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The possibilities for space loss are even higher when second primary molars are lost early because they serve as a buttress for the eruption of first permanent molar. Distal shoe space maintainer is indicated in such type of cases. It is otherwise known as intra-alveolar appliance. In this article, we report the successful use of the distal shoe space maintainer in a 4yr old child.

Willet’s distal shoe appliance for early loss of second deciduous molar: A case report with 2 year follow up