International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE 6 ( November-December, 2020 ) > List of Articles


A Modified Removable Space Maintainer for Compromised Dentition of Children: A Case Series

Tanya Agarwal

Citation Information : Agarwal T. A Modified Removable Space Maintainer for Compromised Dentition of Children: A Case Series. Int J Clin Pediatr Dent 2020; 13 (6):722-724.

DOI: 10.5005/jp-journals-10005-1843

License: CC BY-NC 4.0

Published Online: 31-03-2021

Copyright Statement:  Copyright © 2020; The Author(s).


Despite the attempt in prevention, premature loss of primary teeth remains to be a frequent problem in pediatric dentistry, resulting in disturbance of arch integrity and unfavorably affecting the alignment of permanent successors. Space maintainers (SMs) are distinctive appliances used for maintaining space created due to premature loss of primary teeth. But at times the dentition of children is so compromised that it prevents the use of a conventional SM. Introduced in this article is an innovative modified removable functional SM that offers several benefits over the traditional appliance. It is a straightforward and rapid method to fabricate but also omits band adaptation in uncooperative children and helps restore the functional harmony.

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  1. Srivastava N, Grover J, Panthri P. Space maintenance with an innovative “Tube and Loop” space maintainer (Nikhil appliance). Int J Clin Pediatr Dent 2016;9(1):86–89. DOI: 10.5005/jp-journals-10005-1340.
  2. Parisotto TM, de Souza-e-Silva, Oliveira CS, et al. Prosthetic rehabilitation in a four-year-old child with severe early childhood caries: a case report. J Contempor Dent Pract 2009;10(2):90–97. DOI: 10.5005/jcdp-10-2-90.
  3. Uddanwadiker R, Patil PG. Evaluation of the deformations on the jaw bone due to a band and loop, nance appliance and trans-palatal arch space-maintainers: a three-dimensional finite element analysis. Dentistry 2013;3:172.
  4. Rao AK, Sarkar S. Changes in the arch length following premature loss of deciduous molars. J Indian Soc Pedod Prev Dent 1999;17(1): 29–32.
  5. Pushpalatha C, Devi MM, Kamath PS, et al. A custom modified band and loop space maintainer- a case report. J Dent Oro-facial Res 2016;12(02):30–32.
  6. Marwaha M, Bhat M, Nanda KDS. Building-up a smile in a 5-year-old child: a case report. Int J Clin Pediatr Dent 2012;5(2):151–154. DOI: 10.5005/jp-journals-10005-1156.
  7. Subramaniam P, Babu G, Sunny R. Glass fiber reinforced composite resin as a space maintainer. A clinical study. J Indian Soc Pedod Dent 2008;26(Suppl S3):98–103.
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