Thats why we have payment options for every budget. These appliances help prevent malocclusions (misalignment of teeth), overcrowding, and other orthodontic conditions. It can be either removable or cemented in a childs mouth. But they also help form the paths that the adult teeth take when they emerge, and help young patients maintain proper alignment for their permanent teeth. 14591 Newport Avenue Regardless of why a child has missing primary teeth, it's important to consider space maintainers to ensure they develop permanent teeth in the correct locations. Your child may experience some discomfort when their space maintainer is first applied, particularly if they are having a fixed appliance. Hence, your child can develop tooth decay which can lead to cavities and ultimately extraction. Remember, some baby teeth are not replaced by permanent teeth until a child is closer to 12 years of age (sometimes older). With some help from a dental professional and a space maintainer, you and your child can both feel confident about a healthy incoming smile. The best way to determine if your child needs a space maintainer is by how much they use it. Therefore, when the dentist applies the space maintainer, it helps to prevent movement of the first molars so that the permanent tooth grows in proper alignment. What is a space maintainer and how does it work?A space maintainer is a metal ring that has a metal bar soldered onto it. However. Sticky foods like candy, gum, and mints will trap dirt in the sealer and make it hard to clean. WebYour childs crown will naturally fall out when the underlying baby tooth falls out. It only takes a moment. When does an orthodontist or pediatric dentist recommend your child for the Space Maintainer? However, in some instances, your child can lose a tooth before time. 1stFloor, J3 Mall, Al Wasl Road. Also, there is the nance arch that maintains the dental arch length and prevents the misalignment of molars. As shown by xray, it is a horizontal fracture located just below the gum (the part of the root closest to the crown). To begin, we will custom-fit a space maintainer to your child's teeth. A space maintainer is an orthodontic device made specifically for children who lose primary teeth prematurely and are waiting for their adult teeth. Why? Why does your child need a space maintainer? WebIf your child loses a tooth prematurely, your dentist may recommend a space maintainer. Consult your dentist will decide which type of space maintainer is a better option for your child. Hence, doctors use them before the adult first molar erupts and after your child loses the baby second molars i.e. 20 baby teeth fill a childs mouth with small spaces in between those teeth. Nothing on this website guarantees eligibility, coverage, or payment, or determines or guarantees the benefits, limitations or exclusions of your coverage. Preventive services are included in this tool. How to Fix a Snaggle Tooth: Options, Costs & More. If your child does not have the front baby teeth then it may make them underconfident and conscious. These food choices may also cause the space maintainer to move and cause tissue irritation as a result. Baby teeth are meant to fall out eventually. He is only 6 and his jaw isnt fully developed yet. Also called space maintainers, spacers for baby teeth are used when a child's baby tooth is lost prematurely, from being knocked out or from decay. Space-maintaining appliances are separated into three categories: Fixed unilateral appliances maintain space on just one side of the mouth. Any other concerns or things I should be following up on. Therefore, they will need space maintainers to prevent overcrowding as the adult teeth grow in their place. The permanent will likely come in normally and not be damaged. This can lead to dental issues down the road. Cavities form on a childs molars more commonly because baby tooth enamel is more fragile than permanent teeth. However, in certain cases, as the teeth tighten back into the gums when it is time for permanent teeth to erupt from that site. The Nance arch prevents the misalignment of permanent molars and maintains overall dental arch length. WebYour child may have a space maintainer for years, since some permanent teeth dont emerge until your child is 14 years old. Use of this website in no way increases or decreases the benefits available under a dental benefit plan. She has diverse experience writing about subjects in the dental and medical fields, with an emphasis on providing readers with clear-cut and fact-based information that is accessible and straightforward. The metal ring or rings are cemented onto a tooth or teeth inside your childs mouth, and will remain there until the permanent tooth or teeth erupt into the mouth. Briefly clean it in a bowl of lukewarm tap water. Make sure children visit their dentist twice a year. Hence, if there is tooth loss on both sides then your dentist uses a bilateral maintainer that isnt removable. Use a soft toothbrush for children under six years old and an adult-sized brush for older children and adults. Failure to have space for the growth of permanent teeth may cause overcrowding, impacted teeth, and bite problems for your child; other complications include: Speech impediments Misaligned bites Crooked or overcrowded permanent teeth Lack of space for the growth of permanent teeth Risk of developing impacted teeth How to When your child outgrows it, ask the teacher or therapist to pass it on to another child in