| Abstrakt: |
Primary teeth play a crucial role in the growth and development of children. Premature tooth loss can increase the need for orthodontic treatment and also have physiological and psychosocial effects on a growing child. Early loss of primary second molars leads to a high probability of space loss, with a greater loss of arch length by allowing mesial drift or tilting of the permanent first molar or altered eruption. Therefore, the preservation of space for permanent tooth eruption should be emphasized. Traditionally, a distal shoe space maintainer is used in this situation to control the path of eruption and preserve the space. To guide the path of permanent molar eruption, the guide plane should extend under the gingival tissue. However, when the permanent molar is in a stage of pre-emergent eruptive spurt, i.e., covered by mucosa, and the primary molar needs extraction, the guide plan need not extend into the gingival tissue. After the molar erupts, the distal shoe has to be replaced by reverse band and loop followed by band and loop. This is a case report of a modified distal shoe space maintainer made with a small extension and distal loop that mimics the distal surface of the primary molar to guide the erupting permanent molar until it erupts. [ABSTRACT FROM AUTHOR] |
