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.

Author: Nikozragore Nabei
Country: Qatar
Language: English (Spanish)
Genre: Life
Published (Last): 2 October 2008
Pages: 289
PDF File Size: 14.66 Mb
ePub File Size: 2.22 Mb
ISBN: 895-8-39783-947-4
Downloads: 66787
Price: Free* [*Free Regsitration Required]
Uploader: Bragor

Discussion Dental caries is one of the most common reason for the premature loss of primary teeth [ 1 ]. Pharmaceutical Sciences Journals Ann Jose ankara escort.

Thus, a short term modified bilateral design of the distal shoe appliance was planned whose duration of use was subjected to closely watched eruption of permanent mandibular incisors both radiographically and dlstal.

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

Arrested permanent tooth development has been reported as a consequence of pulpal infection of carious primary teeth [ 9 ]. This article has been cited by other articles in PMC. Holding space to allow the teeth to erupt and to prevent impactions is valuable [ 2 ]. Find articles by Prasanna Kumar Bhat. National Center for Biotechnology InformationU. Probably to the best of our knowledge this is the first report in which the adverse effect of distal shoe space maintainer on the eruption of succedaneous second premolar was highlighted.

Dent Clin N Amer.

Primary dentition plays a vital role in developing speech, mastication, aesthetic, prevention of bad oral habits and eruption of permanent teeth [ 12 ]. For this a regular follow-up should be stressed after placement of space maintainer.

The distal shoe space maintainer chairside fabrication and clinical performance.

Whereas, distal shoe space maintainer was present on the mandibular left side Figure 2. On intraoral examination it was found that both upper central incisors were fractured Figure 1. Unfortunately patient did not turn up for follow up treatment and reported back to the department six months later with a swelling in the lower right back teeth region. Conventional design of distal shoe space maintainer was not advocated in the present case due to snoe loss of lower primarymolars.


Modification of distal shoe space maintainer was advocated because of inadequate abutments caused due to multiple loss of deciduous molars on right side.

The erupted lower right first and second premolar were hypoplastic with brownish discoloration of enamel, severe pitting and irregularities of crown and hardly showed any root development.

Space Maintainers: Types Of Space Maintainers

Home Publications Conferences Register Contact. Photograph showing fracture of both maxillary central incisors. J Clin Pediatr Dent.

Agri and Aquaculture Journals Dr. This appliance should be changed with band and loop space maintainer after eruption of permanent first molar to avoid any adverse effect on the mainainer premolar, as seen in this case. Failure of xistal tooth germ to develop as a sequelae to periapical or inter-radicular infection of the primary tooth is uncommon but has been reported [ 10 ]. J Am Dent Assoc.

Unsupervised Distal Shoe Appliance: A Case Report

The solder was allowed to flow between the buccal and lingual wire to create a guide plate on the right side of the posterior wire component. Can’t read the image? 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.

Distal shoe or intraalveolar eruption guidance appliance type of space maintainer was indicated in the mintainer case.

Find articles by Pradeep Christopher. Band adaptations were made on lower left second deciduous molar and lower right deciduous canine.

maintaienr However it appeared that intragingival extension of distal shoe appliance was obstructing the eruption of mandibular second premolar Figure 3. Periodic recall appointment was advised to monitor the eruption of mandibular left second premolar.

Articles from Journal of Clinical and Diagnostic Research: Please review our privacy policy. Distal shoe space maintainer maintains the space for the eruption of second premolar and at the same time guide the eruption of permanent first molar.

It was decided to extract right first and second deciduous molars. It was then decided to remove the modified distal shoe appliance and the patient was closely monitored maiintainer the dlstal visits. It was found that after a follow-up of one year eight months left mandibular second premolar had erupted Figure 5. After removal of the space maintainer, patient was regularly followed and it was found that on this side second premolar had completely erupted after one year eight months, although on the contralateral side it was present when first time patient reported to us.


The appliance traditionally suggested as the treatment of choice is the distal shoe space maintainer [ 4 ]. Preservation of the primary dentition until the normal time of exfoliation is one of the most important factor involved in preventive and interceptive dentistry. Extraction and removal of distal shoe space maintainer was dustal under local anaesthesia dhoe with adrenaline 1: October 20, ; Published Date: A space maintainer that will guide the permanent first molar into its normal position was indicated.

Especially primary molars are very important in development of occlusion and guidance for the eruption of permanent molar. Find articles by Navin H. However, further clinical studies are needed to maintaijer its feasibility and usefulness in paediatric dentistry. However poor retention and patient compliance are the major drawbacks with this appliance [ 6 ]. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, dsital, and reproduction in any medium, provided the original author and source are credited.

Find articles by Niharika Rai. 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. Premature eruption of the premolars. Radiograph showing obstruction of second premolar from eruption by the intra-alveolar extension.

It consists of crown and an intra-alveolar spave extension which guide the eruption of permanent first molar.