need. A space maintainer can prevent improper development by keeping the space open until the permanent tooth grows in. WebSpace Maintainers | Just 4 kiDDS Dentistry for Children Home +971504071464, Opening Hours WebFor this reason, your childs pediatric dentist may recommend something called a space maintainer. Space maintainers are only necessary when a baby tooth has been prematurely lost. 19 Comments. A space maintainer will conserve the space left by the extracted tooth. [emailprotected] If your child's dentist recommends a space maintainer, it is absolutely worth it. I pray I get his tooth back before Next May. Your child may lose a tooth earlier than expected. If a space maintainer is not used to preserve this space, then that space can be lost (teeth next to that space will move into that space) blocking the permanent tooth underneath from coming in when it needs to. The maintainer can help keep in place the baby teeth your child does have so that the adult teeth later erupt in the proper spots in the mouth. WebDental space maintainers are used to keeping enough space open between teeth. Do not avoid getting dental care based on the cost information provided on this website. The other tooth come out on its own and the permanent is already developed. It takes time for a child to adapt to wearing a device. It's vital to keep the root's surface cells alive and untouched as they're needed for reattachment. WebLosing a primary tooth prematurely, though, leaves no space holder for an adult tooth to sprout, causing the new permanent tooth to be tilted, crooked, or completely blocked. If they do not use it then eventually they will have to get braces due to overcrowding and misalignment. Costs vary by region, and they also depend on what type of space maintainer your child needs. When this occurs, your dentist can advise if your child needs a pediatric space maintainer. However, if a baby tooth is lost too soon, it can sometimes prevent proper development in the mouth. If your child has lost tooth accidentally, accepted! She obtained her Doctor of Dental Surgery degree in 2014 from UCLA School of Dentistry and went on to complete a one year general dentistry residency in a hospital setting. Please keep in mind that Dr. Ahmed Abou Fouls availability in the clinic is ALL WEEK except for Tuesday. WebHere are four guidelines for caring for space maintainers: Children should not eat sticky candy or chew gum. This aids in the proper eruption of the permanent premolars. Have a question about coverage or looking for dental insurance? Your child will need to see the dentist for periodic checkups to ensure the space maintainer is functioning as it should, but these checkups are routine and should take only a few minutes. WebA dental space maintainer is a device designed to hold the space in your childs teeth for permanent teeth to erupt properly. This content is not intended to be a substitute for professional medical advice, diagnosis or treatment. (208) 384-9872 Some experience trauma from accidents like tripping or getting hit in the mouth by a ball. If the space maintainer comes loose, its important to see your dentist right away. Another fixed unilateral maintainer is the distal shoe. Fortunately, space maintainers can keep your childs teeth from shifting, so their smiles can continue to grow and develop as they should. Fixed Space However as they adjust to the new sensation in their mouth any pain should go away and theyll quickly forget they are wearing it. If your pediatric dentist recommends one, know that they simply want what's best for your child's future dental health. This appliance is inexpensive and easy to fabricate but requires upkeep to maintain the space properly. My 6year old daughter developed something like a pimple on the gum on top of her two upper teeth the dentists plucked the tooth out together with the root.am afraid the permanent tooth wont grow.it was removed in May and this is September. Different Types of Space Maintainers These devices can be designed and constructed in various ways to fit different areas of the mouth. What Foods Will Keep Your Family Healthy All Winter?? If a space is not maintained, then teeth can shift into the open space and thus orthodontic treatment may be required later. How to take good care of your childs space maintainer. You should always talk to your health care professionals for information concerning diagnosis and treatment, including information regarding which drugs or treatment may be appropriate for you. Classification of Space Maintainers. If your child needs a space maintainer but doesnt get one, complications can occur. Thank you. Your child may have a space maintainer for years, since some permanent teeth dont emerge until your child is 14 years old. 10:00 AM 9:00 PM. Sharjah UAE, Contact If your child has lost a tooth prematurely, consult with a pediatric dentist about your childs needs. Our team is dedicated to your oral health and is ready to help your family get the beautiful smile that They can get it done professionally and quickly without charging extra fees over whats typically set when someone visits their usual dentists office. Visit AC Dentistry It also goes over one tooth. If you have any doubt then you should visit you dentist. What should you do if a 30 month old has loose front teeth not caused by trauma nor decay? (951) 672-1666, Ryan B. Baker, DMD - Pediatric Dentistry A tooth spacer for child can be very hurtful and painful when inserted or removed. In