Space maintainers are fixed or removable orthodontic appliances
designed to prevent tooth alignment problems caused by
prematurely lost primary teeth. If primary teeth are prematurely
removed or fall out, space maintainers protect the remaining
space and help the subsequent permanent teeth emerge healthily
and correctly.
When a primary tooth in the back is lost prematurely, the
adjacent teeth can shift or tip into the space. This can result
in a shortened arch, impaction, or misalignment of permanent
teeth. However, a simple space maintainer can eliminate the need
for unnecessary orthodontic treatment in the future.
What Materials Are Placeholders Made From?
Space maintainers are typically made of metal wire, acrylic
plates, or a combination of both. They are custom-made in a
laboratory setting, based on the dentist's impression of the
mouth. They are divided into two main groups based on their
intended use and the number of missing teeth:
Placeholder Types
It is generally preferred in cases of early loss of a single
milk tooth.
It is attached to the tooth and cannot be removed by the
child.
Under the supervision of a dentist, it is removed when the
permanent tooth erupts.
Regular check-ups should be done every 3 months.
Sticky foods such as chewing gum should be avoided.
If it becomes dislodged or broken, a physician should be
consulted immediately.
It is used in cases where more than one milk tooth is
missing.
It is pluggable and removable.
It can be designed for both functional and aesthetic
purposes.
It should be removed while eating.
It should be taken out at night and stored in a container
filled with water.
It should be cleaned with daily brushing.
If conditions such as fracture or loosening are observed, a
dentist should be consulted.
Regular check-ups every 3 months are recommended.
What are the functions of placeholders?
It ensures that the permanent tooth erupts in the ideal
position by protecting the area where it will erupt.
It prevents other teeth from shifting into the space.
It prevents future tooth misalignment and orthodontic
problems.
It supports the proper alignment of teeth, facilitates
brushing and reduces the risk of decay.
What Should Be Considered After Placeholders Are Installed?
Regular dental check-ups should be performed every 6 months.
The placeholder should not be moved with the hand or tongue.
Teeth should be brushed regularly and carefully.
Fixed space maintainers should be removed under the
supervision of a physician.
Movable models should be removed during the meal and
replaced afterwards.
In case of fracture, bending or deformation, a physician
should be consulted without delay.
