Modified distal shoe appliance for the loss of a primary second molar: a case report.
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.
Department of Pedodontics and Preventive Dentistry, Institute of Dental Sciences, Bhubaneswar, Orissa, India. kanikasingh.dhull@gmail.com
Kanika Singh
KS
Dhull
Nandlal
N
Bhojraj
Shweta
S
Yadav
Sheeja Devi
SD
Prabhakaran
D002675:Child, Preschool; D003442:Crowns; D003731:Dental Caries / Q000628:therapy; D003790:Dental Pulp Necrosis / Q000628:therapy; D005260:Female; D006801:Humans; D008963:Molar / Q000473:pathology*; D016382:Orthodontic Appliance Design; D011670:Pulpectomy; D013027:Space Maintenance, Orthodontic / Q000295:instrumentation*; D014078:Tooth Eruption / Q000502:physiology; D014081:Tooth Extraction; D016388:Tooth Loss / Q000628:therapy*; D014085:Tooth Migration / Q000517:prevention & control; D014094:Tooth, Deciduous / Q000473:pathology*