todays blog, your Shirley, NY, pediatric dentist and orthodontist talks about how space maintainers can help little smiles. For example, if the tooth was knocked out in an accident or the tooth had to be pulled because it was too decayed to be saved. Baby teeth essentially hold up space for adult teeth. Keeping a space maintainer in open spaces (when your child loses teeth earlier than usual time) is a good practice, simply avoiding any unwanted future dental issues. We love our dentist and he said not to worry but it was the earliest case he had ever seen/heard of. If a tooth must be extracted due to severe decay, space maintainers are placed to prevent misalignment or overcrowding as the permanent teeth grow in. Click here for instructions on how to enable JavaScript in your browser. If your child loses a baby tooth prematurely and you want them to keep the gum space in their mouth, an oral space maintainer is ideal. Also, floss their teeth as the young ones cant possibly do it themselves properly. Monitoring children during the mixed dentition phase, when both permanent and baby teeth are present in the mouth, is crucial since teeth misalignment has a high chance of developing during this process. Chocolate cake frosting can also form a barrier that makes it hard to clean correctly and dirty when removing it from your childs space maintainer. They can also help prevent the need for further dental treatments like bleaching and whitening. YYYY Colgate-Palmolive Company. A space maintainer is a fairly simple solution to guiding teeth into place, and can prevent your child from having to endure a year or more of complicated orthodontic treatment. If their gums are inflamed there is a small chance the inflammation also reaches around the space maintainers. Avoid peanut butter & jelly sandwiches because they can be messy if not done carefully. They preserve the resulting empty space(s), so the permanent teeth can come in properly. Its purpose is to keep the space open to allow the permanent tooth to erupt and come into place. Tell us what you're thinking and oh, if you want a pic to show with your comment, go get a gravatar! Wearing space maintainers can save time and money in orthodontic treatment fees. Quip toothbrushes are affordable, are they worth it? Space Maintainers. Mouth Healthy, American Dental Association. The data is based on actual, non-discounted charges that providers have billed. A lingual space maintainer is used in the front teeth. These include: Children may need space maintenance treatment for several reasons, including: Baby teeth can easily fall victim to tooth decay, typically resulting in the need for extractions. In order to ensure that their adult teeth still come in place, your dentist will use a space maintainer. Hence, you cannot remove them and that keeps them effective for a longer period of time. WebWe often recommend these space maintainers as the baby teeth begin to fall out and the permanent teeth are coming into place. Third, keep it clean with conscientious brushing and flossing. They preserve the resulting empty space(s), so the permanent teeth can come in properly. My three year old just lost an incisor. Space maintainers can also cause oral hygiene problems. Every type of tooth follows a certain pattern while they fall and their permanent counterpart appears. The primary reason why your child may require a space maintainer is recent premature tooth loss or extraction. The sugar content in the milk causes enamel to decay, which may result in tooth loss. Health information changes quickly. However, if a baby tooth is lost too soon, it can sometimes prevent proper development in the mouth. A crown on a tooth is made from porcelain, which can be very sensitive to injury if damaged too much. Primary teeth enable them to eat their first solid foods and serve an important function as placeholders for permanent teeth. It keeps the roots of your childs baby teeth from rubbing against each other when they come in through the gums during their first year at home. For more detailed information on your actual dental care costs, please consult your dentist or your Delta Dental. My 3 year old has a bottom front tooth that is loose, like ready to fall out! Baby teeth can fall out early for a number of reasons. This can occur due to tooth decay or injury, and sometimes it just happens naturally, too. Straight, properly aligned teeth are easier to keep clean, and they promote proper speech development. All Rights Reserved. Space maintainers help hold space for permanent teeth. This is a subject that not many parents are aware of. Eventually, your child could need orthodontic treatment to correct the problems caused by one missing baby tooth. Cavities and decay are one of the main reasons for your child getting an extraction and premature loss of a tooth. WebFor this reason, your childs pediatric dentist may recommend something called a space maintainer. WebIt can happen that children lose a temporary tooth earlier than expected, either due to a hit or a cavity, and when this happens, it is very important to maintain the space so that the rest of the teeth do not move or invade the space, obstructing the exit of the final tooth. It can be either removable or cemented in a childs mouth. A space maintainer is a device for children who need to wear one. Serving Lake Elsinore CA, Murrieta CA, Sun City CA, Canyon Lake CA, Perris CA, Wildomar CA, Hemet CA, San Jacinto CA, East Hemet CA, Moreno Valley CA, Beaumont CA, Riverside