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All Journal Indonesian Journal of Dental Medicine
Ramakrishnan, Krishna Kumar
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Dentistry

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One-visit preformed space maintainer: A case report Setyowati, Erika; Nelwan, Sindy Cornelia; Ramakrishnan, Krishna Kumar
Indonesian Journal of Dental Medicine Vol. 8 No. 2 (2025): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v8i2.2025.86-89

Abstract

Background: In paediatric dentistry, space maintainer is crucial for maintaining arch length after early tooth loss. Dental arch development can be greatly impacted by the early loss of primary teeth, particularly posterior teeth like primary molars. Adjacent teeth may drift, the midline may deviate, the length of the arch may shorten, and the emergence of permanent successors may be disrupted. Purpose: The goal of this case study is to demonstrate how well a prefabricated space maintainer works for a young child who needs few dental appointments. Case: The lower right primary first molar of a 5-year-old kid had significant caries. With neighbouring teeth intact and no indications of infection or systemic anomalies, a clinical and radiographic evaluation confirmed the need for extraction. Case Management: Tooth #84 was extracted under local anaesthesia the same day, and a prefabricated band and loop space maintainer was chosen. Without the need for laboratory procedures, the appliance was modified chairside and cemented in a single visit. For the underlying permanent successor, it offered appropriate space maintenance. To evaluate oral hygiene and appliance stability, the patient was scheduled for routine follow-ups. This case demonstrates the clinical advantage of utilising a premade band and loop space maintainer in a single-visit procedure after a young child's non-restorable primary molars were extracted. Conclusion: When cooperation or access to care is restricted, preformed space maintainers provide a rapid, efficient, and kid-friendly way to preserve arch integrity after early tooth loss in the primary dentition.
Repositioning and Fixation of an Intruded Immature Permanent Tooth in a Pediatric Dental Trauma Case Nelwan, Sindy Cornelia; Putri, Sofia Tandya; Prima, Nuryati; Ramakrishnan, Krishna Kumar
Indonesian Journal of Dental Medicine Vol. 8 No. 2 (2025): Indonesian Journal of Dental Medicine
Publisher : Faculty of Dental Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijdm.v8i2.2025.81-85

Abstract

Background: Intrusive luxation is one of the most severe types of dental trauma, especially in children with immature permanent teeth. Immediate and appropriate management is crucial to preserve pulp vitality and ensure proper root development. Purpose: This case report aims to present the management of an intruded immature permanent maxillary incisor in a pediatric patient through surgical repositioning and flexible splinting. Case: An 8-year-old boy presented three days after a football-related fall with a 6 mm intrusion of the permanent maxillary right central incisor. The tooth showed no mobility, and no root fracture was detected radiographically, although the periodontal space was reduced. Case Management: Due to the severity of the intrusion, immediate surgical repositioning under local anesthesia was performed. The tooth was carefully luxated and repositioned, followed by splinting using brackets and ligature wire from tooth #54 to #63 for three weeks. Antibiotics, analgesics, and antiseptic mouth rinse were prescribed. The tooth was kept out of occlusion, and pulp testing at three weeks indicated vitality. The splint was removed without complications, and a five-month follow-up confirmed stable teeth, an asymptomatic condition, and ongoing root and periodontal healing. Conclusion: Early surgical repositioning combined with flexible splinting can yield favorable outcomes in managing intrusive luxation in immature permanent teeth. Timely intervention and continuous follow-up are essential to preserve pulp vitality, support root development, and prevent complications such as resorption and ankylosis.
Co-Authors Nelwan, Sindy Cornelia Prima, Nuryati Putri, Sofia Tandya Setyowati, Erika