IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-6-15649 Original Research Paper ANTERIOR AESTHETIC REHABILITATION WITH GROPER'S SPACE MAINTAINER MODIFIED WITH TONGUE CRIB: A CASE REPORT Anjana Mounissamy Dr. Dr. Joyson Moses Dr. June 2018 7 6 01 02 ABSTRACT

One of the challenging tasks for a pedodontist is the aesthetic rehabilitation in young toddler following early childhood caries and extensive dental trauma. So, an appliance can be fabricated to replace the lost tooth structure. The main factors to be considered are patient co–operation and parents’ desire and willingness for replacement. A5–year–old child reported with missing upper anterior teeth following trauma and also gave an history of thumb sucking habit for the past two years. Considering the space maintenance, masticatory function, speech development, and tongue habits, an anterior fixed space maintainer, named after Groper was fabricated with tongue cribs added as a modification. The tongue cribs were removed after withdrawal of the habit and the appliance was recemented.This paper discusses in detail about this modified groper’s appliance, a fixed anterior aesthetic appliance.