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. 2024 Feb;17(2):191–197. doi: 10.5005/jp-journals-10005-2762

Table 2:

Indications and contraindications of space maintainer

Indications
 When the succedaneous tooth is not ready for eruption
 When there is at least one mm of bone coverage over the succedaneous tooth
 After space analysis, when there is a possibility of space inadequacy for the permanent successor due to unbalanced forces from the adjacent teeth.
 If the space after the premature loss of primary teeth shows signs of closing
 If the use of a space maintainer makes the future orthodontic treatment simple
Contraindications
 When there is no bone coverage overlying the erupting permanent successor
 When the root of the succedaneous tooth has two-thirds completion
 When the succedaneous tooth is absent, and the space needs closure.
 When the space created is less than the mesiodistal diameter of the crown of the permanent successor
 Patients with widely spaced dentition
 Patients whose succeeding teeth are expected to erupt within the next 6 months
 Patients who have cuspal interferences or locked opposing first molars in a stable relationship
 Patients who are expected to have future orthodontic procedures for any other indications are not recommended to place space maintaining appliances