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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

November/December 2011
Volume 42 , Issue 10

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Modified distal shoe appliance for the loss of a primary second molar: A case report

Kanika Singh Dhull, BDS, MDS/Nandlal Bhojraj, BDS, MDS/Shweta Yadav, BDS, MDS/Sheeja Devi Prabhakaran, BDS, MDS

Pages: 829833
PMID: 22025996

Preservation of primary teeth until their normal exfoliation plays a crucial role in preventive and interceptive dentistry. Premature loss of the primary second molar prior to the eruption of the permanent first molar in the absence of the primary second molar can lead to mesial movement and migration of the permanent molar before and during its eruption. In such cases, an intra-alveolar type of space maintainer to guide the eruption of the permanent first molar is indicated. In certain cases, however, the conventional design is not practical. This paper describes a new design for distal shoe appliances in cases of primary second molar loss prior to the eruption of the permanent mandibular first molar. (Quintessence Int 2011;42:829833)

Key words: distal shoe appliance, permanent first molar, primary molars, space maintainer

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