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Distal Shoe, an Effective Space Maintainer for Premature Loss of Primary Mandibular Second Molar - A Case Report

Beena J.P.,
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 ( Beena J.P. ) - AECS Maaruti College Of Dental Sciences and Research Centre

Abstract


Mandibular permanent first molars have a mesiocclusal eruption pattern, guided by the distal surface of the primary second molar. If the primary second molar is lost prematurely, the permanent first molar may erupt in a more anterior position leading to midline shifts, space loss and crowding. The distal shoe space maintainer remains an acceptable and effective with an extension subgingivally which serves as a guide for the erupting first molar.

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distal shoe; space maintainer; subgingival

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KCI