Case Report

Year : 2019 | Volume : 4 | Issue : 2 | Page : 80-83

Case Report: A Novel, Fixed Chairside Space Maintainer

Yasser R. Souror1,2, Mohammed Sameer Khawandanah1 , Sherif E. Allam1, Renad A. Alaishan1

1 Department of Basic and Preventive Sciences, Batterjee Medical College, Jeddah, Kingdom of Saudi Arabia, 2 Department of Pediatric Dentistry and Dental Public Health, Faculty of Dental Medicine, Assiut Branch, Al‐Azhar University, Egypt

Address for correspondence:

Prof. Yasser R. Souror,

Department of Pediatric Dentistry and Dental Public Health,Faculty of Dental Medicine, Assiut Branch, P.O Box 71511, Al‐Azhar University, Egypt.

E‐mail: doctoryaser@gmail.com

Abstract

Introduction:

To prevent the dental arch deficiency after untimely loss of primary teeth, a space maintainer is employed. Space maintainers currently in use like band and loop are considered a non-aesthetic appliance. Light Cured Acrylic Resins LCAR are commonly utilized in dental practice. They provide the essential mechanical and physical properties with the necessary characteristics to be used in diverse functions in dentistry.

Aim:

To provide an aesthetic alternative space maintainer after premature extraction of second primary molar.

Case Description:

An eight-year-old healthy boy reported with a recently missing lower left second primary molar. A pink color sheet of LCAR Triad® VLC (Custom Tray) product was used to construct a space maintainer. After complete examination, full arch isolation was performed using rubber dam and suction. Both the abutment teeth were cleaned with pumice slurry and then etched with 35% orthophosphoric acid for 30 seconds for primary first molar and 20 seconds for the permanent first molar. The teeth were rinsed, air-dried, and wetted with an adhesive that was light-cured for20 seconds. A thin layer of flowable composite was applied to the buccal surfaces of the abutment teeth without light-curing it. The cut length of LCAR was placed over the flowable composite extending from the buccal aspect of permanent first molar to buccal aspect of the primary second molar. The ends of the LCAR were adapted to the teeth surfaces with a plastic instrument. The composite and LCAR was light-cured for 2 minutes. for each end of LCAR.

Conclusion:

This case report showed that the Light Cure Acrylic Resin space maintainers can be a new alternative to the traditionally fixed space maintainers used in pediatric dentistry.

Keywords: Early loss of primary molars, fixed space maintainer, light‐cured acrylic resin

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

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