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These case studies of distal shoe space maintainer modified from stainless steel crown (SSC) and stainless steel wire were reported. The metal band made from SSC and custom bent stainless steel wire were used instead of a conventional orthodontic band and the attachments of the distal shoe. The purpose of these case studies was to discuss the simple modification of a distal shoe appliance, which a general practitioner can handle without purchasing the commercial distal shoe components. Regarding a case whereby the treatment of children with SSC restored tooth was required, these modified distal shoes were fixed onto the SSC abutment without removing the existing SSC, in order to fabricate a crown-loop distal shoe as a single unit. Equally important, a reduction in the cost and chair time for the patient was possible. The steps employed when making these modified distal shoe appliances were described. The follow-up period of over one year before lower lingual arch replacement showed that the treatment was productive, for the appliance successfully maintained the dental space and provided healthy gingival tissue.
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