Unsupervised Distal Shoe Appliance: A Case Report - Paediatr
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Primary dentition plays a vital role in developing speech, mastication, aesthetic, prevention of bad oral habits and eruption of permanent teeth. Especially primary molars are very important in the development of occlusion and guidance for the eruption of the permanent molar. So whenever restoration in primary molar is not possible and extraction is the choice, there is always a risk of losing space resulting in malocclusion. Other adverse effects of premature extraction of primary molar are the mesial migration of first permanent molar, increased overbite, increased crowding, impaction, occlusal impairment, arch asymmetry and disruption of eruption sequence. The purpose of this case report was to present a side effect in a case of unsupervised distal shoe space maintainer which was placed in a child and not followed regularly.

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