Digital Smile Design
Facial proportions, lip line and tooth shape are reviewed on screen so you can see the proposed outcome before any treatment starts.
DetailsWhy does this treatment become necessary?
Milk teeth preserve the space needed by the permanent teeth developing beneath them. When a primary molar is lost early due to decay or trauma, the neighbouring teeth behind it begin drifting into that gap. By the time the permanent tooth is due to erupt, the remaining space has narrowed considerably; this can result in crowding, impaction, or a need for orthodontic treatment later on.
A space maintainer prevents this chain reaction from the outset with a simple, relatively affordable appliance.
In which situations might it not be necessary?
If the permanent tooth is very close to erupting — where radiographs show advanced root development with thinning bone above it — a space maintainer may not be needed. This decision is made by weighing the clinical examination together with radiographic findings; not every case of early tooth loss automatically calls for one.
Which types are used?
Depending on the position and number of teeth lost, either fixed appliances (band-and-loop type, lingual arch) or removable appliances may be preferred. Fixed appliances function without depending on the child's compliance and cannot be taken out on their own; removable appliances are easier to clean but require consistent, disciplined use.
What is monitored afterward?
The space maintainer stays in the mouth until the permanent tooth begins to erupt, and is checked every six months during this period. If the appliance breaks or comes loose, an appointment should be booked without delay, since the space can close within just a few months.
This page is general information and does not replace a dental examination. Whether the treatment suits you, and the method and duration, are decided only after an intraoral examination and radiographic assessment.
After treatment
- Do not let your child remove the appliance or fiddle with it by hand.
- Very sticky foods (such as gum or toffee) can dislodge the appliance.
- Clean carefully around the appliance with a soft brush.
- Book an appointment without delay if the appliance breaks, loosens or falls out.
- Attend the six-monthly check-ups regularly.
The information on this page is for general guidance and does not replace a dental examination. Treatment decisions are made after an intraoral examination and radiographic assessment.