PMID- 22025996 OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - Quintessence Int JT - Quintessence International IS - 1936-7163 (Electronic) IP - 10 VI - 42 PST - ppublish DP - 2011 PG - 829-833 LA - en TI - Modified distal shoe appliance for the loss of a primary second molar: A case report FAU - Dhull, Kanika Singh AU - Dhull K FAU - Bhojraj, Nandlal AU - Bhojraj N FAU - Yadav, Shweta AU - Yadav S FAU - Prabhakaran, Sheeja Devi AU - Prabhakaran S CN - OT - distal shoe appliance OT - permanent first molar OT - primary molars OT - space maintainer AB - Preservation of primary teeth until their normal exfoliation plays a crucial role in preventive and interceptive dentistry. Premature loss of the primary second molar prior to the eruption of the permanent first molar in the absence of the primary second molar can lead to mesial movement and migration of the permanent molar before and during its eruption. In such cases, an intra-alveolar type of space maintainer to guide the eruption of the permanent first molar is indicated. In certain cases, however, the conventional design is not practical. This paper describes a new design for distal shoe appliances in cases of primary second molar loss prior to the eruption of the permanent mandibular first molar. AID - 840456