05Sep 2019

MODIFIED GROPERS APPLIANCE FOR ENHANCED ESTHETICS : A CASE THEME.

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One of the dentist?s greatest restorative challenges is the esthetic rehabilitation of a young toddler who has suffered multiple tooth loss subsequent to rampant early childhood caries or extensive dental trauma. An anterior esthetic appliance may be used to replace lost teeth. The most decisive factor for placing an anterior esthetic appliance is parental desire. Aim: This paper has offered several considerations for the clinicians to make when considering the placement of a fixed prosthetic appliance to replace missing incisors in preschool children. Objective: The main objective of any passive appliance in children include space maintenance, esthetics, mastication, speech development and controlled tongue habits. However, there is no strong evidence that early loss of maxillary incisors will have any significant, long lasting effect on the growth and development of the child, but definitely affects the esthetics and speech which inturn affect the confidence in their social life. Conclusion: Early childhood caries of an anterior tooth at younger age may result in psychological trauma to the child. So, restoration of anterior aesthetics with this appliance gave an imperative psychological boost for the child and his parents. Besides enhancing the facial aesthetics it acts as a functional space maintainers and assist in the development of proper speech.


  1. Borum MK, Andreasen JO. Sequelae of trauma to primary maxillary incisors. Complications in the primary dentition. Endod Dent Traumatol, 1998; 14:31-44.
  2. Wilson, CFG. Management of trauma to primary and developing teeth. Dental Clinics of North America 1995; 39:133-167.
  3. Longhurst P, Roberts G. Injuries affecting the deciduous dentition. In: Oral and Dental Trauma in Children and Adolescents. Oxford: Oxford University Press, 1996, 27- 35.
  4. Kirzioglu Z, Erturk MS. Success of Reinforced Fiber Material Space Maintainers. J Dent Child. 2004; 71:158- 62.
  5. Laing E, Ashley P, Naini FB, Gill DS. Spacemaintainence. International Journal of Paediatric Dentistry. 19, 155-62.
  6. Liegeois F, Limme? Modified? bonded ?bridge? space? maintainer.? J ClinPediatr? Dent.? 1999; 23:281-84.
  7. Waggoner WF,?? Kupietzky?? ?? Anterior?? esthetic?? fixed?? appliances?? for?? the?? preschooler: considerations and a technique for placement. Pediatr Dent 2001; 23:147-50.
  8. Koroluk LD, Riekman GA. Parental perceptions of the effects of maxillary incisor extractions in children with nursing caries. J Dent Child. 1991; 58:233-36.
  9. Riekman GA, Badrawy El HE. Effect of premature loss of primary maxillary incisors on speech. Pediatr Dent 1985; 7:119-22.
  10. Christensen JR, Fields HW. Space maintenance in the primary dentition. In: Pinkham JR, editor. Pediatric Dentistry: Infancy through adolescence, 2nd ed. Philadelphia: W.B. Saunders Company, 1994, 358-63.
  11. Fymbo L. The relation of malocclusion of the teeth to defects of speech. Arch Speech 1936; 1:204-16.
  12. Gable TO, Kummer AW, Lee L, Creaghead NA, Moore LJ. Premature loss of the primary maxillary incisors: Effects on speech production. J Dent Child 1995; 62:173- 79.

[Aaisha Aejaz, TabrezT. A, Mohsen AM and Tanveer A. (2019); MODIFIED GROPERS APPLIANCE FOR ENHANCED ESTHETICS : A CASE THEME. Int. J. of Adv. Res. 7 (Sep). 254-258] (ISSN 2320-5407). www.journalijar.com


DR. AAISHA AEJAZ
social

DOI:


Article DOI: 10.21474/IJAR01/9655      
DOI URL: http://dx.doi.org/10.21474/IJAR01/9655