(6 years) child with bilateral loss of deciduous molars &the anterior teeth not erupted yet, the space maintainer for choice is:
- a- lingual arch.
- B- bilateral band and loop.
- c- bilateral band and loop with distal shoe.
- d- removable partial denture.***
The most appropriate space maintainer for a 6-year-old child with bilateral loss of deciduous molars and anterior teeth not yet erupted would be:
c) Bilateral band and loop with distal shoe.
Here's why:
- Bilateral band and loop:
This option provides good anchorage and stability, preventing mesial drifting of the adjacent teeth.
- Distal shoe:
Since the anterior teeth haven't erupted yet, a distal shoe on the loop helps maintain the space for their proper eruption later.
Let's analyze the other options:
a) Lingual arch:
This can be a good option for older children with permanent teeth, but for a 6-year-old with erupting anterior teeth, it might interfere with their eruption path.
b) Bilateral band and loop without distal shoe:
While this provides stability, it doesn't actively maintain space for the erupting anterior teeth.
d) Removable partial denture:
This could be an option if the child is good with compliance, but it might be challenging for a 6-year-old to keep clean and wear consistently. Additionally, it wouldn't provide the same level of anchorage as a fixed appliance.
Therefore, considering the age of the child, the stage of their dentition, and the need for active space maintenance, bilateral band and loop with distal shoe is the most suitable space maintainer in this case.
It's important to note that this is a general recommendation, and the specific needs of the child should be evaluated by a qualified dentist or orthodontist. They can determine the best course of treatment based on individual factors like the child's overall oral health, bite pattern, and specific needs.
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Pedodontics