CASE REPORT

Year : 2012  |  Volume : 30  |  Issue : 2  |  Page : 161-165

 

New design space regainers: 'Lingual arch crossbow' and 'Double

banded space regainer'
P Chalakka1, AM Thomas1, F Akkara2, R Pavaskar3
1
 Department of Pedodontics and Preventive Dentistry, Christian Dental College and Hospital, Ludhiana, Punjab, India
2
 Department of Oral and Maxillofacial Surgery, Dental College and Hospital, Bambolim, Goa, India
3
 Department of Conservative Dentistry and Endodontics, Index Institute of Dental Sciences, Indore, Madhya Pradesh, India

Correspondence Address:
P Chalakka
Department of Pedodontics and Preventive Dentistry, Goa Dental College and Hospital, Bambolim, Goa 403202 
India
Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-4388.100001

     Abstract  

This article highlights the use of two new design space regainers - the "lingual arch crossbow" and
the "double-banded space regainer." The former may be used for distalizing a mesially migrated
mandibular first premolar, if it erupts prior to the canine. The latter may be used in conventional
cases of interdental space loss. They both contain assemblies that function through the action of NiTi
open coil springs.

Keywords: Crossbow, lingual arch, NiTi, space regainer

How to cite this article:

Chalakka P, Thomas A M, Akkara F, Pavaskar R. New design space regainers: 'Lingual arch crossbow' and 'Double
banded space regainer'. J Indian Soc Pedod Prev Dent 2012;30:161-5

How to cite this URL:

Chalakka P, Thomas A M, Akkara F, Pavaskar R. New design space regainers: 'Lingual arch crossbow' and 'Double
banded space regainer'. J Indian Soc Pedod Prev Dent [serial online] 2012 [cited 2016 Nov 22];30:161-5. Available
from: http://www.jisppd.com/text.asp?2012/30/2/161/100001

JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Apr - Jun 2012 | Issue 2 | Vol 30
Introduction

The transition from mixed dentition to a

permanent one is seldom accurate, the
hurdles being space loss, tooth size arch His mandibular arch contained all
length discrepancy, early exfoliation of permanent incisors and first molars,
primary teeth, or premature eruption of primary right first molar, primary left
permanent teeth. When the usual second molar and the left first
sequence of eruption of permanent teeth premolar [Figure 1].
does not occur, it must warn the clinician
The reason for exfoliation of the primary
of monitoring the arches and intervening
canines and the primary right second
with extractions, space maintainers, or
molar was unknown and the boy gave no
space regainers.
history of extractions. This had resulted in
mesial migration of the left first premolar,
This article highlights the use two new
limiting the canine space to just 3
design space regainers, the "lingual arch
mm [Figure 2]. It was decided to regain
crossbow" (LAC) and the "double-banded
the canine space using a space regainer by
space regainer" (DBSR). LAC can be used
distalizing the first-left premolar after
on the lower arch if the first premolar
extracting the primary second-left molar.
erupts prior to the canine and needs to be
A lingual arch space maintainer was
distallized to prevent it from encroaching
constructed to prevent mesial migration
into the canine space. The DBSR may be
of the permanent first molars [Figure 3].
used in conventional cases of interdental
Molar tubes (1.1 mm diameter, 10 mm
space loss.
length) were welded to molar bands

Materials and Methods (0.006 × 0.180 in) on the lingual arch,

buccally and lingually. A stainless steel
An 8-year-old boy reported to the
curved wire (0.9 mm width) was
department of Pedodontics and
constructed angled medially forward with
Preventive Dentistry with the complaint of
its free ends passing posteriorly through
misaligned teeth.

JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Apr - Jun 2012 | Issue 2 | Vol 30
molar tubes and NiTi open coil springs
(GAC Int Inc, Central Islip,

JOURNAL OF INDIAN SOCIETY OF PEDODONTICS AND PREVENTIVE DENTISTRY | Apr - Jun 2012 | Issue 2 | Vol 30