Abstract
Clinical Technique: Space Maintenance Following the Premature Loss of Primary Molars using Innovative Fixed Unilateral Space Maintainers (Smart Appliances)
Highlights
The premature loss of primary molars due to caries, trauma, or other causes has shown to cause disturbances in the developing occlusion including space loss in the developing dentition [1-3]
This paper aims to introduce an innovative design of fixed unilateral space maintaining appliances (Smart Appliances) that are intended to overcome the disadvantages of the conventional ones
2) Distal-shoe SM following the loss of second molar, and the same can be modified as reverse band-andloop SM after the eruption of first permanent molar before the eruption of permanent incisors [6]
Summary
The premature loss of primary molars due to caries, trauma, or other causes has shown to cause disturbances in the developing occlusion including space loss in the developing dentition [1-3]. 2) Distal-shoe SM following the loss of second molar, and the same can be modified as reverse band-andloop SM after the eruption of first permanent molar before the eruption of permanent incisors [6]. These space maintaining appliances have been categorized by Code on Dental Procedures and Nomenclature (Code) CDT 2017 as fixed unilateral appliances [7]. This can be done intraorally or using the models if the mesial and distal walls of molars are preserved. A layer of Type-II-gypsum is covered over the crown, leaving a slight window at the junction of distal surface of the crown and mesial surface of the band
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