Bridging the Gap: Space Maintainers for a Healthy Smile Alignment
Help your child maintain a healthy and beautiful smile with preventive dentistry for kids at Bourne Orthodontics.

What happens when a child loses a baby tooth too soon, and the adult tooth isn’t ready to come in just yet? Your child risks having crooked teeth. That’s because primary teeth are placeholders for adult teeth and the extra gap may cause surrounding teeth to shift.
Premature gaps in your little one’s smile may lead to more expensive and time-consuming procedures in the future. For example, misaligned teeth in their teenage years could mean thousands of dollars in braces. So be like the tooth fairy, and keep an eye out for lost teeth!
Your local general or pediatric dentist can help prevent this by determining if your child needs a space maintainer, a simple device that keeps the space open until the new tooth comes in. Common reasons for premature tooth loss in kids:
At Bourne Orthodontics in Lake Stevens, WA we help children keep healthy and happy smiles using safe and comfortable dentistry for kids. If your child has lost a tooth or multiple teeth prematurely, please contact us for an exam.

While the natural body does a great job of taking care of itself, sometimes it needs extra help. For example, when a baby tooth falls out way too soon and the permanent tooth isn’t ready to come in just yet. Fun fact: some teeth don’t come in until the age of 12 or 13!
This puts your child’s jaw and teeth alignment at risk due to shifting teeth, but our dentist at Bourne Orthodontics in Lake Stevens, WA is here to help with space maintainers.
-
Step 1
At the first appointment, we check your child’s mouth, existing teeth, and development to determine if a space maintainer is necessary.
-
Step 2
Our dentist recommends the best type of placeholder (we have fixed and removable options available), and we take impressions of your child’s mouth.
-
Step 3
The final step is the placement of your child’s custom space maintainer. We double-check the fit and comfort and let you know when to come in for a follow-up.
For fixed oral appliances – once the permanent tooth starts erupting, please contact our dental practice and schedule an appointment for a space maintainer removal. Getting a space maintainer is a fairly quick and inexpensive process, but it makes a big difference in children’s lives!
-
What does a space maintainer do?
Dental space maintainers help leave enough room for permanent teeth to come in. When a baby tooth is lost too soon, this custom-made oral device holds the space open for the new tooth. Without it, the surrounding teeth may shift due to pressure during chewing and biting.
A child’s primary teeth tend to fall out when their permanent teeth are ready to erupt. Typically, the new teeth grow into place and create a straighter smile and better bite when this happens. However, in some cases, a baby tooth falls out prematurely and may lead to alignment problems.
The goal of a space maintainer is to prevent and treat problems early on in children to avoid more expensive orthodontic treatments in adulthood.
-
When do you use a space maintainer?
Our dentist may recommend a space maintainer if a baby tooth falls out sooner than it should and the permanent tooth won’t come in for some time. We use the device to hold the surrounding teeth in place and leave the gap open.
There’s no need to panic because teeth don’t completely shift overnight, but it’s important to schedule a consultation if your child experiences premature tooth loss.
Common causes of baby teeth falling out prematurely include:
-
How are space maintainers put in?
Space maintainers are put in using different methods depending on the type of device. They’re custom-made and custom-fit and available in different materials, sizes, and systems.
Your child’s dentist will recommend a fixed or removable option based on your child’s needs and age. The oral appliance can be placed and held on teeth using crowns, wire, or acrylic.
-
Are space maintainers safe?
Our dentist safely places and checks space maintainers for comfort, fit, and function. The whole process is painless and quick.
Unlike orthodontic systems like aligners or braces, a space maintainer doesn’t shift teeth. Instead, it holds the teeth in place, so your child shouldn’t feel any discomfort besides getting used to it at the very beginning.
-
What is the best space maintainer?
While primary teeth are the best space maintainers, our dentist mimics this with a custom appliance that does the job just as well. After an initial consultation, we recommend the best type of device for your child’s smile.
Please schedule a children’s dentistry visit in Lake Stevens, WA at Bourne Orthodontics to learn more.