Modified Groper’s Appliance (BI-Functional Groper’s) – Innovative Design for Management of Anterior and Posterior Teeth Loss

Abstract

One of the dentist’s greatest restorative challenges is the esthetic rehabilitation of a young toddler who has suffered multiple tooth loss subsequent to rampant early childhood caries (ECC) or extensive dental trauma. The condition has been characterized as first affecting the primary maxillary anterior teeth, followed by involvement of the primary molars.The extent of decay is almost always more severe in the maxillary incisors and frequently by the time the child is brought to the dentist, much of the anterior clinical crowns are lost. ECC is found especially in developing countries, which significantly affect the health and social development of the child. Such conditions require restorability or extraction of involved teeth based on clinical signs and symptoms. When extraction of primary incisors is necessary, many parents will seek an esthetic solution for the problem. This case report discusses a case of esthetic rehabilitation in a 5yearold female child over a follow up period of 18 months.