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  1. Ectopic maxillary molar

Hi Members,

I had a 9.3 yo male patient, early transitional dentition referred by the local pediatric dentist for bilateral ectopically erupting maxillary molars. One side is more severe than the other but both are significant that a simple brass wire or separator will not work. The pediatric dentist wants to get both primary molars extracted and a space maintainer placed. The distal root of both primary molars is significantly resorbed but no mobility of the primary teeth. If I maintain the space, it will be for at least 3 years. I have never used a Halterman appliance, but I believe it is indicated in this situation. Any suggestions would be appreciated.

Regards,
Rob Bruno
Manhasset, New York