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Groper’s
Appliance
Introduction
Aesthetic rehabilitation for preschoolers who
have lost multiple teeth is one of the most
common problems which is seen by the
pediatric dentist.
.
01
ECC is one of the major oral health problems which affects infants and
preschool children in both developed and developing countries.
02
A review of the literature reports that in most developed countries the
prevalence rate of ECC is between 1 and 12%. The national surveys from
some countries, such as India (51.9%), Greece (36%), Brazil (45.8%) and
Israel (64.7%), showed inconsistent prevalence of 𝐸𝐶𝐶 1 .
03
• Mastication-efficacy
• Tipping of adjacent
teeth, over eruption of
antagonist teeth
• Speech problems
• Esthetics disturbed
• Oral habits.
Consequences
of early tooth
loss
What is the
need of
replacement?
Enter title
• General oral health
• Psychological impact
• Development of
phonetics
• Functional restoration
The replacement should be such that it should not interfere with
the eruption process of the underlying successor.
Groper’s Appliance
• The Groper’s appliance was first documented by Jasmin and
Groper in 1984.
• The main objective of Groper’s appliance was to help in space
maintenance, esthetics appearance, mastication and speech.
Case Report
Chief Complaint: A five-year-old boy reported to the
Department of Pediatric and Preventive Dentistry, Guru Nanak
Institute of Dental Sciences & Research, with chief complain of
decayed upper front teeth for last 3 months.
Medical History: No histories of trauma, systemic diseases, drug
allergies or any infections were reported.
Family History: Non-significant.
GENERAL EXAMINATIONS: No abnormality was detected in
extraoral features such as general appearance, height, weight, and
built. The patient had bilaterally symmetrical facial profile.
CLINICAL EXAMINATION:
• Root stump was present i.r.t 52, 54
and 61
• Class I caries was present i.r.t 64, 65,
74,75, 84 and 85
• 55 was previously restored due to
caries.
RADIOGRAPHIC EXAMINATION:
DIAGNOSIS: Severe Early Childhood
Caries
BAND ADAPTATION
TRY IN & ADJUSTMENT
SS WIRE FRAMEWORK
APPLIANCE FABRICATION
TRIMMING AND POLISHING
APPLIANCE WAS CEMENTED
USING GIC TYPE I ON
PREVIOUSLY PLACED STAINLESS
STEEL CROWNS OF 55 AND 64
Discussion
• Often school-going and young children with the absence of anterior
teeth are bullied or mocked by the other children and may get affected
socially.
• The decision to replace anterior tooth comprises of several aspects
such as child’s age and parental desire.
• There is no evidence of oral growth restriction after using prosthetic
appliances at present.
Waggoner W, Kupietzky A. Anterior esthetic fixed appliances for the preschooler: Considerations and a technique for
placement. Pediatric dentistry. 2001 Mar 1;23:147-50.
Jabin et al. concluded in their case report that the restoration of
anterior esthetics with this appliance gave an essential
psychological boost to the child and his parents[𝟑].
Riekman et al. and Badraway et al. (1993) reported in their study
that the loss of deciduous anterior teeth before the age of 3 years
results in speech problem[𝟐]
.
References
1. Anil S, Anand PS. Early childhood caries: Prevalence, risk factors, and prevention. Front Pediatr
2017;5:157
2. Riekman GA, el Badrawy HE. Effect of premature loss of primary maxillary incisors on speech. Pediatr
Dent 1985;7:119-22.
3. Jabin Z, Dudeja P, Dudeja K. Management of bilateral dental agenesis with aesthetic rehabilitation by
Groper’s appliance – A six-year follow-up. J Clin Diagn Res 2021;14:01-3.
4. Barjatya, Khushboo & Shrivastava, Upasana & Masih, Updesh & Chand, Binti & Manker, Abhilasha &
Juneja, Preene. (2021). Esthetic rehabilitation with modified Groper’s appliance in a four year old child: A
case report. International Journal of Oral Health Dentistry. 7. 65-68. 10.18231/j.ijohd.2021.014.
5. Jabin, Zohra & Verma, SunilDatt & Agarwal, Nidhi & Anand, Ashish & Waikhom, Nandita. (2022).
Groper's appliance – For esthetic rehabilitation of anterior missing teeth: Two case reports. Journal of
Interdisciplinary Dentistry. 12. 22. 10.4103/jid.jid_26_21.
