Space Maintaining Appliances for Children



Space maintenance for children is not often started early enough. As most of orthodontic issues begin as the teeth and their positioning is being developed, there is no chance to catch them right away. If the orthodontist saw the child early enough, they could find a way to stop the problem from escalating. As they do not often get involved until the dentist brings them in, the opportunities are often missed. The main point of baby teeth is to leave the right space for adult teeth to come through. If one of these teeth is lost too early, others will move out of position and the adult teeth will come through crooked and out of position. There can be overcrowding as well as a severe overbite.

When the tooth is lost, it does not mean that severe problem must happen. By employing space maintaining appliances, the teeth can develop naturally and avoid unnecessary visits to the orthodontist. Although they have their part to play in the development of teeth, this does not mean they are the perfect solution as there are a few drawbacks to using space maintaining appliances. While they may be ideal for the teeth they are used for, they can cause problems for nearby teeth that are in the process of coming through.

Another downside is plaque. Obviously, they will not cause it but will be something that attracts it. If not caught and treated quickly, it could get worse and gingivitis will form. There must be a serious decision to be made as to whether it is worth using space maintaining appliances. Parents want to give the best chances to their to their children’s teeth to grow in the right place.


There are two main types of space maintaining appliances for children, and the orthodontist will have to make a clear examination to determine which one will be best. They are:

  • Removable – As the name suggests, it is possible to take these ones out. They tend to be made from acrylic and look like braces. If it is considered necessary, then there will be a false tooth attached to it and this will ensure that the space that needs to be maintained will stay.
  • Fixed – Here there are a variety of space maintaining appliances – lingual, unilateral, distal shoe and crown and loop.

As with braces, it is important to be careful what is eaten when wearing one. It will take time to get used to having the foreign object in the mouth, but if there are still issues after a few days, ask if it can be checked. With a removable one, there will be special instructions when it comes to keeping the teeth clean as the last thing the child wants is to damage the space maintaining appliances and have to have additional treatment. Ensure that there are plenty of visits made to the orthodontist until they are happy that there is no longer the need to use space maintaining appliances.


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IVANOV Orthodontic Experts
12866 Biscayne Blvd, North Miami, FL 33181

Call us at (786) 540-1919 to schedule a free orthodontic exam.

One of the best orthodontist near me is IVANOV Orthodontic Experts


Amazing experience! I’ve had my braces for 6 month now and I’m impressed of how much my teeth have changed. No pain at all. Dr. Ivanov is such a sweet person and very professional, he knows what he’s doing and always cares for patients personal concerns. Highly recommended!

Tula Garcia

Dr. Ivanov was amazing. When I first got my braces I was scared it was going to last 4yrs for my teeth to look better but it only lasted 2yrs and the results are beyond amazing. I’m really happy with everything and would absolutely recommend him to anyone. Thank you so much.

Kimberly Martinez

Very good experience. The attention was great. The doctor is very punctual and they don’t make you wait, which for my busy schedule is super important. Also, the time the doctor told me I had to wear the braces was the exact time I needed and I was very happy with the results. Definitely recommend him.

Laura Jimenez

Dr. Ivanov was amazing. He was very understanding and took the time to explain, every step of the process for my daughters braces. I am proud to say with great care her braces were finally removed and the end result is the beautiful smile she now has. Thank you

Christina Jenkins

Ivan and his staff made my experience a smooth and convenient process. I am absolutely delighted and satisfied with the progress and how far my teeth has come. Ivan and his staff works effortlessly to ensure that my teeth are perfected beyond my expectations. If I had any other choice I would still choose Ivanov Orthodontic experts.

Joshua Xavier

My family and I are so happy with the results of Dr. Ivanov!!! So knowledgeable, kind and always available to answer questions. I am so happy we found him and his staff. I am looking forward to addressing my dental needs now that the family is on track!!! How many can say that about their dental experts. Way to go Dr. Ivanov!!!

James C. Murphy

He is awesome. You will start seeing changes quick in your smile. He shows passion in his work, he cares about you and your smiles. The office is very nice and great customer service. You will be in good hands if you choose to go with him.

Ketty Platon

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