European Archives of Paediatric Dentistry

, Volume 14, Issue 5, pp 351–354 | Cite as

Optimal fit of chairside-fabricated distal shoe space maintainer

  • M. R. NouriEmail author
  • D. B. Kennedy
Case Report



Premature loss of a primary second molar may lead to space loss in the dental arch. This space loss tends to be more severe in unfavourable malocclusions. The distal shoe space maintainer (DSSM) may be beneficial in controlling the path of eruption of an unerupted permanent first molar from the primary into the early mixed dentition.


This article describes the technique for achieving optimal fit of a chairside-fabricated band and DSSM in a single visit by contouring the distal shoe blade, and by extending it to the mesial surface of the permanent first molar.

Follow-up care

Upon the eruption of the permanent first molar DSSM may be modified to a reverse band-and-loop, or replaced by a lingual holding arch.


Distal shoe Space maintainer Space management Malocclusion 


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Copyright information

© European Academy of Paediatric Dentistry 2013

Authors and Affiliations

  1. 1.Faculty of DentistryUniversity of British ColumbiaVancouverCanada

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