Pediatric Dentistry · single question
A distal shoe space maintainer is indicated when:
Show answer and explanation
Correct answer: A. A primary second molar is lost before the first permanent molar erupts
A distal shoe is indicated when a primary second molar is lost before the first permanent molar erupts. The subgingival metal extension guides the permanent molar into proper position.
- A. ✅ CORRECT – Distal shoe is for premature loss of the primary second molar before the permanent first molar erupts.
- B. ❌ If the permanent first molar has already erupted, a conventional appliance suffices.
- C. ❌ Bilateral simultaneous loss requires a different approach.
- D. ❌ Loss of primary first molar before permanent molar erupts typically warrants a band and loop.
Practice Pediatric Dentistry questions Pediatric Dentistry study notes