Fixed Dentulous Appliance for Upper Anterior Edentulous Span

CASE REPORT A four year old girl reported to the Department of Pedodontics and Preventive Dentistry with a complaint of missing upper anterior teeth. On examination, 52, 51 and 61 were found to be absent [Table/ Fig-1, 2]. An investigation revealed that these teeth were avulsed during a traumatic fall which had taken place about six months ago. The patient had not visited a dentist after the injury and the teeth were never retrieved. The patient and her parents were concerned with the deprived anterior aesthetics. It was decided to make a fixed dentulous appliance for replacing the missing anterior teeth. 55 and 65 were banded (band size: 0.005” x 0.180”) and alginate impressions [Table/Fig-3] were made for the upper and lower arches. Contra-indications of inserting anterior fixed appliances may include children with seizure disorders; mental retardation; a poor ability to be followed-up; very poor hygiene; immunecompromised patients; continuation of inappropriate feeding habits; and significant deepbite, over-jet, or anterior crossbite. However, our patient did not suffer from any of the above conditions or issues.