Oral Health and Dental Management

Space management: A novel approach in interceptive orthodontics

5^th American Dental Congress

October 05-07, 2015 Philadelphia, USA

A Hamid Zafarmand

Shahid Beheshti University of Medical Sciences and Health Services, Iran

Posters-Accepted Abstracts: Oral Health Dent Manag

Abstract:

During the mixed dentition, the �??golden stage of dentition�?�, both skeletal and dental structures change concurrently. For a child with all developmental spaces prediction goes towards a well aligned permanent dentition. On the other hand, �??serial extraction�?� is the only choice for a dental arch with severe space deficiency. However, borderline cases require more attention and treatment is more complicated. Such cases present with �??moderate crowding�?� during the mixed dentition stage. With no intervention, the crowding will be established in permanent dentition. Consequently, the cases will certainly require an orthodontic treatment with extractions. Customarily, �??space maintainer�?� protocol is indicated when an un-restorable primary tooth is to be removed. The SM appliance maintains the extraction space for settlement of the successor permanent tooth. However, the �??Space Management�?�protocol is indicated when a SM appliance placed in the arch, with moderate crowding and healthy primary tooth is removed to facilitate the permanent tooth eruption. The appliance will remain in the mouth till eruption of all permanent teeth. Decision for �??selective early extractions�?� is based upon number of criteria, like midline status, amount of crowing etc. Like all other interceptive treatments, the key success is the matter of what time, which tooth, from which quadrant and with what intervals to be extracted. These are important considerations for the best crowding resolution. Nonetheless, there are some unpredictable limitations that should be considered when performing the space management protocol. Evidence has fortunately rated this protocol with 75% success.

Biography :

Email: zafarmand@alum.bu.edu