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

Identifieur interne : 001885 ( Main/Curation ); précédent : 001884; suivant : 001886

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

Auteurs : Prasanna Kumar Bhat ; Navin H. K. ; Mohammed Idris ; Pradeep Christopher ; Niharika Rai

Source :

Journal of Clinical and Diagnostic Research : JCDR [ 2249-782X ] ; 2014.

RBID : PMC:4190811

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.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4190811

DOI: 10.7860/JCDR/2014/9796.4759
PubMed: 25302284
PubMed Central: 4190811

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PMC:4190811

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<front><div type="abstract" xml:lang="en"><p>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.</p>
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Modified Distal Shoe Appliance for Premature Loss of Multiple Deciduous Molars: A Case Report

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

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Abstract

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