One phase prosthetic and orthodontic treatment in children: Case study

Abstract

Background: Dental trauma in children is reported about 25–33%. Besides dental trauma, children are also at high risk for malocclusion. The prevalence of malocclusion in children was reported as 39% in children and 93% in adolescents. If the patient has malocclusion and a history of tooth loss due to trauma at the same time, there is often a dilemma as to which treatment should be prioritized. This case report will combine the Prosthetic phase and the orthodontic phase at the same time. Case reports regarding denture-modified removable orthodontic appliances in children have so far not been found. Case Report: An 11-year-old boy came with his mother to pediatric dentistry department at Universitas Airlangga with the chief complaint of missing teeth due to extraction at the dentist two years ago due to trauma. On intraoral clinical examination, it was found missing 11, crossbite 21 with 31 and 32. Case Management: Patients were planned treatment of malocclusion with removable orthodontic appliances added with riding pontic 11. Discussion: Tooth loss in children will affect speech, eating, and self-confidence. Several authors have reported appliance modifications and reported satisfactory results. During malocclusion treatment, dentures may not provide optimal aesthetic results. However, the advantages provided by the presence of dentures during the treatment of malocclusion are considered to be greater. Conclusion: Modification of removable orthodontic appliances combined with dentures can be a solution to both prosthodontic treatment needs and malocclusion.