A space maintainer is a dental device used to hold open the gap left by a missing tooth. This ensures that adjacent teeth don’t shift into the vacant space, which could otherwise lead to misalignment, bite problems, and the need for complex orthodontic or restorative treatments.
While commonly used in children to maintain space for unerupted adult teeth, space maintainers are also relevant for adults who are preparing for dental implants, bridges, or other treatments and need to preserve spacing during the interim period.
You may be a candidate for a space maintainer if:
Your child has lost a baby tooth too early due to decay or trauma
Your teen is undergoing orthodontic treatment and needs space preserved for future alignment
You’re an adult awaiting an implant, bridge, or crown and need to avoid adjacent teeth shifting
You’ve had a tooth extracted but aren’t ready for a permanent replacement yet
Space maintainers provide both functional and preventative benefits that protect your long-term oral health.
At York House Dental Practice, we provide a range of space maintainers tailored to suit the specific age and needs of each patient.
These are semi-permanent devices that are cemented to adjacent teeth. Most commonly used in children and teens, fixed space maintainers require little maintenance and are ideal for long-term use.
Band-and-Loop: A metal band around one tooth with a wire loop to maintain space.
Lingual Arch: A wire running along the inside of the lower teeth; often used when several teeth are missing.
Distal Shoe: A more complex design used when the first permanent molar hasn’t erupted yet.
Transpalatal Arch (TPA): Used on the upper arch to stabilize molars and maintain spacing.
Best suited for older children, teens, or adults, these are similar to retainers and can be removed for cleaning. They may be made of acrylic and metal, and can sometimes include artificial teeth for aesthetic purposes.
Ideal for adults awaiting implants
Suitable for cooperative children or teens
Easier to clean, but require discipline to wear consistently
Your dentist will assess your oral health and determine if a space maintainer is necessary. X-rays or digital scans are taken to evaluate the spacing, tooth eruption patterns, and future needs.
A digital or traditional impression of your mouth is taken to create a custom-fitted space maintainer that sits comfortably and effectively in your mouth.
Once the space maintainer is ready:
Fixed devices are bonded to the adjacent teeth.
Removable devices are adjusted to fit securely and comfortably.
Placement is quick and painless, often requiring no anaesthetic or drilling.
Regular follow-up appointments are scheduled to ensure the appliance remains in place, functions properly, and doesn’t cause irritation. We’ll also monitor the eruption of new teeth or the timeline for restorative treatments in adults.
Prevents Teeth from Shifting
Maintains correct spacing and alignment, reducing the risk of orthodontic problems.
Supports Natural Development
In children and teens, they guide proper eruption of adult teeth.
Protects Investment in Restorative Care
For adults, they prevent unwanted movement before an implant, bridge, or crown is placed.
Non-Invasive & Comfortable
Simple procedure, no drilling, and minimal discomfort.
Custom-Made for Long-Term Success
Each appliance is uniquely designed for optimal fit and function.
Proper care ensures the longevity and effectiveness of your space maintainer:
Brush and floss gently around the appliance.
Avoid sticky or chewy foods like gum, toffee, or hard sweets.
Do not use fingers or objects to fiddle with the appliance.
Attend regular dental check-ups for adjustments and cleaning.
Clean daily with a toothbrush and cold water.
Avoid hot water or harsh chemicals.
Always store in a clean, dry case when not in use.
Wear consistently as advised by your dentist.
If you or your child experiences discomfort, loosening, or damage, contact us promptly for an adjustment.
In children, the appliance remains until the permanent tooth begins to erupt naturally. This can be several months to a few years.
In adults, it may stay in place until a permanent solution such as a dental implant or bridge is placed.
Your dentist will advise on the timeline based on your specific dental situation and monitor the progress closely at each visit.
At York House Dental Practice in West Byfleet, we take pride in delivering gentle, preventative, and personalised care for patients of all ages. Whether you’re managing your child’s early tooth loss or preserving spacing for your own treatment plan, we offer:
Expert care in paediatric and adult orthodontics
Digital X-rays and modern diagnostics for accuracy
Custom-fitted space maintainers designed for comfort
Comprehensive aftercare and support
Friendly, compassionate team focused on long-term oral health
We make every effort to ensure your space maintainer experience is stress-free, effective, and tailored to your needs.
If you or your child has lost a tooth prematurely, don’t wait to act. Preserving that space now can prevent much more complex dental issues later.
Call us at 019323 48864 or use our online booking system to schedule your appointment.
