Space Maintainers

When back baby teeth (molars) are lost prematurely, it is usually necessary to hold the teeth apart on either side of the space created so it does not close up. If the space is not maintained, it will be lost and the permanent teeth will be unable to come in properly. If a canine (eyetooth) is lost early, a space maintaining appliance may also be required. However, if a primary anterior tooth is lost it, may be necessary to replace it with a "flipper" (child partial) for cosmetic reasons or to facilitate normal speech development.

If a tooth is lost on one side of the jaw, a unilateral (one sided) spacer is used. There are usually described as BANL LOOPS or DISTAL SHOES. If teeth or a tooth is lost on both sides of the upper or lower arch, a bilateral (two sided) spacer is used. These are described as a NANCE HOLDING ARCH for the upper teeth, or a LLHA (LOWER LINGUAL HOLDING ARCH) for the lower teeth.

Regular six month checkups are recommended to make sure the appliances is still fitting properly and that the cement has not washed out or the band(s) become loose. If you notice the new tooth erupting improperly under, or going around, the space maintainer, see t dentist as soon as possible.

To avoid the cost and time of replacement , please avoid sticky foods such as hard candy, caramel, and taffy. Also, remind your child not to "play" with the new appliance with his or her fingers or tongue.