Page 24 - DP Vol 20 No 5_Neat

PEDIATRIC DENTISTRY SECTION

Fig 24: 46 - Hypo-mineralised with 85 – submerged has caused mesial Fig 25: Segmental Radiograph of the 46 area confirms – 85 –
tilting of the 46. submerged and impacted by the mesial titling of 46.

Fig 26: Graber’s Space Regainer placed Fig 27: After 6 weeks – 46 – distalized. Note the Fig 28: The Open-coiled springs removed and
and activated. increased spacing for 85/45. converted into a space maintainer with mesial U
loops to prevent mesial tipping.

Fig 29: Occlusal photograph taken on a review 13 years later – 45 has erupted well Fig 30: A 9 year old, with the present clinical condition. 26
and 46 – restored with composites with Minimally Invasive Dentistry approach. – has mesially shifted or 24 has moved distally! Radiograph
below taken 1 month before this clinical photograph and
after 64 had exfoliated.

24 Dental Practice I November-December 2024 I Vol 20 No 5