scholarly journals Contemporary approach for space maintainers- A case report

2021 ◽  
Vol 6 (1) ◽  
pp. 1-3
Author(s):  
Savitha Sathyaprasad ◽  
◽  
SH Krishnamoorthy ◽  
Anjana ◽  
Vijayanath ◽  
...  

Mini implants have seen an evolutionary change in the phase of implant placement. The most common use for mini implant is the stabilization of over denture and orthodontic treatments, now they are used in pediatric dentistry for congenitally missing teeth and tooth loss due to trauma. Mini implants as a prosthetic replacement gives a psychological advantage to the child as it provides a feeling of his own teeth. A thirteen year old boy came to the department of pedodontics, KVG dental college, Sullia, with a chief complaint of spacing in the lower front tooth region since 4 years. On radiographic examination absence of 41, 31 were found. On model analysis, space deficiency was found in relation to the lower anterior and he was diagnosed with angle’s class I malocclusion with proclined maxxilary anterior teeth and congenitally missing lower central incisors. The patient’s main concern was on esthetics. Hence the patient was planned for a fixed provisional functional space maintainer using mini implant followed by crown prosthesis. The approach comes up with positive aesthetic and functional results that may reflect on self-esteem and social well-being of children and adolescents.

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Natalice Sousa de Oliveira ◽  
Gabriella Lopes de Rezende Barbosa ◽  
Lincoln Dias Lanza ◽  
Henrique Pretti

The treatment of choice in cases of avulsed permanent teeth is the immediate reimplantation. However, this conduct does not always work favorably, either by failures in the initial approach or by inappropriate interventions. In this sense, the aim of this study is to present an alternative prosthetic rehabilitation with the use of orthodontic mini-implants in the anterior region. This case reports a ten-year-old child with history of avulsion of superior central incisors. The therapeutic approach was planned to promote physiological teeth contacts and acceptable esthetics and phonetics. First, the occlusal-gingival insertion of two orthodontic mini-implants was performed in the alveolar ridge, and, immediately after that, two provisional crowns were attached to the implants. The interventions achieved satisfactory cosmetic and functional results. After one-year follow-up, the adjacent periodontal tissues remained without signs and/or symptoms of inflammation. The provisional crowns presented no mobility and fractures. During radiographic examination, a healthy bone tissue appearance was observed. The simplicity of mini-implant installation makes them a promising alternative for temporary prosthetic rehabilitation of patients undergoing growth and development. The technique provides positive aesthetic and functional results that may reflect on self-esteem and social inclusion of children and adolescents.


2013 ◽  
Vol 2013 (jun03 1) ◽  
pp. bcr2013009585-bcr2013009585 ◽  
Author(s):  
V. Khare ◽  
P. A. Nayak ◽  
V. Khandelwal ◽  
U. A. Nayak

2006 ◽  
Vol 30 (4) ◽  
pp. 277-279
Author(s):  
Luciana Butini Oliveira ◽  
Tereza Keiko Tamay ◽  
Marta Dutra Machado Oliveira ◽  
Célia Regina Martins Delgado Rodrigues ◽  
Marcia Turolla Wanderley

Restoration of severely decayed primary teeth is a clinical challenge in Pediatric Dentistry. Among the restorative treatment options, the use of prefabricated crowns and resin composite restorations, either by means of direct or indirect techniques is mentioned in the literature. The purpose of this article is to describe the rehabilitation of primary anterior teeth in a 5-year-old patient. Dental treatment consisted on an anterior space maintainer prosthesis made with natural primary teeth, plus human dental enamel veneer (facet) restorations. The advantages of this technique are better esthetics and the natural enamel has physiologic wear and offers superficial smoothness and cervical adaptation compatible with those of the surrounding teeth.


2019 ◽  
Vol 21 (5) ◽  
pp. 454-458
Author(s):  
Priscila Vieira Da Silva ◽  
Juliana Severino Lupinetti Noberto ◽  
Ariane Barbosa Rodrigues Del Papa ◽  
Cíntia Aparecida Damo Simões ◽  
Sandrine Bittencourt Berger ◽  
...  

