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CASE REPORT Table of Contents   
Year : 2016  |  Volume : 27  |  Issue : 6  |  Page : 672-676
Using loop connectors as an interim mode of treatment: An interdisciplinary approach


Department of Prosthodontics and Crown and Bridges and Implantology, Pushpagiri College of Dental Sciences, Thiruvalla, Pathanamthitta, Kerala, India

Correspondence Address:
Ashwin Thomas Koshy
Department of Prosthodontics and Crown and Bridges and Implantology, Pushpagiri College of Dental Sciences, Thiruvalla, Pathanamthitta, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9290.199584

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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.


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