How To Maintain Space For Premature Tooth Lost In Kids

In addition to chewing, baby teeth are also instrumental in serving as a guide to the permanent teeth that are about to erupt over time. Each baby tooth works as a guide and if the baby teeth are lost prematurely, the major cause of baby teeth gets frustrated leading to the wrong positioning of the permanent teeth. In case the baby tooth is shed early the nearby teeth can also move and tilt from its position and shift to the place where permanent tooth is about to erupt leaving no space for it to come out.

Space Maintainer

Causes of Premature Primary Teeth Lose

There are several reasons that may result in teeth loose or primary teeth of kids before time, which include:

  • Severe knocked out due to a fall or accident.
  • Need extracted due to severe decay leading to a tooth infection.
  • Might be missing since birth.
  • Some medical conditions resulting in early tooth loss.

Space Maintainer

When a child loses primary teeth early space maintainers can be used. It is a custom made device provided by a dentist made of acrylic or metal substance. It is either cemented in the child’s mouth or removable. The basic purpose of this device is to maintain the space to welcome the permanent tooth to take its place. Space maintainer is not required in every child who sheds baby tooth prematurely; although, a dentist must be consulted to ascertain if space maintainer is required.

Types of Space Maintainers

This tool constitutes of stainless steel, metal or plastic. Some are fixed in the mouth and some are removable.

Removable Space Maintainer

The removable space maintainer appears to be a retainer. In this device an artificial teeth or plastic segments are fill in the vacant space that are required to remain open. This device is mostly recommended for older children who can religiously follow instructions and can be relied upon about taking good care of this appliance.

Fixed Space Maintainer

The fixed space maintainers are of many types. To start with a band-and-loop maintainer comprised of stainless steel wire and is kept in place by a crown on the tooth adjacent to the open space. A wire twist is associated to the crown. This wire ring holds the space and keeps it open. This enables the permanent tooth to erupt out comfortably without getting crowded by offering sufficient space.

If the space maintainer is to be customized for the lower jaw, a lingual arch is facilitated when rear teeth are lost. Lingual indicates the tongue or inner side of the teeth. Such space maintainers are made of bands tied around a tooth on any side of the mouth behind the missing teeth. A wire linked to the bands is associated with the bottom teeth and allows the space on both sides of the teeth.

Yet another type of fixed space maintainer is termed as a distal shoe appliance, which is placed inside the gums. It comprises of a metal wire inserted under the gum thus keeping the space from closing. This may require some sort of adjustment for enabling the tooth come in properly as it may block its eruption.

Is Space Maintainer Necessary

Not all premature baby tooth warrants space maintainer. If any one of the upper front four teeth is shed prematurely, the space will not close until the permanent tooth erupts. It is up to the decision of your kid’s dentist if your kid would require a space maintainer or not given your kid’s dental condition, cooperation from your kid and some other factors.

Construction of Space Maintainer

Every space maintainer is unique in its length, width and overall structure. First the impressions are taken using a soft material having taste of toothpaste. It is set into a gel around the teeth, which is removed from the mouth. This is the impression from which the space maintainer is made. Once the device is ready, it is sent back to the dentist. The dentist cements it in the place of a next office visit.

How to Care for Space Maintainer

It may feel uneasy and uncomfortable for the initial few days. Later on the kid would forget its presence in the mouth. A removable device may affect the speech of your kid until your child is comfortable with it after some days.

To care for the kid’s space maintainer it is imperative to brush the teeth regularly for keeping the gum cells healthy. The kid must stay away from sticky or hard substance and gum. They can release the band or get stuck in the wire arm. In the event of the space maintainer getting loose or coming out, it may get swallowed or inhaled into the lung. Lastly, the kid must not push the space maintainer using tongue or fingers. It may dislodge it or make it loose.

Depends on the specific condition, your dentist may ask you to consult with Kids Orthodontist for ensuring the proper structure and growth of permanent teeth by analyzing the space erupted by missing teeth.

