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Dentistry · Orthodontics: band and loop space maintainer
Sample itemA 5-year-old loses a primary first molar prematurely to caries, with the permanent premolar far from eruption. What is the appropriate appliance?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Band and loop space maintainer
A band and loop space maintainer preserves the gap for the unerupted successor after unilateral loss of a primary molar. Without it, adjacent teeth drift and the space is lost.
Option by option
A. Hawley retainer
A Hawley retainer is used to hold teeth after active treatment.
B. Fixed headgear
Headgear is an extraoral orthodontic appliance for skeletal correction.
C. No treatment
Doing nothing risks space loss and crowding.
D. Band and loop space maintainer (correct)
Correct. This keeps the space for the premolar.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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