Modified Halterman Appliance for management of ectopically erupting permanent molar: A case report
Saraswathi V Naik¹ 
, Simin Kittur2 
, Basappa Nadig3, Sindhushree GS4 , Amitha M Shagale5
Highlights
Early diagnosis and treatment of ectopic eruption has to be done as an integral part of interceptive orthodontics to prevent molar malposition and arch length loss.
Modified Halterman appliance was constructed by incorporating cross-arch anchorage with a distal extension engaging chain elastic from occlusion button on permanent molar.
This case report shows that this appliance is effective in achieving distalization of ectopically erupting permanent molar in a mixed dentition period.
Abstract
Ectopic eruption is a disturbance in the eruptive path of a tooth in an abnormal position leading to many local problems, such as premature loss of the second primary molars, space loss, increased prevalence of dental caries, supra-eruption of the opposing molars, a mesial inclination of the permanent maxillary first molars, and class II molar relationship. The present case report describes the management of an ectopically erupting mandibular first molar in an 8-year-old child with a modified Halterman appliance. Halterman appliance was modified by incorporating cross-arch anchorage. Follow-up was carried out at 1 month, 3 months, 6 months, and 9 months until distalization of the molar was achieved. Space analysis was carried out and a fixed functional space maintainer was cemented which was followed up at 12 months. According to the present case report, a modified Halterman appliance is an effective appliance in achieving distalization of an ectopically erupting permanent molar in a mixed dentition period.
Keywords: Ectopic Eruption; Orthodontic Appliance; Tooth Uprighting
Author Affiliations
- Professor, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
- MDS, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
- Professor, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
- Postgraduate student, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India (Correspondence: sindhushreegs13@gmail.com)
- Lecturer, Department of Pedodontics and Preventive Dentistry, Bapuji Dental College and Hospital, Davangere, Karnataka, India
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Article Info
Contemp Pediatr Dent 2023:4(1):32-38
Received: 19 March 2023
Accepted: 26 April 2023
Online First: 27 April 2023
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Saraswathi V Naik, Simin Kittur, Basappa Nadig, Sindhushree GS, Amitha M Shagale. Modified Halterman Appliance for management of ectopically erupting permanent molar: A case report. Contemp Pediatr Dent 2023:4(1):32-38.
