Pediatric Dentistry · single question

Which space maintainer is most appropriate following premature loss of a primary molar when the permanent successor has not yet erupted and the adjacent permanent teeth are present?

  1. Distal shoe space maintainer
  2. Band and loop space maintainer
  3. Lingual arch
  4. Nance palatal arch
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Correct answer: B. Band and loop space maintainer

A band and loop space maintainer is the most commonly used and appropriate appliance for maintaining space following premature loss of a single primary molar when the permanent successor has not yet erupted. It consists of a metal band cemented on the adjacent tooth with a wire loop extending over the edentulous ridge to prevent mesial drift of adjacent permanent teeth. It is passive (does not move teeth) and is suitable for unilateral single tooth space. A distal shoe appliance is used specifically when the permanent first molar has NOT yet erupted (it extends subgingivally to guide eruption). A lingual arch or Nance arch is used for bilateral or full-arch space maintenance.

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