SPACE MAINTAINERS, REGAINERS & BITE PLATES

Space maintainers are fixed appliances used to maintain the patients arch length and spacing during the transition of mixed to permanent dentition and to prevent adjacent teeth from drifting into the space of missing teeth.

Space Maintainers

These appliances are used for patients with missing primary or permanent teeth to prevent drifting of adjacent teeth until all permanent teeth have erupted. Some designs can be used to regain space if needed.

Band & Loop Space Maintainer

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Lingual Arch/Bilateral Space Maintainer

Learn more about Lingual Arch/Bilateral Space Maintainer here »

Distal Shoe

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Nance

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Band & Loop Space Maintainer

Band on tooth
Wire soldered to band
Space maintaining loop bent to opposing tooth to hold space
Acrylic pad added to fill in space of missing tooth as bite plate for opposing tooth.

TPA

Bands on molars
Wire 1 to 2mm off the palate
Adjustment loop at the center of the palate

Pedo Partial

Bands on molars
Wire running lingual to teeth soldered to bands
Pontics for missing teeth with acrylic support

Regainers

Space regainers have a spring mechanism that is used to regain space when a tooth has already begun to drift into the area left by the loss of an adjacent tooth.

Sliding Loop Regainer

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Active Loop Coil Space Regainer

Band on tooth
Uses a coil loop to regain space.

Lip Bumper

Bands on molars
Bar on facial surface of teeth with facial pad to keep lip from applying pressure to the lower teeth

Bite Plates

A bite plate is an appliance worn in the mouth to separate the jaws so that some of the teeth will gradually shift upward or downward. They can be worn to help correct deep bites and to help make the lower arch level so that the upper front teeth don’t overlap so deeply over the lower teeth.

Fixed Bite Plate

Wire lingual from molar to molar
Bands on molars
Acrylic pad lingual to the anterior teeth

Removable Anterior Bite Plate

Bands on molars
Wire lingual from molar to molar
Acrylic pad lingual to the anterior teeth

Posterior Bite Plate (Removable)

Removable acrylic appliance
Acrylic pads cover the occlusion of the posterior teeth
2 clasps (doctors preference) for retention

Habit Appliances

Habit appliances help eliminate the habit of tongue thrusting or thumb sucking. Habit cribs can be added to almost any appliance or as a separate fixed appliance (recommended to enforce patient compliance).

Blue Grass

Bands on molars
Wire bent from molars to cuspid area
Bluegrass roller added to the wire

Habit

Bands on 1st molars
Soldered wire bent from molars to cingulum area of the cuspids
Crib is added to hang down (made to not interfere with lower anterior teeth

Fence

Bands on molars
Wire bent to inhibit the tongue access to the teeth

Rake

Bands on molars
Wire soldered to molar bands
Sharp points added for a more aggressive approach to discourage thumb sucking

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Space Maintainers, Regainers & Bite Plates

SPACE MAINTAINERS, REGAINERS & BITE PLATES