Distal shoe appliance Dhull KS, Kalra A, Indira MD, Jain N explained to the patient and informed consent involved, different types of space maintainers was obtained after extraction under antibiotic must be indicated which help in restoring normal coverage, the intra-alveolar projection of the function and eruption of permanent teeth.[6] appliance was placed in the socket so as to touch An ideal space maintainer is one which possesses and guide the vertical eruption path of the following qualities: unerupted permanent first molar on right side of Maintain the desired mesiodistal dimension of the mandibular arch (Fig. 3). Intraoral periapical the space radiographs were taken to check the passive Maintain individual functional movement of contact between the mesial end of the permanent teeth first molar and the appliance before cementation Should be hygienic (Fig. 4). The recall visits were planned after every Have good durability two months to check the condition of the Have low cost appliance. After 2 years the mandibular The diagnosis of a developing malocclusion in the permanent first molar erupted (Fig. 5 & Fig. 6). primary dentition does not contraindicate the DISCUSSION placement of a distal shoe space maintainer. Even Dental caries is the most common reason for the if orthodontic treatment eventually becomes premature loss of deciduous teeth., others being necessary, preventing the mesial drifting of the trauma, ectopic eruption, congenital disorders, permanent first molar will facilitate future premature resorption due to arch length treatment of the malocclusion by preserving deficiency. Depending on the tooth lost, segment
Distal shoe appliance Dhull KS, Kalra A, Indira MD, Jain N explained to the patient and informed consent was obtained after extraction under antibiotic coverage, the intra-alveolar projection of the appliance was placed in the socket so as to touch and guide the vertical eruption path of the unerupted permanent first molar on right side of the mandibular arch (Fig. 3). Intraoral periapical radiographs were taken to check the passive contact between the mesial end of the permanent first molar and the appliance before cementation (Fig. 4). The recall visits were planned after every two months to check the condition of the appliance. After 2 years the mandibular permanent first molar erupted (Fig. 5 & Fig. 6). DISCUSSION Dental caries is the most common reason for the premature loss of deciduous teeth., others being trauma, ectopic eruption, congenital disorders, premature resorption due to arch length deficiency. Depending on the tooth lost, segment involved, different types of space maintainers must be indicated which help in restoring normal function and eruption of permanent teeth.[6] An ideal space maintainer is one which possesses following qualities: Maintain the desired mesiodistal dimension of the space Maintain individual functional movement of teeth Should be hygienic Have good durability Have low cost The diagnosis of a developing malocclusion in the primary dentition does not contraindicate the placement of a distal shoe space maintainer. Even if orthodontic treatment eventually becomes necessary, preventing the mesial drifting of the permanent first molar will facilitate future treatment of the malocclusion by preserving
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