Using loop connectors as an interim mode of treatment: An interdisciplinary approach.
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Date
2016-11
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Abstract
To tackle a large midline diastema and generalized spacing existing before extraction often poses
a challenge to the treating prosthodontist. The situation becomes even more complicated if the
patient is a teenager, with multiple missing teeth, associated deep bite and where the jaw bone
growth has not yet been completed. Possible treatment options would include a removable
prosthesis, a fixed partial denture or an implant supported prosthesis. Treating such cases with
a simple removable prosthesis cannot be justified if a deep bite existed which would result in
posterior disocclusion. Also a conventional fixed partial denture or closure of the diastema with
light cure composite (LCC), would result in a seemingly large tooth, which would be unaesthetic
in appearance. Implant supported prosthesis is a possibility, if the patient’s jaw bone growth has
been completed. Another simple non-invasive solution to this problem would be to fabricate a
non-rigid connector using loops. This presentation describes the procedure for fabrication of an
interim loop connector for a 16 year old female patient who had lost one of her maxillary central
incisors as a result of trauma. Patient also had multiple spacing in the maxillary anterior teeth
and an associated deep bite. Her cephalogram revealed that she had a Class III skeletal pattern. A
permanent treatment at this stage was not possible due to ontoward mandibular growth pattern
as revealed on the cephalogram. Hence to dodge all these problems, a simple and non-invasive
treatment using loop connectors was chosen till the growth period was completed.
Description
Keywords
Late mandibular growth pattern, loop connector, spring cantilever bridge
Citation
Mathew T Aby, Koshy Ashwin Thomas, Thomas Annie Susan, Joseph Angel Mary, Mathew Nicholas. Using loop connectors as an interim mode of treatment: An interdisciplinary approach. Indian Journal of Dental Research. 2016 Nov-Dec; 27(6): 672-676.