EN
HALTERMAN APPLIANCE FOR IMPACTED MANDIBULAR PERMANENT FIRST MOLAR – A CASE REPORT.
Abstract
Ectopic eruption of primary first molars involves their deviation from normal emergence, often appearing below second primary molars or failing proper alignment. Diverse strategies exist in literature for managing such cases. Halterman introduced a specialized appliance for impacted maxillary first molars. In pediatric dentistry, stainless steel crowns (SSC) are widely used. Poor tooth preparation, especially distally, can cause overhanging margins, obstructing adjacent permanent teeth eruption and alignment. The aim of this case report is to utilize the Halterman appliance for the orthodontic uprighting of the mandibular permanent first molar (36). This article presents a case involving an 8-year-old juvenile who presented for a routine dental examination subsequent to previous dental intervention performed under general anesthesia. The paper elucidates the proficient management of an incidental identification of an impacted left permanent first molar (36). This impaction was attributed to the presence of an adjacent overhanging SSC in the left primary second molar (75). The strategic resolution of this issue was accomplished using the Halterman appliance, showcasing a favourable and efficacious therapeutic result. To achieve orthodontic uprighting of 36, the Halterman appliance was employed. This appliance incorporates both wire components and elastics, strategically utilized to apply controlled forces for the purpose of inducing upright movement. SSC have become integral within the domain of pediatric dentistry, necessitating meticulous placement and adhesive techniques while considering prospective complications. In this context, the Halterman appliance emerged as an efficacious tool for expediently and conservatively repositioning tooth 36. This appliance harnesses a judicious combination of wire components and elastomeric forces to attain the desired therapeutic outcome.
Keywords
References
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Details
Primary Language
English
Subjects
Paedodontics
Journal Section
Case Report
Authors
Publication Date
December 31, 2023
Submission Date
November 1, 2023
Acceptance Date
December 22, 2023
Published in Issue
Year 2023 Volume: 26 Number: 4