6. R. Aniyo , G. Kaur and Neha 2019. Groper’s Appliance: Fixed Appliance For An Anterior
Teeth. International Research Journal of Medical Sciences, 2: 52-54
7. Joybell CC, Ramesh K, Simon P, Mohan J, Ramesh M. Dental rehabilitation of a child with early childhood
caries using Groper's appliance. J Pharm Bioallied Sci. 2015 Aug;7(Suppl 2):S704-7. doi: 10.4103/0975-
7406.163483. PMID: 26538948; PMCID: PMC4606690.

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GROPERS APPLIANCE and its use in dentistry

  • 2. Introduction Aesthetic rehabilitation for preschoolers who have lost multiple teeth is one of the most common problems which is seen by the pediatric dentist. . 01 ECC is one of the major oral health problems which affects infants and preschool children in both developed and developing countries. 02 A review of the literature reports that in most developed countries the prevalence rate of ECC is between 1 and 12%. The national surveys from some countries, such as India (51.9%), Greece (36%), Brazil (45.8%) and Israel (64.7%), showed inconsistent prevalence of 𝐸𝐶𝐶 1 . 03
  • 3. • Mastication-efficacy • Tipping of adjacent teeth, over eruption of antagonist teeth • Speech problems • Esthetics disturbed • Oral habits. Consequences of early tooth loss
  • 4. What is the need of replacement? Enter title • General oral health • Psychological impact • Development of phonetics • Functional restoration The replacement should be such that it should not interfere with the eruption process of the underlying successor.
  • 5. Groper’s Appliance • The Groper’s appliance was first documented by Jasmin and Groper in 1984. • The main objective of Groper’s appliance was to help in space maintenance, esthetics appearance, mastication and speech.
  • 6. Case Report Chief Complaint: A five-year-old boy reported to the Department of Pediatric and Preventive Dentistry, Guru Nanak Institute of Dental Sciences & Research, with chief complain of decayed upper front teeth for last 3 months. Medical History: No histories of trauma, systemic diseases, drug allergies or any infections were reported. Family History: Non-significant. GENERAL EXAMINATIONS: No abnormality was detected in extraoral features such as general appearance, height, weight, and built. The patient had bilaterally symmetrical facial profile.
  • 7. CLINICAL EXAMINATION: • Root stump was present i.r.t 52, 54 and 61 • Class I caries was present i.r.t 64, 65, 74,75, 84 and 85 • 55 was previously restored due to caries. RADIOGRAPHIC EXAMINATION: DIAGNOSIS: Severe Early Childhood Caries
  • 8. BAND ADAPTATION TRY IN & ADJUSTMENT SS WIRE FRAMEWORK APPLIANCE FABRICATION TRIMMING AND POLISHING APPLIANCE WAS CEMENTED USING GIC TYPE I ON PREVIOUSLY PLACED STAINLESS STEEL CROWNS OF 55 AND 64
  • 9. Discussion • Often school-going and young children with the absence of anterior teeth are bullied or mocked by the other children and may get affected socially. • The decision to replace anterior tooth comprises of several aspects such as child’s age and parental desire. • There is no evidence of oral growth restriction after using prosthetic appliances at present. Waggoner W, Kupietzky A. Anterior esthetic fixed appliances for the preschooler: Considerations and a technique for placement. Pediatric dentistry. 2001 Mar 1;23:147-50.
  • 10. Jabin et al. concluded in their case report that the restoration of anterior esthetics with this appliance gave an essential psychological boost to the child and his parents[𝟑]. Riekman et al. and Badraway et al. (1993) reported in their study that the loss of deciduous anterior teeth before the age of 3 years results in speech problem[𝟐] .
  • 11. References 1. Anil S, Anand PS. Early childhood caries: Prevalence, risk factors, and prevention. Front Pediatr 2017;5:157 2. Riekman GA, el Badrawy HE. Effect of premature loss of primary maxillary incisors on speech. Pediatr Dent 1985;7:119-22. 3. Jabin Z, Dudeja P, Dudeja K. Management of bilateral dental agenesis with aesthetic rehabilitation by Groper’s appliance – A six-year follow-up. J Clin Diagn Res 2021;14:01-3. 4. Barjatya, Khushboo & Shrivastava, Upasana & Masih, Updesh & Chand, Binti & Manker, Abhilasha & Juneja, Preene. (2021). Esthetic rehabilitation with modified Groper’s appliance in a four year old child: A case report. International Journal of Oral Health Dentistry. 7. 65-68. 10.18231/j.ijohd.2021.014. 5. Jabin, Zohra & Verma, SunilDatt & Agarwal, Nidhi & Anand, Ashish & Waikhom, Nandita. (2022). Groper's appliance – For esthetic rehabilitation of anterior missing teeth: Two case reports. Journal of Interdisciplinary Dentistry. 12. 22. 10.4103/jid.jid_26_21. 6. R. Aniyo , G. Kaur and Neha 2019. Groper’s Appliance: Fixed Appliance For An Anterior Teeth. International Research Journal of Medical Sciences, 2: 52-54 7. Joybell CC, Ramesh K, Simon P, Mohan J, Ramesh M. Dental rehabilitation of a child with early childhood caries using Groper's appliance. J Pharm Bioallied Sci. 2015 Aug;7(Suppl 2):S704-7. doi: 10.4103/0975- 7406.163483. PMID: 26538948; PMCID: PMC4606690.