SPACE MAINTAINER

 WHAT IS SPACE MAINTAINER? :

                                                            It refers to an appliance designed to retain a given area/space generally in the primary & mixed dentition. Maintenance of arch length during primary & mixed dentition is of great significance for the natural development of future occlusion. To prevent closure of space after extracting the primary tooth, Space maintainers are to be used.

INDICATION FOR SPACE MAINTAINERS:

1.If the space after premature loss of deciduous teeth shows signs of closing.

2. If the need for treatment of malocclusion at a later date is not indicated.

3. When the space for permanent tooth should be maintained for 2years or longer

4. To avoid supraeruption of tooth from opposing arch

5. To improve the physiology of a childs masticatory system & restore dental health optimally.

CONTRAINDICATIONS FOR SPACE MAINTAINERS:

1. If the space shows no signs of closing

2. When succedaneous tooth is absent

3. If the radiograph of the extraction region shows that one-third of root of succedaneous tooth is already calcified.

PRE-REQUISITES FOR SPACE MAINTAINERS:

1.They should maintain the mesiodistal dimension of the space created by the lost tooth

2.They should be simple & strong as possible.

3. They should not interfere with normal occlusal adjustments

4.They should not exert excessive stress on the adjacent teeth

5. Should not interfere with the erupting teeth

6. Easily adjustable & cleanable.

7. Reasonable in cost 

8. Durable & corrosion resistant.

CONSIDERATIONS FOR SPACE MAINTAINERS:

1. Time elapsed since tooth loss

2. Dental age.

3.Amount of bone covering the unerupted tooth

4.Eruption of neighboring teeth

5. Altered path of eruption of permanent tooth.

TYPES OF SPACE MAINTAINERS:

1. Band & loop space maintainers

2. Crown & loop space maintainers

3. Lingual arch space maintainers.

4. Nance palatal holding arch 

5. Transpalatal arch

6. Distal shoe appliance

7. Bonded space maintainers.

ADVANTAGES OF SPACE MAINTAINERS:

1. Easy manipulation

2.  Preformed bands are easy to use , have a good adaptation.

3. Does not interfere with passive eruption of abutments

4. Succedaneous permanent teeth are well guided to their positions.

DISADVANTAGES OF SPACE MAINTAINERS:

1. Results in decalcification of tooth material under the bands.

2. Supraeruption of opposing teeth if pontics are not used.

3. Prevents eruption of replacing permanent teeth if the patient fails to report.

FOR FURTHER DETAILS CONTACT US AT:

Rootz Dental Care and Implant Center has specialists with proven expertise in Implantology. For more information regarding treatments contact us today.

                                             

                                                No:2/2, First Floor, Sakthi Nagar,

                                                Rajiv Gandhi Salai, Thuraipakkam,

                                                Chennai - 600 097,

                                                Phone :- 9786688755,044-49504825

GINGIVAL RECESSION

 WHAT IS GINGIVAL RECESSION ?

It is defined as the exposure of the root surface by a shift in the position of the gingiva.

ETIOLOGY:

1. Plaque induced gingivitis

2. Plaque induced periodontitis

3. Age

4.Faulty tooth brushing

5.Tooth malposition

6. Gingival inflammation

7.Trauma from occlusion

TYPES OF RECESSION:

1. Visible.

2. Hidden.

3. Localised.

4. Generalised.

5. Narrow.

6. Shallow.

 
    

MILLERS CLASSIFICATION OF RECESSION:

CLASS 1: Marginal tissue recession not extending to the mucogingival junction. 

                   No loss of interdental bone/ soft tissue.

CLASS 2: Marginal tissue recession extends to or beyond the mucogingival junction. 

                  No loss of interdental bone / soft tissue.

CLASS 3: Marginal tissue recession extends to or beyond the mucogingival junction

                  Loss of interdental bone /soft tissue is apical to the CEJ, but coronal to the apical extent of                       marginal tissue recession.

CLASS 4: Marginal tissue recession extends beyond the mucogingival junction .

                  Loss of interdental bone extends to a level apical to the extent of the marginal tissue                                recession.

 

     

WHAT CAN GINGIVAL RECESSION LEAD TO ?

 

1.The exposed root surface are susceptible to caries. 

2.Abrasion /erosion of the cementum leading to sensitivity.

3.Interproximal recession creates oral hygiene problems & results in plaque accumulation.

4. Finally resulting in aesthetically unacceptable teeth.

FOR FURTHER DETAILS CONTACT US AT:

Rootz Dental Care and Implant Center has specialists with proven expertise in Implantology. For more information regarding treatments contact us today.

                                             

                                                No:2/2, First Floor, Sakthi Nagar,

                                                Rajiv Gandhi Salai, Thuraipakkam,

                                                Chennai - 600 097,

                                                Phone :- 9786688755,044-49504825