Pediatric Dentistry · single question
The 'distal shoe' and the 'band and loop' space maintainers are classified as which type of appliance?
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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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