7 yrs. old child with early missing of D,E in both side in maxilla best space maintainer is:
- A. transpalatal
- B. Nancy appliance
- C. Band and loop
- D. Lingual arch
For a 7-year-old child with early missing D and E (premolars) in both sides of the maxilla, the best space maintainer is most likely: C. Band and loop
Here's why:
- Age:
At 7 years old, the child is likely still in the mixed dentition, with some baby teeth present and some permanent teeth erupting.
- Missing teeth:
The missing teeth are the first premolars (D and E) on both sides of the maxilla.
- Space maintenance:
The goal is to maintain the space for the future eruption of the permanent premolars.
Advantages of a band and loop:
- Suitable for mixed dentition:
This type of space maintainer is well-suited for the mixed dentition, as it can be attached to the existing permanent first molars (bands) and extend a loop anteriorly to hold space for the erupting premolars.
- Simple and effective:
Band and loops are relatively simple to construct and use, making them a cost-effective option.
- Easy to maintain:
They are generally easy for children to maintain with good oral hygiene practices.
Other Options:
Why other options are less suitable:
A. Transpalatal:
This maintainer is typically used for more extensive space maintenance needs or when multiple teeth are missing bilaterally. It might be overkill for this specific scenario.
B. Nance appliance:
Similar to a transpalatal arch, this appliance is more suited for situations with broader space maintenance requirements.
D. Lingual arch:
This type of maintainer usually doesn't offer sufficient individual tooth control and is less commonly used in such situations.
Important notes:
It's important to note:
This information is for general knowledge only and should not be a substitute for professional dental advice.
The best course of treatment should be determined by a qualified dentist after a thorough examination of the child's individual case.
Factors like the child's specific needs, oral hygiene, and willingness to cooperate with the appliance will be considered when making the final decision.