scholarly journals Space maintainer ‘Y model’ as a preventive orthodontic treatment for paediatric patients: a case report

2021 ◽  
Vol 54 (2) ◽  
pp. 102
Author(s):  
Laelia Dwi Anggraini ◽  
S. Sunarno ◽  
Rinaldi Budi Utomo ◽  
Dibyo Pramono

Background: Caries is one of the most common oral diseases that occur among children. Caries and dental trauma in children may cause early tooth loss, also known as premature loss, and result in occlusion abnormalities caused by the dental arch narrowing. A space maintainer is a preventive orthodontic appliance designed to maintain a narrow arch to prevent premature loss. Purpose: This study aims to describe the treatment of a case of space management in a patient with premature loss by using the space maintainer ‘Y model’. Case: An eight-year-old boy was accompanied by his mother, complaining that the lower posterior right tooth had been extracted. The mother was worried that the new tooth would have an overlapping growth. Case Management: The diagnosis was mandibular primary molar loss. The study cast was analysed based on Moyers 2.62 cm, Huckaba 2.24 mm, and curve determination 2.40 mm. The mandibular removable space maintainer treatment was performed on the patient and was followed by nine control visits every week. The outcome was a successful treatment from the use of the space maintainer ‘Y model’. Conclusion: The space maintainer treatment with the Y model in the paediatric patient showed a good result, evidenced by the tube opening of 1.2 mm, showing that the appliance followed lateral jaw growth.

2012 ◽  
Vol 24 (1) ◽  
Author(s):  
Revanti Ramadhani ◽  
Syarief Hidayat ◽  
Risti Saptarini Primarti

Premature loss could cause a problem with the tooth arrangement or the dental arch size. A space left by the primary tooth loss could cause migration of the adjacent teeth. As a result, space will be narrowed and undermined the eruption of the permanent teeth. The success of the space maintainer or space regainer usage due to the premature loss marked by space for the replacement of the permanent teeth. The purpose of this research was to evaluate the compliance of children in wearing a space maintainer or space regainer after insertion at Pedodontics Installation of Faculty of Dentistry Universitas Padjadjaran Dental Hospital, Bandung, Indonesia. The research method was descriptive survey technique. The sample consisted of 30 patients selected using the total sampling technique. Data were obtained with a questionnaire and statistically analyzed. The results showed that majority of the children uses the removable space maintainer or the space regainer daily was only about 23,3% overall. Most of the children only use the removable space maintainer or the space regainer for sometimes. The research concluded that the low rate of pedodontic patients compliance at Pedodontics Installation of Faculty of Dentistry Universitas Padjadjaran Dental Hospital in the usage of the removable space maintainer or the space regainer was usually caused by pain or discomfort. This fact was evidence of a low awareness of parents in preventing malocclusion to their children.


Author(s):  
John Shaheen ◽  
Austin B Mudd ◽  
Thomas G H Diekwisch ◽  
John Abramyan

Abstract Extant anurans (frogs and toads) exhibit reduced dentition, ranging from a lack of mandibular teeth to complete edentulation, as observed in the true toads of the family Bufonidae. The evolutionary timeline of these reductions remains vague due to a poor fossil record. Previous studies have demonstrated an association between the lack of teeth in edentulous vertebrates and the pseudogenization of the major tooth enamel gene amelogenin (AMEL) through accumulation of deleterious mutations and the disruption of its coding sequence. In the present study we have harnessed the pseudogenization of AMEL as a molecular dating tool to correlate loss of dentition with genomic mutation patterns during the rise of the family Bufonidae. Specifically, we have utilized AMEL pseudogenes in three members of the family as a tool to estimate the putative date of edentulation in true toads. Comparison of AMEL sequences from Rhinella marina, Bufo gargarizans and Bufo bufo, with nine extant, dentulous frogs, revealed mutations confirming AMEL inactivation in Bufonidae. AMEL pseudogenes in modern bufonids also exhibited remarkably high 86–93% sequence identity among each other, with only a slight increase in substitution rate and relaxation of selective pressure, in comparison to functional copies in other anurans. Moreover, using selection intensity estimates and synonymous substitution rates, analysis of functional and pseudogenized AMEL resulted in an estimated inactivation window of 46-60 MYA in the lineage leading to modern true toads, a timeline that coincides with the rise of the family Bufonidae.


2020 ◽  
Vol 5 (2) ◽  
pp. 9-21
Author(s):  
Nabila Clara ◽  
Jeffrey .

Introduction: The period of deciduous teeth is an important period in child development. Damage to deciduous teeth that occur and cannot be treated conservatively will cause premature decay of teeth which is often called premature loss. A space maintainer is a passive tool used to maintain dental arches due to premature loss of deciduous teeth. Method: An 11-year-old girl accompanied by her mother came to RSGMP Unjani in 2018 with complaints of lower right back teeth missing because they have removed. The patient's mother is worried that her replacement teeth will not grow properly. Intraoral examination revealed tooth loss 85. The study model was analyzed using the Moyers method. Results: Analysis of the lower jaw model showed excess space. Patients were treated with a semi-fixed band and loop space maintainer on teeth 85. Conclusion: Premature loss results in excess space in the arch, so as to prevent further occlusion abnormalities in the child's growth and development process, we need a special tool used to maintain space due to premature loss of deciduous teeth.


