Space Maintainers for Kids in Gig Harbor
When a baby tooth comes out too early, whether from decay, injury, or extraction, the teeth on either side begin drifting into the gap almost immediately. That drift can block the permanent tooth from erupting where it belongs. At The Kids' Dentist Gig Harbor, we place custom-fitted space maintainers that hold the opening until the adult tooth is ready, protecting your child's alignment and potentially avoiding future orthodontic work.
What Happens Without a Space Maintainer
Neighboring teeth can tip or shift into an empty space within weeks. Once they move, the permanent tooth may come in crooked, get stuck (impacted), or crowd adjacent teeth. Correcting that kind of shifting usually requires braces or other orthodontic treatment. A small, comfortable appliance placed now can prevent a much larger problem later.
Types We Place
Band and Loop
The most common option when a single tooth is missing. A stainless steel band wraps around a neighboring tooth and a wire loop bridges the gap. It is cemented in place and requires zero effort from your child.
Distal Shoe
Used when a second baby molar is lost before the six-year molar has erupted. A small metal guide extends beneath the gum to steer the permanent molar into the correct position as it comes in.
Lingual Arch
A wire cemented to the lower molars on both sides, running along the inside of the teeth. This type preserves space on the entire lower arch when multiple teeth are missing.
Nance Appliance
The upper-jaw equivalent of the lingual arch. An acrylic button rests against the palate, connected by wire to bands on both upper molars, holding space on both sides at once.
Day-to-Day with a Space Maintainer
Most kids forget the device is there after the first few days. It is cemented in place, so there is nothing to remove or remember. Brush and floss around it normally. The only precaution is avoiding very sticky or hard foods (taffy, ice, hard candy) that could loosen the bands. We check it at every cleaning and remove it as soon as the permanent tooth begins to push through.
Space Maintainer Questions
No. If the permanent tooth is already close to erupting, a maintainer may not be necessary. Your dentist evaluates your child's age, the specific tooth, and X-ray evidence of the permanent tooth's position before recommending one.
Ready to Schedule Your Child’s Visit?
Our friendly team is here to help your child feel comfortable and confident.