Pediatric Dentistry · single question

The 'distal shoe' and the 'band and loop' space maintainers are classified as which type of appliance?

  1. Removable and unilateral
  2. Fixed and unilateral
  3. Fixed and bilateral
  4. Removable and bilateral
Show answer and explanation

Correct answer: B. Fixed and unilateral

  • A. Neither appliance is removable — both are cemented in place.
  • B. Correct. Both are cemented (FIXED) to a single abutment tooth and hold space in ONE quadrant only (UNILATERAL). The distal shoe guides an unerupted permanent first molar after early loss of the primary second molar; the band and loop holds space when the adjacent permanent tooth has already erupted.
  • C. Bilateral fixed maintainers are the lingual holding arch, Nance appliance, and transpalatal arch — not these two.
  • D. Neither appliance is removable.

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