Design Modifications in Distal Shoe Therapy: A Scoping Review

Area of Science:

• Pediatric Dentistry
• Orthodontics
• Dental Materials

Background:

• Premature loss of primary second molars necessitates space management to prevent arch length reduction.
• Distal shoe space maintainers are crucial for guiding the eruption of the permanent first molar.
• Effective space maintenance is vital in mixed dentition to prevent future malocclusion.

Purpose of the Study:

• To present updated evidence on modifications of distal shoe space maintainers.
• To aid in optimizing patient outcomes and standardizing procedures for distal shoe therapy.
• To provide an evidence-based resource for clinicians regarding distal shoe space maintainers.

Main Methods:

• A thorough search of electronic databases was conducted.
• Studies assessing the efficacy of different distal shoe space maintainer adjustments were included.
• Nine case reports involving children aged three to six in the mixed dentition phase were qualitatively synthesized.

Main Results:

• Distal shoe space maintainers are effective tools for preventing space loss in cases of bilateral primary molar loss.
• These devices reliably maintain space and guide the eruption of permanent teeth.
• The review highlights the role of distal shoe space maintainers in preventive and interceptive treatment.

Conclusions:

• Distal shoe space maintainers are essential for preserving arch length and preventing malocclusion following premature primary molar loss.
• Optimizing distal shoe therapy contributes to better long-term oral health in children.
• This evidence-based review supports clinicians in utilizing distal shoe space maintainers effectively.