TY - JOUR A1 - Anegundi, Rajesh A1 - Banerjee, Sinjini A1 - Patil, Shruthi A1 - Trasad, Vijay T1 - A modification of distal shoe appliance for premature loss of primary second molar-comparison with Willet's appliance: Report of four cases Y1 - 2019/7/1 JF - International Journal of Pedodontic Rehabilitation JO - Int J Pedod Rehabil SP - 84 EP - 87 VL - 4 IS - 2 UR - https://www.ijpedor.org/article.asp?issn=2468-8932;year=2019;volume=4;issue=2;spage=84;epage=87;aulast=Anegundi DO - 10.4103/ijpr.ijpr_9_19 N2 - Primary dentition is important for space maintenance, mastication, speech, and development of occlusion, premature loss of which results in space loss, deep bite, crowding, tooth impactions, and midline shift. Deciduous second molar guides the erupting first permanent molar which uprights in position after following the forward and upward path of eruption. Prevention of the space loss due to premature loss of primary second molar always been a challenge for pedodontists. Several designs of guiding appliances are proposed, the most common design being the Willet's appliance. Willet's design unable to provide broad contact often results in dislodgment of the vertical arm, slipping, and rotation of erupting molar. In this article, a modified design of the distal shoe has been compared with three other cases with Willet's appliance. ER -