Space management refers to the careful supervision of the developing occlusion throughout the first and mixed dentition stages of development. With appropriately timed maintenance of existing arch space, the clinician may reduce or eliminate the necessity for future treatment . While many various sorts of appliances and treatment modalities exist to manage space within the primary and mixed dentitions, this text will focus exclusively on the utilization of the band and loop space maintainer secondary to the premature loss of a primary and/or second primary
Fixed appliances are cemented onto adjacent teeth. they’re made in many various designs: One consists of a band that goes around a tooth then a wire loop that extends out from the band to carry the space; another features a loop attached to a chrome steel crown, which matches over a close-by tooth. In either case, the loop extends just to the purpose where it touches subsequent tooth. Fixed space maintainers are often preferred with younger children, because they’re less easy to fidget with, break, or misplace than appliances which will be removed.
Types of Space Maintainers
A space maintainer is formed of chrome steel and/or plastic. It are often removable. Some space maintainers are cemented into the child’s mouth. this is often called a hard and fast space maintainer.
A removable space maintainer seems like a retainer. It uses artificial teeth or acrylic blocks to fill within the space or spaces that require to remain open. this sort of space maintainer often is employed when the space is clear to people . Removable space maintainers work well in older children who can reliably follow directions about caring for this appliance.
There are several sorts of fixed space maintainers. A band-and-loop maintainer is formed of chrome steel wire. it’s held in situ by a crown on the tooth next to the space or an orthodontic-type band around one among the teeth next to the open space. A wire loop is attached to the band or crown. It stands proud across the space where the tooth is missing and just touches the tooth on the opposite side of the open space. The wire loop holds the space open. this enables the adult tooth enough space to return into the mouth without crowding.