title: Modified distal shoe appliance for premature loss of multiple deciduous molars: a case report.
abstract: Preservation of the primary dentition until the normal time of exfoliation is one of the most important factor involved in preventive and interceptive dentistry. The premature loss of second primary molar before the eruption of permanent first molar can create a significant arch space/tooth size discrepancy. Distal shoe space maintainer is a valuable part of the Paediatric Dentist's armamentarium in those cases where the second primary molar is prematurely lost and it helps to guide the first permanent molar into place. Conventional design poses various limitations in cases of premature loss of multiple deciduous molars. Thus, it is required to modify the conventional designs according to the needs of the patient. This case report describes an innovative modification of distal shoe appliance in cases of premature loss of multiple deciduous molars. In the present case, modification of distal shoe space maintainer was advocated because of inadequate abutments caused due to multiple loss of deciduous molars. Bilateral design of distal shoe was planned for unilateral loss of deciduous molars.
authors.affiliation: Senior Lecturer, Department of Pedodontics & Preventive Dentistry, Rajarajeswari Dental College and Hospital , Bangalore, India .
authors.forename: Prasanna Kumar
authors.initials: PK
authors.lastname: Bhat
authors.affiliation: Reader, Department of Pedodontics & Preventive Dentistry, Rajarajeswari Dental College and Hospital , Bangalore, India .
authors.forename: Navin H
authors.initials: NH
authors.lastname: K
authors.affiliation: Professor, Department of Conservative Dentistry and Endodontics, Rajarajeswari Dental College and Hospital , Bangalore, India .
authors.forename: Mohammed
authors.initials: M
authors.lastname: Idris
authors.affiliation: Consultant, Department of Oral and Maxillofacial Surgeon, Chief of Staff, Specialist Dental Centre , Sakaka, Al-Jouf, KSA .
authors.forename: Pradeep
authors.initials: P
authors.lastname: Christopher
authors.affiliation: Post Graduate Student, Department of Pedodontics & Preventive Dentistry, AECS Maaruti College of Dental Sciences and Research Centre, , Bangalore, India .
authors.forename: Niharika
authors.initials: N
authors.lastname: Rai
keywords: Modified distal shoe appliance; Premature loss of multiple deciduous molars