2013 ◽  
Vol 07 (S 01) ◽  
pp. S099-S104 ◽  
Author(s):  
Sezer Demirbuga ◽  
Oznur Tuncay ◽  
Kenan Cantekin ◽  
Muhammed Cayabatmaz ◽  
Asiye Nur Dincer ◽  
...  

ABSTRACT Objectives: The objective of this study is to evaluate the frequency and distribution of early tooth loss and endodontic treatment needs of permanent first molars in a Turkish pediatric population. Materials and Methods: A total of 7,895 panoramic radiographs taken for routine dental examination at the Department of Oral Maxillofacial Radiology between 2008 and 2012 years were investigated. Two independent specialists evaluated early tooth loss and endodontic treatment needs of permanent first molars using panoramic radiography and patient anamnesis forms. The teeth were classified according to the following data: (a) Missing teeth, (b) teeth requiring extraction, (c) endodontically treated teeth (ETT), (d) teeth requiring endodontic therapy. The data also classified according to four factors: Age group (6-12 and 13-16), gender (boy and girl), jaw (mandible and maxilla) and side (right and left). A Chi-square test was used for statistical analyses. Results: A total of 19,488 and 12,092 teeth were evaluated in the child group and adolescent group respectively. All data were higher in adolescents than children (p < 0.001). For gender factor, only ETT was higher in girls than it was in boys (p < 0.001). For the jaw factor, all data were higher (p < 0.001) in mandible than in the maxilla. For the side factor, no statistical difference existed between right and left. Conclusions: Early tooth loss and endodontic treatment needs of permanent first molars showed variability according to age groups and jaws. When the results were compared according to the side and gender factors, no statistical difference was found (p > 0.05) except with the data of ETT in gender groups.


2012 ◽  
Vol 17 (3) ◽  
pp. 877-886 ◽  
Author(s):  
M. H. Walter ◽  
W. Hannak ◽  
M. Kern ◽  
T. Mundt ◽  
W. Gernet ◽  
...  

2017 ◽  
Vol 67 ◽  
pp. 19-25 ◽  
Author(s):  
Susan Hyde ◽  
Veronique Dupuis ◽  
Boipelo P. Mariri ◽  
Sophie Dartevelle

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Anna Carolina Volpi Mello-Moura ◽  
Ana Maria Antunes Santos ◽  
Gabriela Azevedo Vasconcelos Cunha Bonini ◽  
Cristina Giovannetti Del Conte Zardetto ◽  
Cacio Moura-Netto ◽  
...  

The giant cell fibroma is a benign nonneoplastic fibrous tumor of the oral mucosa. It occurs in the first three decades of life in the mandibular gingiva, predominantly, showing predilection for females. This article reports a case of giant cell fibroma in a 2-year-old girl, which is an uncommon age for this lesion. The patient was brought for treatment at the Research and Clinical Center of Dental Trauma in Primary Teeth, where practice for the Discipline of Pediatric Dentistry (Faculty of Dentistry, University of São Paulo, Brazil) takes place. During clinical examination, a tissue growth was detected on the lingual gingival mucosa of the lower right primary incisors teeth. The lesion was excised under local anesthesia and submitted to histological examination at the Oral Pathology Department of the Faculty of Dentistry, University of São Paulo, which confirmed the diagnosis of giant cell fibroma. There was no recurrence after 20 months of monitoring. This instance reinforces the importance of oral care from the very first months of life in order to enable doctors to make precocious diagnosis and offer more appropriate treatments for oral diseases, as well as to promote more efficient oral health in the community.


2009 ◽  
Vol 10 (5) ◽  
pp. 58-68 ◽  
Author(s):  
Pradeep S. Anand

Abstract Aim The aims of the present study are to determine the causes and pattern of loss of permanent teeth among patients attending a dental teaching institution in southern India. Methods and Materials Data collected from patients attending the outpatient wing of the Sri Sankara Dental College, Kerala, during a three month period was used for the study. The cause for extraction was classified as follows: (1) caries and its sequelae, (2) periodontal disease, (3) orthodontic purposes, (4) impactions, (5) prosthodontic purposes, and (6) other reasons. Results A total of 1791 permanent teeth were extracted of which 708 (39.5%) teeth were extracted due to caries and its sequelae, 508 (28.4%) due to periodontal disease, 347 (19.4%) for orthodontic purposes, 29 (1.6%) due to impactions, 155 (8.7%) for prosthodontic purposes, and 44 (2.5%) for other reasons. Conclusion The results of the present study suggest caries and periodontal disease are the major causes of tooth mortality in the study population. Clinical Significance Data regarding the causes of tooth loss indirectly provides invaluable information on the pattern of oral health in a population which can be utilized for planning public health policies designed to address the burden of oral diseases. Citation Anand PS, Kuriakose S. Causes and Patterns of Loss of Permanent Teeth among Patients Attending a Dental Teaching Institution in South India. J Contemp Dent Pract [Internet]. 2009 Sept; 10(5). Available from: http://www. thejcdp.com/journal/view/causes-and-patterns-ofloss- of-permanent-teethamong-patients-attendinga-d.


Sign in / Sign up

Export Citation Format

Share Document