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Distal guide as a substitute for distal shoe space maintainer: a case series study

  • Fatemeh Mazhari1
  • Maryam Valizadeh2,*,

1Department of Pediatric dentistry, Dental School, Mashhad University of Medical Sciences, Mashhad, Iran

2Department of Pediatric Dentistry, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran

DOI: 10.22514/jocpd.2022.028 Vol.46,Issue 6,November 2022 pp.58-62

Published: 01 November 2022

*Corresponding Author(s): Maryam Valizadeh E-mail:;


Early loss of the primary second molar (DSM) before the eruption of the permanent first molar (PFM) may result in its mesial drift during the eruption. Traditionally, a distal shoe space maintainer is used in this situation to control the path of eruption and preserve the space. However, considering its disadvantages, an alternative appliance needs to be developed for guiding the unerupted PFM. The purpose of this article is to represent an innovative design for preserving space after the early loss of the DSM, describe the fabrication process, and present some data on the successful results of using the appliance in five cases.


Distal shoe; Space maintenance; Primary dentition; Distal guide

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Fatemeh Mazhari,Maryam Valizadeh. Distal guide as a substitute for distal shoe space maintainer: a case series study. Journal of Clinical Pediatric Dentistry. 2022. 46(6);58-62.


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