General Dentist Prometric Exam-DHA/MOH/HAAD/SDLE/OMSB/QCHP | High-Yield MCQ | Visuals | Topic Recall

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[00:00:00]In a 10-year-old child, premature loss of extracted primary second molars caused the space to begin closing. The rest of the occlusion is normal. What is the treatment plan? A, band and loop. B, lingual arch. C, complete banding of first molar. D, none of the above.

[00:00:18]Let's check the answer. B, lingual arch.

[00:00:21]When we lose primary second molars early, that precious space disappears fast. At age 10, the permanent lower incisors are usually in, which is perfect for the lingual arch. This bilateral appliance connects the left and right first permanent molars. By resting snugly against the back of the front teeth, it locks those molars in place and stops them from drifting forward. Even better, it can be adjusted to generally push molars back and rescue that lost millimeters. It's the ultimate set it and forget it hero for saving room for those future premolars.