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Operational Distal Shoe Appliance for Harmonious Occlusion: A Case Report
Abinash Mohapatra1, Sharbari Dutta2, Brahmananda Dutta3
1Department of Pediatric and Prevntive Dentistry, Kalinga Institute of Dental Sciences, KIIT (Deemed to be University), Bhubaneswar, Odisha, India.
International Journal of Clinical Pediatric Dentistry
|December 9, 2024
Summary
A modified distal shoe appliance preserves space after premature loss of deciduous teeth. This space maintainer guides permanent molar eruption and prevents other teeth from shifting, ensuring proper occlusion.
Area of Science:
- Pediatric Dentistry
- Orthodontics
- Dental Materials
Background:
- Maintaining arch length is crucial for proper dentition development.
- Premature loss of primary teeth can lead to dental arch discrepancies.
Observation:
- Pathological obliteration of the primary mandibular second molar occurred before permanent first molar eruption.
- A modified functional distal shoe appliance was fabricated and applied.
Findings:
- The appliance acted as a functional intra-alveolar space maintainer.
- It successfully guided the eruption of the first permanent molar.
- It prevented ectopic eruption of the second premolar and supra-eruption of the maxillary primary second molar.
Implications:
- This modified appliance aids in achieving harmonious occlusion.
- It is effective in managing space loss due to premature deciduous molar loss.
- It contributes to the development of a functionally and aesthetically acceptable dentition.
