KSK Appliance- Novel Method of Redefining Space

Abstract

The primary goal of preventive orthodontics is to main­tain the integrity of the deciduous dentition until uneventful exfoliation of primary teeth for proper growth and development of dento-facial complex. Space loss is unavoidable following longstanding proximal caries and early loss of deciduous tooth. In such conditions, orthodontic intervention plays a critical role, which promotes favorable develop­mental dento-facial changes. Space management, particularly space regaining, present challenges during early mixed dentition stage, creat­ing clinical conundrum in the anterior region due to insufficient anchorage. Out of various etiologies behind the non/delayed eruption of teeth, prolonged retention of deciduous teeth and space shortage are considered to be potential etiological factors. Space shortage for eruption of permanent teeth is a problem caused by tooth material/arch size discrepancy leading to decreased arch length and insufficient space for eruption of permanent teeth. This paper introduces a new technique of space regaining using proximal stripping in conjunction with modified split labial bow appliance in a 8 year old child in her mixed dentition period to enable favourable eruption of permanent lower right lateral incisor i.e 42.