Primary dentition is crucial for chewing, appearance, and the prevention of harmful habits, as well as in guiding the eruption of permanent teeth. 1 The loss of a primary tooth before its normal exfoliation is referred to as early or premature loss. 2 Although caries is the leading cause of extraction of primary teeth, this may also occur as a result of dental trauma, periodontal disease, and orthodontic reasons. 3,4 As a result of early loss of primary teeth, reduced arch length and space loss, delayed or premature eruption of permanent teeth, mesial drift of posterior teeth or distal drift of anterior teeth, and lack