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A novel pre-formed distal shoe eruption guidance appliance in chairside management of early loss of primary second molar: a case report Barkha Bansal Bhavna Dave Pratik Kariya Aishwarya Antala Dental Update 2024 51:3, 707-709.
Authors
BarkhaBansal
BDS, MDS, Postgraduate Student
Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
Department of Pediatric and Preventive Dentistry, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
Preservation of the primary teeth until exfoliation is one of the most important aspects of preventive and interceptive dentistry. Premature loss of the second primary molar before the eruption of the permanent first molar may lead to space loss that results in tooth size/arch length discrepancy. Early loss of a second primary molar is a challenge to paediatric dentists if the first permanent molar has not erupted. A space maintainer of the intra-alveolar type assists in controlling the eruption of the permanent first molar in these circumstances. This report describes the case of space maintenance in a 3-year-old girl for whom the primary second molar was extracted owing to a poor prognosis. A pre-formed intra-alveolar space maintainer, which in this case was a Roche's distal shoe type, was given and followed up for 12 months.
CPD/Clinical Relevance: This pre-formed distal shoe space maintainer gives the advantage of reduced chairside time, more stability and strength, and is better accepted by the child.
Article
Preserving the primary teeth in the dental arch until they exfoliate is one of the most important aspects of preventive and interceptive dentistry.1 Premature loss of primary tooth or a group of teeth might lead to wide range of implications.2 Loss of space is reported in as high as 51% in prematurely lost first primary molars and 70% in prematurely lost second primary molars.3 A 2016 review found space maintainers to be useful in reducing detrimental effects, such as arch space/tooth size discrepancy, prevention of occurrence of malocclusion, prevention of space loss and consequent malposition of a permanent tooth in that quadrant owing to premature loss of primary second molar in 81% of cases.4 A 2020 finite element study found that the presence of a space maintainer significantly reduced the space loss that occurs with eruption of first molars.5
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