Growth-enabling modified Groper appliance for the replacement of permanent maxillary incisors: Report of two cases

Publications

Share / Export Citation / Email / Print / Text size:

Australasian Orthodontic Journal

Australian Society of Orthodontists

Subject: Dentistry, Orthodontics & Medicine

GET ALERTS

ISSN: 2207-7472
eISSN: 2207-7480

DESCRIPTION

15
Reader(s)
22
Visit(s)
0
Comment(s)
0
Share(s)

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue / page

Archive
Volume 38 (2022)
Volume 37 (2021)
Volume 36 (2020)
Volume 35 (2019)
Volume 34 (2018)
Volume 33 (2017)
Volume 32 (2016)
Volume 31 (2015)
Related articles

VOLUME 36 , ISSUE 1 (May 2020) > List of articles

Growth-enabling modified Groper appliance for the replacement of permanent maxillary incisors: Report of two cases

Volkan Arikan / Duygu Ocal / Merve Akcay / Ayse Tuba Altug / Levent Ozer / Emre Cesur *

Citation Information : Australasian Orthodontic Journal. Volume 36, Issue 1, Pages 108-113, DOI: https://doi.org/10.21307/aoj-2020-013

License : (CC BY 4.0)

Published Online: 20-July-2021

ARTICLE

ABSTRACT

The aim of this case report is to introduce a modified Groper appliance that enables transverse growth of the maxilla in addition to improving the aesthetics of patients with missing anterior teeth. Patient 1 was a 16-year-old young woman in the late stages of growth who presented with a congenitally missing maxillary lateral incisor. Patient 2 was a nine-year-old girl missing both of her maxillary central incisors due to trauma. The missing teeth were replaced by artificial acrylic teeth bonded onto growth-enabling, maxillary, fixed palatal space maintainers. A tube was soldered onto one of the arch wires of the maintainer and the opposite arch wire was threaded into this tube, allowing it to slide until the patient completed growth. Intermolar width increased by approximately 1.9 mm in Patient 1 and 2.6 mm in Patient 2 over the three-year review period. The in-tube mechanical design of the device allowed transverse growth of the maxilla without interference during and throughout long-term wear.

Content not available PDF Share

FIGURES & TABLES

REFERENCES

1. Malmgren O, Malmgren B. Orthodontic management of the traumatized dentition. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th edn. Munksgaard: Blackwell Publishing Co., 2007;669-711.

2. Ashley M, Holden V. An immediate adhesive bridge using the natural tooth. Br Dent J 1998;10;184:18-20.

3. Jasmin JR, Groper JN. Fabrication of a more durable fixed anterior esthetic appliance. ASDC J Dent Child 1984;51:124-7.

4. Zachrisson BU. Planning esthetic treatment after avulsion of maxillary incisors. J Am Dent Assoc 2008;139:1484-90.

5. Creugers NHJ, Kreulen CM. Resin-related bridges and conventional bridges in the anteior region. In: Andreasen JO, Andreasen FM, Andersson L, eds. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th edn. Munksgaard: Blackwell Publishing Co., 2007;729-39.

6. Andreasen JO, Ödman J, Hämmerle C, Buser D, Von Arx T, Jensen J et al. Implants in the anterior region. In: Andreasen JO, Andreasen FM, Andersson L., eds. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th edn. Munksgaard: Blackwell Publishing Co., 2007;761-90.

7. İşeri H, Solow B. Continued eruption of maxillary incisors and first molars in girls from 9 to 25 years, studied by the implant method. Eur J Orthod 1996;18:245-56.

8. Moorrees CF, Gron AM, Lebret LM, Yen PK, Fröhlich FJ. Growth studies of the dentition: a review. Am J Orthod 1969;55:600-16.

9. Ulusoy AT, Cehreli ZC. Provisional use of a natural tooth crown following failure of replantation: a case report. Dent Traumatol 2008;24:96-9.

10. Zachrisson BU, Stenvik A, Haanaes HR. Management of missing maxillary anterior teeth with emphasis on autotransplantation. Am J Orthod Dentofacial Orthop 2004;126:284-8.

11. Czochrowska EM, Stenvik A, Zachrisson BU. The esthetic outcome of autotransplanted premolars replacing maxillary incisors. Dent Traumatol 2002;18:237-45.

12. Czochrowska EM, Stenvik A, Bjercke B, Zachrisson BU. Outcome of tooth transplantation: survival and success rates 17-41 years posttreatment. Am J Orthod Dentofacial Orthop 2002;121:110-9.

13. Jonsson T, Sigurdsson TJ. Autotransplantation of premolars to premolar sites. A long-term follow-up study of 40 consecutive patients. Am J Orthod Dentofacial Orthop 2004;125:668-75.

14. Björk A, Skieller V. Normal and abnormal growth of the mandible. A synthesis of longitudinal cephalometric implant studies over a period of 25 years. Eur J Orthod 1983;5:1-46.

15. Gandini LG Jr, Buschang PH. Maxillary and mandibular width changes studied using metallic implants. Am J Orthod Dentofacial Orthop 2000;117:75-80

16. Hesby RM, Marshall SD, Dawson DV, Southard KA, Casko JS, Franciscus RG et al. Transverse skeletal and dentoalveolar changes during growth. Am J Orthod Dentofacial Orthop 2006;130:721-31.

17. Chafaie A, Portier R. Anterior fiber-reinforced composite resin bridge: a case report. Pediatr Dent 2004;26:530-4.

18. Sharma AB, Vargervik K. Using implants for the growing child. J Calif Dent Assoc 2006;34:719-24.

19. Smith RA, Vargervik K, Kearns G, Bosch C, Koumjian J. Placement of an endosseous implant in a growing child with ectodermal dysplasia. Oral Surg Oral Med Oral Pathol 1993;75:669-73.

20. Thailander B. Odman J, Gröndahl K, Lekholm U. Aspects on osseointegrated implants inserted in growing jaws: A biometric and radiographic study in young pigs. Eur J Orthod 1992;14:99-109.

21. Smidt A. Esthetic provisional replacement of a single anterior tooth during the implant healing phase: A clinical report. J Prosthet Dent 2002;6:598-602.

22. Dincer M, Haydar S, Unsal B, Turk T. Space maintainer effects on intercanine arch width and length. J Clin Pediatr Dent 1996;21:47- 50.

23. Waggoner WF, Kupietzky A. Anterior esthetic fixed appliances for the preschooler: considerations and a technique for placement. Pediatr Dent 2001;23:14750.

24. Joybell CC, Ramesh K, Simon P, Mohan J, Ramesh M. Dental rehabilitation of a child with early childhood caries using Groper’s appliance. J Pharm Bioallied Sci 2015;7:S704-7.

25. Pithon MM, Mendes EB, de Souza RA, De Freitas LM. A space maintainer for growing patients with avulsed central incisors. J Clin Orthod 2012;46:27-30.

EXTRA FILES

COMMENTS