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Distal Shoe, an Effective Space Maintainer for Premature Loss of Primary Mandibular Second Molar - A Case Report
International Journal of Clinical Preventive Dentistry 2011;7(4):209-212
Published online December 31, 2011
© 2011 International Journal of Clinical Preventive Dentistry.

Beena J.P.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : distal shoe, space maintainer, subgingival

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