MODIFIED GROPERS APPLIANCE FOR ENHANCED ESTHETICS : A CASE THEME.

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 or extensive dental trauma. An anterior esthetic appliance may be used to replace lost teeth. The most decisive factor for placing an anterior esthetic appliance is parental desire. Aim: This paper has offered several considerations for the clinicians to make when considering the placement of a fixed prosthetic appliance to replace missing incisors in preschool children. Objective: The main objective of any passive appliance in children include space maintenance, esthetics, mastication, speech development and controlled tongue habits. However, there is no strong evidence that early loss of maxillary incisors will have any significant, long lasting effect on the growth and development of the child, but definitely affects the esthetics and speech which inturn affect the confidence in their social life. Conclusion: Early childhood caries of an anterior tooth at younger age may result in psychological trauma to the child. So, restoration of anterior aesthetics with this appliance gave an imperative psychological boost for the child and his parents. Besides enhancing the facial aesthetics it acts as a functional space maintainers and assist in the development of proper speech.