Baby teeth hold space for permanent teeth, guiding them into place before falling out. So what happens when a tooth is lost earlier than expected?
Space maintainers are an essential part of pediatric dentistry. They can be used after early tooth loss to protect your child’s smile, support healthy development, and reduce the need for future orthodontic treatment.
Let’s take a closer look at space maintainers and why they are so important.
Baby Teeth Are More Important Than You Think
Because baby teeth fall out, we are quick to dismiss baby teeth as nothing more than just temporary. Truth is—they are so much more than that. They aid in nourishment, helping kids to chew more comfortably. They also play a role in developing clear speech patterns. Baby teeth even help maintain proper facial structure. And, of course, they hold the space where permanent teeth will eventually erupt.
When a baby tooth is lost too soon, not only are all of these things disrupted, but neighboring teeth will naturally begin to shift into the newly open space. So, what happens when the permanent tooth is ready to finally emerge? It is limited in where it can go, leading to crowding, misalignment, impaction, and the need for orthodontic treatment in the future.
This is where space maintainers shine—they prevent teeth from shifting in the first place, alleviating complex dental issues.
What is a Space Maintainer?
A space maintainer is a small dental appliance that is placed in the mouth where a baby tooth has been lost. It is an effective restorative dentistry tool that supports long-term oral health by holding space.
There are two different types: fixed and removable. A fixed space maintainer is one that is cemented to a nearby tooth, where it will stay in place until the permanent tooth is ready to come in. These are mostly ideal for younger children. A removable space maintainer is similar to an orthodontic retainer and can be removed when needed. This is designed for older children who are willing to accept the responsibility.
When is a Space Maintainer Needed?
A child can benefit from this oral appliance every time a baby tooth is lost too early, which can happen for several reasons—severe tooth decay, trauma or injury, or extraction. While a space maintainer is very commonly used in these instances, it is not always needed.
If a baby tooth falls out close enough to the natural timeline, there is no need for intervention. In other words, the permanent tooth is ready to erupt before the neighboring teeth can do much shifting at all.
A thorough evaluation by your child’s pediatric dentist will give insight as to the next steps.
Frequently Asked Questions
How long do space maintainers have to be worn?
It all depends on when the permanent tooth is expected to erupt. It may be worn for several months or for a year or longer.
Does a space maintainer hurt or irritate?
No, not at all. Many kids quickly forget they even have one once it is placed.
At Pediatric Dentistry Kahala, we are committed to protecting your child’s oral health, especially when it comes to preventing problems before they begin. We have a team of dental professionals who provide keiki-friendly, comprehensive dental care for children and adolescents of all ages. Contact us today to schedule an appointment.