Follow-up with Space Maintainer

The dentist would take X-rays of the teeth of your kid to analyze the progress of the incoming permanent tooth and the space maintainer will be removed when the tooth is about to erupt.

Above stated are some of the basic steps that should be followed if your kid is in need of space maintainer due to early tooth loss. Just ensure to consult with a dentist at the right time for proper treatment for perfect and healthy teeth of your kids.

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Dental Fillings

Why live with painful and unsightly cavities when you can have them filled by our dentists in a painless procedure!
In order to repair a cavity, the decayed portion of your tooth will be removed by your dentist. The portion of the tooth occupied by the decayed material will then be filled. Fillings are utilised to repair teeth that are broken, cracked, or that have cavities.

What Are The Steps For Filling Teeth?
Initially, a local anaesthetic will be injected into the area that surrounds the tooth. Novocaine is normally used. Then, a drill, laser, or air abrasion will be utilised to remove the area that is decayed. The type of instrument that is used will depend on the preference and training of your dentist, along with the extent and location of the tooth decay.

Your dentist will then test and probe the area of decay to ensure that all decayed material has been removed. After the removal of the decay, the space to be occupied by the filling will be cleaned so that all debris and bacteria are removed. If the area of the decay is close to the root, a liner constructed of a composite resin, glass ionomer or other type of material may be used in order to provide protection to the nerve. After the insertion of the filling, it will be finished and polished.

Additional steps are needed for fillings that are tooth-coloured. Subsequent to the removal of decay and cleaning of the area, the material that is tooth-coloured will be applied in layers. A specially designed light that hardens or cures each layer is used. After the completion of the multi-layering procedure, the composite material will be shaped by your dentist, excess material will be trimmed, and it will be polished.

Filling Materials Used
There are several types of filling materials that are currently available. Teeth may be filled with porcelain, gold, silver amalgam, or tooth-coloured composite resins. Silver amalgam is comprised of mercury with tin, silver, copper, and zinc mixed with it. The extent and location of the cavity, expense of filling material, insurance coverage of the patient, and the recommendation of the dentist will determine the kind of filling material that will best suit your needs

Gold Fillings

  • Extremely durable – will usually last for the life of the patient. Will not corrode.
  • Strength – Can withstand almost any chewing forces
  • Aesthetics – Some people prefer the look of gold to sliver amalgam


  • Expense – more costly than other types of material. Can be 10 X more costly than amalgam
  • Multiple Office Visits – requires a minimum of two visits
  • Aesthetics – some patients don’t like its appearance

Silver Amalgam Fillings

  • Durability – Normally lasts longer than composites. Normally lasts ten to fifteen years or more.
  • Strength – able to withstand all chewing forces
  • Expense – costs less than gold or composite fillings


  • Generally poor aesthetics – natural colour of teeth is not matched
  • Requires more space – A portion of the tooth that is healthy must be removed, at times, to provide a large enough area for the amalgam filling.
  • Discolouration – a hue that is greyish may be imparted to the adjacent tooth structure
  • Fractures and Cracks – All teeth expand and contract with temperature changes, which can cause cracking. However, amalgam materials may expand and contract to a greater extent than other materials, leading to an increased incidence of fractures and cracks.
  • Allergies – approximately 1% of patients have allergies to the mercury that is in silver amalgam

Composite Fillings – Tooth Coloured

  • Aesthetics – composites can be closely matched to the colour of the patient’s teeth. They are particularly useful for teeth that are visible
  • Bonding – composite fillings will bond chemically with a tooth and provide structural support to the tooth
  • Versatile – can also be utilised in the repair of broken, worn, or chipped teeth
  • Space requirement – at times less tooth material is needed to be removed in comparison to silver amalgam fillings when preparing a space for this filling.


