Aditi Gupta, Abinash Mohapatra, Brahmananda Dutta, Kanika S Dhull
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引用次数: 0
摘要
基牙不仅对儿童的生长发育起着非常重要的作用,而且对恒牙的引导和萌出也起着非常重要的作用。乳牙或一组牙齿的过早脱落会对恒牙造成广泛的影响。避免这些问题的最佳方法是保留牙弓中的乳牙,直到它们正常脱落为止。但是,如果牙齿因广泛龋坏而不可避免地要拔除,那么最安全的办法就是放置牙间隙保持器来保持牙弓空间。本病例报告的患者是一名 4 岁男性,双侧上颌第一磨牙均已龋坏,无法修复。经过检查和放射学检查,决定拔除第 54 和 64 颗牙齿。由于恒继替牙仍处于诺拉4期,因此计划使用间隙保持器来防止任何移位和间隙丧失。为了取得良好的治疗效果,决定使用带有功能组件的南希义齿进行修复。替换缺失牙齿后,患者的功能明显改善,牙间隙也得到了保持:Gupta A, Mohapatra A, Dutta B, et al. 双侧上颌第一乳磨牙早失的功能性空间维持器:NAFC。Int J Clin Pediatr Dent 2024;17(5):612-615.
Functional Space Maintainer with Bilateral Early Loss of Primary Maxillary First Molars: NAFC.
The primary dentition plays a very important role not only in the child's growth and development but also in the guidance and eruption of permanent teeth. Premature loss of a deciduous tooth or a group of teeth will lead to a wide range of implications in the permanent dentition. The best way to avoid these problems is to preserve the primary teeth in the arch until their normal time of exfoliation. However, in cases where extraction of teeth is unavoidable due to extensive caries, the safest option to maintain arch space is by placing a space maintainer. The present case report is about a 4-year-old male patient with bilaterally decayed, nonrestorable primary maxillary first molars. After examination and radiographic investigations, it was decided to extract teeth 54 and 64. Since the permanent successors were still in Nolla's stage 4, a space maintainer was planned to prevent any migration and space loss. To encourage a positive outcome, it was decided to carry out prosthetic intervention using a Nance appliance with functional components. After the replacement of the missing teeth, a marked improvement in function, along with space maintenance, was seen.
How to cite this article: Gupta A, Mohapatra A, Dutta B, et al. Functional Space Maintainer with Bilateral Early Loss of Primary Maxillary First Molars: NAFC. Int J Clin Pediatr Dent 2024;17(5):612-615.