An intra alveolar type of space maintainer also known as willets distal shoe was given. A 12 month follow up was taken. Conclusion: In. Space maintainers are appliances used to maintain space or regain .. The only treatment alternative to the distal shoe space maintainer is a. Distal shoe space maintainer is a valuable part of the Paediatric Dentist’s armamentarium in those cases where the second primary molar is.

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Find articles by Navin H. Whereas, distal shoe space maintainer was present on the mandibular left side Figure 2. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Case Report A 4. The eistal second molar served as a guide on the working model for calculating the horizontal length of distal extension. Anteriorly the wire component was made like lingual holding arch and posteriorly the wire component like distal shoe. Please review our privacy policy. Unsupervised Distal Shoe Appliance: Premature loss of the primary second molar prior to the eruption of the permanent first molar is often a challenging problem to the dentist in managing the developing dentition.

One such appliance was presented by Willett called distal shoe space maintainer with distal extension which goes intra-gingivally to guide the eruption of permanent first molar [ 10 ].

This appliance is difficult to place into proper position passively contracting the mesial surface of the erupting permanent first molar while extending only 1mm below the mesial marginal ridge [ 911 malntainer. Band adaptations were made on lower left second deciduous molar and lower right deciduous canine.

Access cavity preparation was carried out on lower right primary first and second molars and closed dressing was given. This article has been cited by other articles in PMC.

Unsupervised Distal Shoe Appliance: A Case Report

The distal shoe space maintainer remains an acceptable standard of care, with an extension subgingivally to a location mesial to the unerupted first permanent molar [ 5 ]. A cost-effective maintainer for primary second molars.


Holding space to allow the teeth to erupt dhoe to prevent impactions is valuable [ 2 ]. Pulp therapy was carried out on lower left primary first and second molars and upper left primary first molar,followed by stainless steel crown.

Dental caries is one of the most common reason for the premature loss of primary teeth [ 1 ]. Intraoral periapical radiograph showing modified distal shoe ten months after insertion. The appliance traditionally suggested as the treatment of choice is the distal shoe space maintainer [ 4 ]. All the permanent incisors, first molars, maxillary first premolars and mandibular right second premolar were erupted.

Space Maintainers & Regaining

Discussion Dental caries is one of the most common reason for the premature loss of primary teeth [ 1 ]. Can’t read the image? The space maitnainer was well-accepted by the child and his parents and was optimistic for the future of his dentition. Find articles by Niharika Rai.

Radiograph showing obstruction of second premolar maintainet eruption by the intra-alveolar extension. Pharmaceutical Sciences Journals Ann Jose ankara escort. Preservation of the primary dentition until the normal time of exfoliation is one of the most important factor involved in preventive and interceptive dentistry. This was due to the lack of regular radiographic examination and follow-up.

Space Maintainers: Types Of Space Maintainers

Periodic recall appointment was advised to monitor the eruption of mandibular left second premolar. Find articles by Pradeep Christopher. However poor retention and patient compliance are the major drawbacks maintxiner this appliance [ 6 ].

Considering the age of the child, position and developmental stage of both mandibular left premolars, it was decided to remove mandibular left first primary molar along with distal shoe appliance.

In the present case, modification of distal shoe space maintainer was advocated because of inadequate abutments caused due to multiple loss of deciduous molars. No treatment was currently advised for enamel hypoplasia and the patient is under regular follow up for future treatment. October 28, Citation: In the present case reported here, there was a premature eruption of right first and second premolars prior to the eruption of right permanent first molar.

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But in this patient no clinical problem was evident even after having the appliance for such a long period.

Developmental arrest of permanent tooth germs following pulpal infection of deciduous teeth. Apart from the eruption disturbance, other abnormalities that may rise from periapical lesions associated with primary dentition include enamel hypoplasia, Turners Hypoplasia ; displacement and rotation of the tooth, partial or complete stoppage of root growth of the succeeding permanent tooth. Photograph showing distal shoe on the left and erupting second premolar on the right.

Showing post-operative photograph of the mandibular arch 1. As it is a bilateral appliance it is possible for it to create hindrance in the path of eruption of permanent mandibular incisors.

Pediatr Dent Care 1: As there was premature eruption of right first and second premolar prior to the eruption of right first permanent molar and the first permanent molar showed signs of eruption, the modified distal shoe appliance was removed before the eruption spsce right first permanent molar. Modified distal shoe appliance for the loss of a primary second molar: Eur Arch Pediatr Dent. In the maxillary central incisors pulp treatment were done followed by composite build-up in maxillary right central incisor and fragment reattachment in maxillary left central incisor Figure 4.

To avoid these problems mzintainer reduce the need for prolonged orthodontic treatment, space maintainer should be advised. In the present case, the right first and second premolars showed hardly any root development showing signs of complete stoppage of root development.

Modified Distal Shoe Appliance for Premature Loss of Multiple Deciduous Molars: A Case Report

This case report describes an innovative modification of distal shoe appliance in cases of premature loss of multiple deciduous molars. September 19, ; Accepted Date: Maintxiner periapical radiograph showing modified distal shoe immediately after insertion. Please leave a message, we will get back you shortly.

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