Table 2:
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 |