Aesthetic Dentistry for Pediatric Patients

Children with missing teeth have problems with self-esteem that can be improved through aesthetic dentistry and the dentists need to replace these teeth with an aesthetic maintainer. The aims of the study was to compare between the effectiveness of using two different types aesthetic cemented dental appliance for replacing prematurely lost primary maxillary incisor of pediatric patients. Twenty children aged 2 4 years old, with prematurely loss of one of the maxillary incisors were involved in this study. The children randomly divided into two groups in the first group replace the missing tooth using fixed space maintainer, while in the second group replace the missing tooth using fixed acrylic bridge. The results were showed that the fracture was occur in 2 cases of 10 in fixed space maintainer those need to repair and recemented again, meanwhile no fracture was occur in acrylic bridge. Fixed space maintainer with good retention showed in 9 of 10 cases. Meanwhile all the acrylic bridges showed good retention. Significant higher parental satisfactions were received in acrylic bridge group than space maintainer group. So, The fixed acrylic bridge seems to be more successful in replacing missing anterior teeth compared to fixed maintainer and more satisfied by parents.