing maxillary lateral incisor. Patient 2 was a nine-year-old girl missing both of her maxillary central incisors due to trauma. The missing teeth were replaced by artificial acrylic teeth bonded onto growth-enabling, maxillary, fixed palatal space maintainers. A tube was soldered onto one of the arch wires of the maintainer and the opposite arch wire was threaded into this tube, allowing it to slide until the patient completed growth. Intermolar width increased by approximately 1.9 mm in Patient 1 and 2.6 mm in Patient 2 over the three-year review period. The in-tube mechanical design of the device allowed transverse growth of the maxilla without interference during and throughout long-term wear.
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