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Management of mandibular incisors crowding by using passive lower lingual holding arch: a case series and literature review
1Department of Orthodontics and pediatric Dentistry, Hamdan Bin Mohammed College of Dental Medicine, Mohammed Bin Rashid University of Medicine and Health Science (MBRU), 505055 Dubai, UAE
DOI: 10.22514/jocpd.2023.003 Vol.47,Issue 2,March 2023 pp.101-107
Submitted: 05 August 2022 Accepted: 09 November 2022
Published: 03 March 2023
*Corresponding Author(s): Samira Diar-Bakirly E-mail: Samira.diarbakirly@mbru.ac.ae
Mandibular incisor crowding is a frequently encountered problem in daily orthodontic treatment. Success of the treatment greatly depends on the orthodontist’s ability to manage the factors contributing to the existing crowding and implementing the proper interceptive means. The passive lower lingual holding arch (LLHA) helps maintain the position of the permanent first molars after the exfoliation of primary molars and canines. Thus, relieving the mandibular incisor crowding during transitional dentition. Four case reports age ranged from 11–13.5 years old were used to report the effect of using LLHA on mandibular incisor crowding. Little’s Irregularity Index (LII) was used to assess the severity of mandibular incisors crowding as well as to compare the severity of the crowding before and after the use of LLHA. Passive LLHA could be considered the appliance of choice for space maintenance during the mixed dentition. Mandibular incisor crowding was reduced as measured by LII after the use of the passive LLHA over a duration of twenty months.
Mandibular incisors crowding; Mixed dentition; Lower lingual arch; Little’s index
Ahlam Habib,Ahmed Ghoneima,Samira Diar-Bakirly. Management of mandibular incisors crowding by using passive lower lingual holding arch: a case series and literature review. Journal of Clinical Pediatric Dentistry. 2023. 47(2);101-107.
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