Space Regaining Made Easy: The Case of a Severely Infraoccluded Primary Molar

Garcovich, Daniele; Aiuto, Riccardo; Martin, Milagros Adobes

doi:10.1155/2019/6916839

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…Garcovich [ 45 ] reported the case of a young boy with Class I canine occlusion, increased OVJ, and anterior crowding with a 4.6 mesially tipped in the space of 8.5. A simple orthodontic approach was performed to widen the space and extract the submerged second deciduous molar (8.5).…”

Section: Discussionmentioning

confidence: 99%

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Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

et al. 2023

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Background: Infraocclusion of deciduous molars is a clinical disturbance that occurs during primary and mixed dentition and has some orthodontic implications. Infraoccluded teeth are believed to be potential sites of malocclusion, with a risk of tipping neighbouring teeth and losing space. This systematic review aims to analyse the management of primary molars infraocclusion and to provide updated guidelines. Methods: A literature search was performed using PubMed, Scopus, and Web of Science databases from 1 January 2017 to 28 November 2022. The inclusion criteria were: studies only on human subjects, open access studies, case reports, randomised trials, retrospective, observational studies, and English language. Results: A total of 372 publications were identified from the databases and a final number of nine studies were included in the review for qualitative analysis. Conclusion: Management of patients suffering from infraocclusion depends on the severity, age at diagnosis, and presence of succeeded premolars. Early diagnosis of infraoccluded primary elements is fundamental and cannot be postponed. Preservation of the primary molars may be a valid option with long-term stability if there is no or moderate primary molar infraocclusion, root resorption of less than half of the root, and no decay or restoration.

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Section: Discussionmentioning

confidence: 99%

“…Early intervention with the extraction of the primary element is suggested before it becomes infraoccluded. It is also recommended to place a space maintainer to allow the eruption of the corresponding permanent [ 46 , 53 ] or to carry out a light orthodontic therapy [ 45 , 54 ].…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

et al. 2023

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Management and Outcomes of Severe Submergence in Second Premolar

Sari,

Yuliartanti,

Setyawardana

2024

acopen

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General Background: The early loss of primary molars is a prevalent dental issue that can lead to significant occlusal disturbances, including space reduction and misalignment of permanent teeth. Specific Background: Submergence of the second permanent molar following premature exfoliation of primary molars exacerbates these issues, complicating the eruption pattern and dental arch integrity. Knowledge Gap: Despite existing treatment modalities, there is limited evidence on the effectiveness of specific appliances in managing severe submergence cases in pediatric patients. Aims: This study aims to evaluate the efficacy of the Gerber Space Regainer in restoring lost space and correcting the alignment of submerged second premolars in a pediatric patient. Results: A 10-year-old patient experiencing significant space loss due to premature exfoliation of tooth 85 was treated with a Gerber Space Regainer. Over a 7-week period, the appliance successfully regained 8 mm of space, with notable uprighting of the affected premolar, achieving complete recovery of the dental arch. Novelty: This case report highlights the practical application and success of the Gerber Space Regainer, emphasizing its efficiency in a short time frame, which has not been extensively documented in similar clinical scenarios. Implications: The findings suggest that the Gerber Space Regainer is an effective and reliable option for managing complex orthodontic cases involving submergence and space loss, contributing to the enhancement of treatment protocols in pediatric dentistry. Highlights: Effective space recovery: The Gerber Space Regainer successfully restored 8 mm of lost dental arch space in 7 weeks. Improved alignment: The treatment led to the uprighting of the submerged second premolar, ensuring proper occlusion. Pediatric applicability: The appliance demonstrated high efficiency and compliance in a young patient, showcasing its potential in pediatric cases. Keywords: Premature Loss, Space Regainer, Submergence, Second Premolar, Eruption Disturbance

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Space Regaining Made Easy: The Case of a Severely Infraoccluded Primary Molar

Cited by 2 publications

References 8 publications

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

Therapeutic Strategies of Primary Molar Infraocclusion: A Systematic Review

Management and Outcomes of Severe Submergence in Second Premolar

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