A Modified Nickel Titanium Space Regainer Using an Open Coil Spring in a Pediatric Patient: A Case Report

Cureus. 2024 Oct 25;16(10):e72395. doi: 10.7759/cureus.72395. eCollection 2024 Oct.

Abstract

This case report introduces a novel modification in the space-regaining process using a nickel-titanium (NiTi) open coil spring in a five-year-old male patient with early primary molar loss. The space deficiency, which led to occlusal discrepancies such as posterior crossbite, was efficiently managed using the NiTi wire and open coil spring, which is known for its superelasticity. The modification involved the use of a NiTi open coil spring, enabling effective space regaining and stabilization with band and loop space maintainers. This technique minimized patient discomfort and reduced treatment time. The report highlights the advantages of this modified approach in pediatric interceptive orthodontics, particularly in addressing space loss early and effectively.

Keywords: congenital hypodontia; early intervention; light continuous force; modified orthodontic technique; niti open coil spring; pediatric orthodontics; posterior crossbite; primary molar extraction; space maintainers; space regaining.

Publication types

  • Case Reports