Space Maintainers

Space Maintainers

Space maintainer

One of a baby tooth’s most important jobs is holding the place for permanent teeth until they erupt. If a primary back tooth is lost prematurely the other teeth around it can drift together and cause crowding. To keep this crowding from occurring a space maintainer can be used whenever a back primary tooth is lost early. Numbing is usually not required to make a space maintainer or to place a space maintainer. The procedure for making and placing a space maintainer generally does take two appointments. At the first appointment an orthodontic band is placed around a tooth and a dental impression is taken. The impression is sent off to a lab and a space maintainer is made. At the second appointment the space maintainer is tried in and any adjustments are made if needed.

The space maintainer is cemented in place using a dental cement. The space maintainer will remain in place until the back permanent teeth begin to erupt at which time it is easily removed. While wearing a space maintainer it is important to avoid sticky candy or chewing gum.  Your child needs to be seen routinely for their 6 month recall examinations to be sure the spacer is fitting ideally.  The spacer will need to be recemented every 12 to 18 months.

Nance appliance

Nance Appliance
Lower lingual holding arch

Lower Lingual Holding Arch