Journal of South Asian Association of Pediatric Dentistry

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VOLUME 6 , ISSUE 1 ( January-April, 2023 ) > List of Articles

CASE REPORT

Upgrading Conventional Space Maintainers Using GrADS Appliance: A Case Report

Sanchit Paul, Priyal P Sheth, Supriya Bhatara, Priyanka Sachdeva, Shivika Agarwal, Abhishek Soni

Keywords : Early childhood caries, Fixed appliance, Interceptive orthodontics, Primary teeth, Space maintenance

Citation Information : Paul S, Sheth PP, Bhatara S, Sachdeva P, Agarwal S, Soni A. Upgrading Conventional Space Maintainers Using GrADS Appliance: A Case Report. J South Asian Assoc Pediatr Dent 2023; 6 (1):41-44.

DOI: 10.5005/jp-journals-10077-3253

License: CC BY-NC 4.0

Published Online: 22-04-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background: Premature loss of primary teeth due to untreated severe early childhood caries (SECC) leads to space loss, increased frequency of malalignment, and crowding in the successor permanent dentition. Owing to the prevalent negligence and delay in accessing care, multiple extractions in a dental arch result in complex presentations, rendering conventional space maintainer (SM) designs counterproductive. Aim: This case report aims to highlight a unique customized and improvised design—Groper's appliance with distal shoe modification (GrADS), for a 5-year-old boy suffering from delayed consequences of SECC. Case description: Full-mouth rehabilitation, including multiple extractions, was undertaken, following which a novel appliance was conceptualized combining the design of Nance palatal arch, distal shoe SM, and Groper's appliance to successfully meet all the requirements and optimally preserve arch integrity. Regular follow-up allowed the documentation of the eventual success of the appliance. Conclusion: Customized designs can pave the path of change in preventive and interceptive orthodontics for children.


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  1. Kassebaum NJ, Bernabé E, Dahiya M, et al. Global burden of untreated caries: a systematic review and metaregression. J Dent Res 2015;94(5):650–658. DOI: 10.1177/0022034515573272
  2. Brown LR, Barber S, Benson PE, et al. PLATOON: premature loss of baby teeth and its impact on orthodontic need-protocol. J Orthod 2019;46(2):118–125. DOI: 10.1177/1465312519843305
  3. Management of the developing dentition and occlusion in pediatric dentistry. Pediatr Dent 2018;40(6):352–365.
  4. Rock WP, British Society of Paediatric Dentistry. UK national clinical guidelines in paediatric dentistry. Extraction of primary teeth–balance and compensation. Int J Paediatr Dent 2002;12(2):151–153. DOI: 10.1046/j.1365-263x.2002.332_2.x
  5. Bhujel N, Duggal MS, Saini P, et al. The effect of premature extraction of primary teeth on the subsequent need for orthodontic treatment. Eur Arch Paediatr Dent 2016;17(6):423–434. DOI: 10.1007/s40368-016-0247-7
  6. Ahmad AJ, Parekh S, Ashley PF. Methods of space maintenance for premature loss of a primary molar: a review. Eur Arch Paediatr Dent 2018;19(5):311–320. DOI: 10.1007/s40368-018-0357-5
  7. Waggoner WF, Kupietzky A. Anterior esthetic fixed appliances for the preschooler: considerations and a technique for placement. Pediatr Dent 2001;23(2):147–150.
  8. Shanmugaavel AK, Gurunathan D, Sundararajan L. Smile reconstruction for the preschoolers using GRASCE appliance-two case reports. J Clin Diagn Res 2016;10(8):ZD19–ZD22. DOI: 10.7860/JCDR/2016/19817.8251
  9. Joybell CC, Ramesh K, Simon P, et al. Dental rehabilitation of a child with early childhood caries using Groper's appliance. J Pharm Bioallied Sci 2015;7:S704–S707. DOI: 10.4103/0975-7406.163483
  10. Khanna S, Rao D, Panwar S, et al. 3D printed band and loop space maintainer: a digital game changer in preventive orthodontics. J Clin Pediatr Dent 2021;45(3):147–151. DOI: 10.17796/1053-4625-45.3.1
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