Abstract The early loss of anterior primary teeth is frequent in the pediatric dentistry clinic and it is associated with extensive caries or dental trauma. The purpose of this study was to report two cases of aesthetic-functional rehabilitation due to early loss of anterior primary teeth, with the aid of fixed space maintainers of the tube-bar type. In the first case, a 4-year-old female child referred for dental treatment is reported. During clinical examination, several restorations in the posterior teeth and absent upper anterior teeth were observed. The treatment plan consisted of installing a tube-bar type upper fixed space maintainer, considering the ease of installation and adaptation for young children. The second case reports a 5-year-old male patient with the main complaint of dental caries. Clinical examination revealed extensive coronary destruction in the upper central incisors, as well as in the posterior teeth that presented carious lesions in several teeth. For the case planning, it was determined the need for  the posterior teeth restorations and the exodontia of the anterior dental remnants. After oral rehabilitation, an aesthetic-functional space maintainer of the tube-bar type was made and installed. In both cases, prosthetic rehabilitation was fundamental to maintain the space until the eruption of the permanent successors, avoiding future damages, as well as to restore the children's self-esteem and introversion  behavior. Keywords: Deciduous. Space maintenance. Mouth rehabilitation.  Resumo A perda precoce dos dentes decíduos anteriores é frequente na clínica odontopediátrica e está associada a processos de cáries extensas ou traumas dentários. O objetivo do presente estudo foi relatar dois casos clínicos de reabilitação estético-funcional após perda precoce de dentes decíduos anteriores, com auxílio de mantenedores de espaço fixo do tipo tubo-barra. O primeiro caso refere-se a uma criança do sexo feminino, quatro anos de idade, encaminhada para atendimento odontológico. Durante exame clínico, observou-se restaurações nos dentes posteriores e ausência dos dentes anteriores superiores. O plano de tratamento consistiu na instalação de um mantenedor de espaço fixo superior do tipo tubo-barra, levando em consideração a facilidade de instalação e adaptação para crianças com pouca idade. O segundo caso reporta um paciente de sexo masculino, cinco anos de idade, tendo como queixa principal a presença de cáries dentárias. Ao exame clínico, foi notado extensas destruições coronárias nos incisivos centrais superiores, assim como nos dentes posteriores. Para o planejamento do caso, determinou-se a necessidade de restaurações dos dentes posteriores e as exodontia dos remanescentes dentários anteriores. Após adequação do meio bucal foi confeccionado e instalado um mantenedor de espaço estético-funcional do tipo tubo-barra. Em ambos os casos, a reabilitação protética foi fundamental para a manutenção do espaço até a irrupção dos sucessores permanentes, evitando prejuízos futuros, devolvendo a autoestima e a mudança do comportamento de introversão das crianças.  Palavras-chave: Dente decíduo. Reabilitação bucal. Mantenedor de espaço em ortodontia.


2019 ◽  
Vol 23 (1) ◽  
pp. 45-49
Author(s):  
Hend Mahmoud Mohamed Hegazi

SummaryBackground/Aim: A problem of congenitally missing lateral incisors is frequently encountered in dentistry, with several available treatment modalities, the choice depending on each case. Case Report: A young female patient with bilateral missing lateral incisors was in need for dental treatment for esthetics. She had spacing among the upper anterior teeth with class I molar relationship. Orthodontic space creation was carried out followed by two-piece mini dental implant placement. Two-stage protocol was followed. After osseointegration, implants were exposed. Healing collars were installed to allow mucosal healing. Closed tray implant level impression was taken. Zirconium crowns were chosen for optimum esthetic results. Conclusions: Mini-implants can be used successfully for restoring congenitally missing lateral incisors after space opening. Esthetic results can be enhanced using Zirconium crowns


2021 ◽  
Vol 10 (4) ◽  
pp. 570-574
Author(s):  
Alice Corrêa Silva-Sousa ◽  
Yara Teresinha Corrêa Silva-Sousa ◽  
Nathalia Cristina Tavella-Silva ◽  
Marcelle Danelon