  • Reduced durability – Composite fillings do not last as long as amalgams or gold. In addition, they often don’t hold up as well under the pressure of use, particularly if they are used to fill large cavities.
  • Takes Longer – due to the process needed to fill a tooth with composite materials, it takes longer in the dentists chair to place them.
  • More than one visit – if composites are being used for onlays or inlays, it may require more than one office visit
  • Chipping – composite materials are more likely to chip than amalgams
  • Cost – composite filling may cost twice as much as amalgam fillings

Additional Filling Materials
In addition to composite resins that are tooth coloured, there are two other types of tooth-coloured fillings. Glass ionomer and ceramics.

Glass Ionomer
This material is constructed of a specific type of glass and acrylic. It is commonly utilised on fillings that are beneath the gum line and for young children. This material releases fluoride, which may protect a tooth from additional decay. Nevertheless, glass ionomer is not as strong as composite resin and more prone to fracture and wear. It normally lasts for five years or less and the expense is similar to composites.

Usually constructed of porcelain. Ceramics are stain resistant, compared to composites, but are more abrasive. Ceramics are very durable, and usually last for 15 years or more, but, they are costly, and the expense can be similar to gold.

Porcelain Crown & Veneers

Rejuvenate Your Smile with Porcelain Crown and Veneers from Monash Dental Group
Remember; beautiful and aesthetically appealing cosmetic dentistry is not a matter of chance; it demands an experienced clinician who is sensitive to your unique needs and an expert dental ceramist who leverages the art and science of dentistry to deliver optimal results. At Monash Dental Group, we boast an expert team of experienced cosmetic dentists, who have extensive experience in fitting patients with porcelain veneers and crowns. Our first-class porcelain veneers and crowns are highly effective for your unique functional and cosmetic needs.

At Monash Dental Group, our products are expertly crafted to compliment your age, gender, expectations, and facial features. We leverage the expertise of the best dental ceramists to guarantee that the veneers and crowns are of premium quality, resilient, and possess excellent craftsmanship. We work diligently to provide you with a top-quality product that beautifully compliments your face, while simultaneously restoring the function and aesthetics of your natural teeth.

Porcelain Veneers
Typically, porcelain veneers are a form of thin laminates of chinaware that are securely bonded to the surface of the tooth. For diverse dental problems, it is one of the most aesthetically appealing means of enhancing your smile. Veneers are one of the most popular treatments for restoration of chips, spaces, fractures, unshapely and discoloured teeth, or misaligned and rotated teeth. They deliver an unmatched cosmetic makeover that allows alteration of shape, position, size, and the colour of your teeth. Monash Dental Group boasts experienced cosmetic dentists who deliver exceptional results with porcelain veneers. We feature:

  • Dramatic yet aesthetically beautiful and natural cosmetic dental enhancement
  • Durable, high quality, and permanent
  • Enhanced self esteem

The procedure typically requires two appointments. At first, the tooth is prepared for minimal reduction to make enough space for the porcelain veneer. A mould of the tooth is taken for fabrication, which takes approximately 2 weeks. In the next visit, the permanent veneer is bonded in place.

Crowns are a rigid and strong cap that restores the tooth to its natural function and anatomic contours, as well as protects the underlying tooth. In certain conditions, where veneers are not possible, crowns are a suitable option. Some of the scenarios in which crowns may be used include tooth fractures, large restorations, functionally compromised teeth, history of root canal therapy, and acute damage due to decay. There are a wide range of choices available in crowns and bridges.

Dental crown procedures take just two appointments, depending on the condition of your teeth and gums. First, the tooth is prepared for reduction and an impression is taken for fabrication. A temporary, plastic crown in fitted while the mould is being fabricated. In the next visit, the temporary crown is removed and the final crown is secured permanently into position. The fabrication procedure may take time depending on the type of crown.

Monash Dental Group is an expert in crowns and veneers, delivering matchless quality and desired results. The key benefits are:

  • Extensive protection and support to the compromised or damaged teeth
  • Natural and aesthetically enhanced appearance
  • Restoration of full functions and a confident smile

Contact the professionals at Monash Dental Group for more details on porcelain veneers and crowns. We guarantee excellent quality and fantastic results in a cost-effective manner.