Treatment of ectopically erupting maxillary permanent first molars with a distal extended stainless steel crown

The exaggerated mesial eruption of the permanent first molar can result in the tooth becoming impacted, or the premature atypical resorption and exfoliation of the primary molar, with a resultant loss of space. A stainless steel crown with a distal guide plane was placed on a primary molar to correct the aberrant eruption angle of the permanent tooth. This procedure can be used successfully for both partially and totally tissue-impacted teeth, and is described in this report.