Fixed functional space maintainer for premature loss of primary anterior teeth
Early childhood caries and dental trauma is very common in developing countries and are the main reasons for early loss of both anterior and posterior teeth in young children. As a pedodontist it is a challenging task to buildup confidence in children with missing anterior teeth as it helps the child in providing normal psychological development and restoring a normal and pleasing appearance. This article describes a case of fixed functional space maintainer which is a modification of nance palatal space maintainer in a 4 year old boy. This modified nance space maintainer is a temporary prosthetic replacement for preschoolers with early loss of primary teeth. Primary second molars provide support for the appliance through bands and a stainless steel wire spanning from one band to the other with an acrylic flange in the anterior portion bearing primary anterior teeth made of tooth molding powder. This appliance helps in restoring function and is aesthetically complaint.
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