Talon cusp is a rare dental anomaly that occurs more frequently in maxillary incisors and is defined as a projection in the area of the cincture of anterior teeth that extends from the cemento-enamel junction or the region of the cincture, following towards the incisal face. An eight-year-old female patient was referred to the University of Ribeirão Preto Pediatric Dentistry Clinic (UNAERP) with suspicion of a supernumerary tooth on the palatal surface of tooth 12. During clinical and radiographic examination she found the presence of a conical-shaped enamel projection that presented a communication with the tooth 12 cincture and was thus classified as a talon cusp. Initially, prophylaxis and removal of the accumulated bacterial plaque were performed, verification of premature contact with paper for the joint and wear with a spherical diamond tip. FluroShield sealant was then applied following an adhesive protocol indicated by the manufacturer. After the necessary occlusal adjustments were made. 30 days later, the patient returned for clinical follow-up, reconversion and repolishing of the sealant. The talon cusp was diagnosed as Type I because it is morphologically well delineated and protrudes prominently from the palatal surface and extends at least halfway from the cemento-enamel junction to the incisal edge. It is recommended to seal the deep grooves to prevent caries. We can conclude that a rigorous clinical and radiographic examination leading to an early and accurate diagnosis is of extreme importance for the adoption of an adequate treatment.


2014 ◽  
Vol 7 (3) ◽  
pp. 225-228 ◽  
Author(s):  
Parvind Gumber ◽  
Aditi Sarawgi ◽  
Samir Dutta ◽  
Puneet Goenka

2009 ◽  
Vol 33 (3) ◽  
pp. 265-268 ◽  
Author(s):  
Gayatri Malik-Kotru ◽  
Les Kirchner ◽  
Lance Kisby

Dental caries is the single most common chronic disease affecting children in the USA. Approximately 20-25% children are affected. This not only has serious implications for a child's long term health and well being but also has serious financial implications. The American Academy of Pediatric Dentistry advocates early intervention with the first dental visit by 12 months of age. Objective: The aim of this study was to determine the first dental visit for children living in a socio economically deprived area in Connecticut. This study was conducted at a Federally Qualified Health Center in Connecticut. Study Design: Data was collected prospectively on the children between January to December 2004. Results: We found that the mean age for the first visit was 4 years. The recommendation is that community health programs should emphasize the importance of preventive dental care by assuring the first dental visit be by age 1 year.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Muhammad Zia-ur-Rehman ◽  
Khalid Latif ◽  
Muhammad Mohsin ◽  
Zahid Hussain ◽  
Sajjad Ahmad Baig ◽  
...  

PurposeThe basic intention of this research is to investigate the role of information transparency of financial institutions and psychological attitude of the individuals toward their attention to saving and borrowing. This study also tries to know how an individual's psychological factor affects a person's attitude to motivate them to save or borrow and contribute to well-being by giving them confidence that they can face financial challenges. So, the main concern of this study is to explore different factors that ultimately contribute to the financial well-being (FWB) of individual.Design/methodology/approachA survey was conducted by using a well-structured questionnaire to collect data and test the developed hypotheses by using SmartPLS. Data were collected from 120 customers of seven different commercial banks in Pakistan.FindingsThe findings of this study show that perceived information transparency positively affects FWB. It is also because transparent shared information creates positive change in individuals' perceived self-efficacy and leads to FWB. Furthermore, an individual's psychological attitude toward borrowing and saving did not contribute to the FWB of people who belong to Pakistan.Research limitations/implicationsThe research area is limited to one city of Pakistan and analysis is done with small numbers of sample, it can be increased and more areas can be explored.Practical implicationsThis research provides significant implications for people and economists by providing awareness about the antecedents of FWB. The policymakers or managers who work in financial institutions should provide more transparent information and create less risky opportunities to improve the individual's well-being. If person, manager and financial institution can properly utilize the information of this study, then they are able to improve their FWB. By providing more transparent services and favorable experience with your dealings, it could help to obtain and retain more loyal internal (employees) and external customers. The loyal customers and sincere employees can increase the productivity level of organization. The more productive organizations in countries means better society and progress in the economy.Originality/valueThis research contributes to the body of knowledge that how perceived information transparency and psychological attitude of borrowing create improvement and upward changes in the FWB of a person.


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