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Updated: May 10, 2026

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Measuring Maxillary Posterior Tooth Movement: A Model Assessment using Palatal and Dental Superimposition
Published on: February 23, 2024
Modified Nance palatal arch appliance for anterior tooth replacement
Ntasha Sethi1, Srinivas L Shanthraj, Manju Muraleedharan
1Department of Pedodontics and Preventive Dentistry, Dr Syamala Reddy Dental College and Hospital, Bangalore, Karnataka, India.
BMJ Case Reports
|June 11, 2013
Summary
This case report introduces an innovative technique for replacing missing front teeth using natural teeth as pontics. The novel fixed prosthetic successfully met the patient's aesthetic and functional needs.
Area of Science:
- Dentistry
- Prosthodontics
- Dental Materials
Background:
- Tooth extraction, particularly of maxillary central incisors, presents significant aesthetic and functional challenges.
- Adolescent patients require fixed prosthetic solutions that address both functional restoration and psychosocial well-being.
Observation:
- A novel technique utilizing natural teeth as pontics for postextraction replacement of maxillary central incisors was developed.
- The fabrication of a custom appliance was performed to integrate the natural teeth seamlessly.
Findings:
- The innovative appliance successfully replaced the missing maxillary central incisors.
- The fixed prosthetic met all aesthetic and functional demands specified by the adolescent patient.
Implications:
- This technique offers a viable, patient-centered approach for managing tooth loss in adolescents.
- The use of natural teeth as pontics presents a unique and potentially cost-effective prosthetic solution.
- Further research into the long-term stability and material science of this technique is warranted.