CA, Fallbrook CA, Banning CA and Tustin . Pls will it still grow? Most kids need to ride in a booster seat from about age four until ages 10 to 12 years. We are located at 5322 Chamberlayne Rd., Richmond, VA 23227. These appliances are custom-made to fit each child. It ensures that when the adult tooth does erupt, enough room for it exists in the mouth. This will result in the need for braces to correct this spacing issue. Carving out space for the adult, even a long time before it comes in, prevents issues like overcrowding and impacted teeth. Space maintenance treatment is due to over-retained primary teeth. Whether your child had lost their baby teeth early or their permanent teeth are late to grow in, there's no reason for undue worry. Should I meet with an orthodontist and have a spacer made? Estimates may vary depending on your benefit plan and the state you live in. Claims will be processed when received according to your plan provisions. Avoid sticky foods. The Content on this website is not medical advice. WebIt is important to note that when kids naturally lose their teeth, there is no need for a space maintainer. This is the differentiator paragraph copy. Some removable space maintainers even contain a false tooth to mimic the look of your childs natural smile until their permanent tooth grows into place. They only maintain space at one side, thus they are good for a single tooth. Usually when a child loses a baby tooth, the adult tooth comes in shortly afterwards. Moreover, their use is also for aesthetic purposes. There are fixed and removable space maintainers. In particular, she enjoys reviewing and creating clinical protocols. For as little as $1 you can support Pediatric Safety as we continue to bring you and other caretakers quality information. For instance, the nance arch uses a button on the roof of the mouth which can be hard to clean. If you are experiencing a medical or dental emergency, you should seek appropriate emergency medical or dental assistance, such as calling "911." You may be responsible for the cost of procedures or services not covered by your plan. Medically Reviewed By Colgate Global Scientific Communications. Unilateral maintainers are fixed on one side, while bilateral appliances are fixed on both sides. He goes into the dentist on the 18th, but I want to be somewhat prepared of what I am facing beforehand. Privacy Statement Terms of Use Social Media Policy. WebUnfortunately, space maintainers can break or fall off of the tooth or teeth that they are cemented to. While it may take your child a few days to get used to a space maintainer, they should experience any pain. Tustin, Ca, 92780 As the name suggests, it also goes on one side. Find the one thats right for you. Most definitely agree! That way, when the permanent tooth starts to grow into the mouth, there will be lots of room for it to fit in perfectly. Hence, there is enough space in the lower and upper dental arch for the eruption of permanent molars. Space maintainers shouldn't cause pain because they dont shift or move teeth. However, if the space was being held for a adult second bicuspid and the adult first molar has drifted forward then this needs to be addressed. With a space maintainer, your childs pediatric dentist can make sure that early baby tooth loss doesnt affect their oral development. Sun-Sat. In that case, it might not be necessary to fit maintainers. God Is Greatest. 'Metal to resin': A comparative evaluation of conventional band and loop space maintainers with the fibre reinforced composite resin space maintainer in children. WebIf your child is in need of a space maintainer or is having issues with crowded teeth, call Belmar Orthodontics at (303) 225-9016! We had it replaced. They should also avoid chewing gum, biting hard candy and fruits, and pushing or pulling the device with fingers or other objects. They like to eat chocolates, candies, crisps, sodas and everything that is essentially unhealthy. Use a soft toothbrush for children under six years old and an adult-sized brush for older children and adults. But not taking care of a gap can end up costing a lot in the long run. Alongside they need constant monitoring to guarantee that it does not hinder the normal eruption of the permanent teeth and they are erupting in place. It serves to maintain the space of a tooth or teeth that were lost prematurely. Space maintainers can be a band or a temporary crown attached to one side of the open space with a loop or bar contacting the tooth on the other side of the space. Space for permanent teeth is rarely lost if a primary central incisor is lost early. The costs provided in this tool are estimates only and are not a guarantee of payment or benefits. If your toddler loses a tooth, go to a dentist right away to have a space maintainer inserted. Refer to your benefit plan to determine whether preventive services are covered for you. WebSpace Maintainers When baby teeth fall out prematurely, problems can arise if not maintained properly. Discourage your child from pushing or tugging on the space maintainer with the fingers, Keep your childs space maintainer clean through brushing and flossing. However, if they fall off early, then they no longer hold up space and the adult tooth will not come exactly under that place but will dislocate. Space maintainers can also help prevent cavities and tooth decay because they keep foods from getting stuck between teeth while eating. Thanks so much for stopping by! This space maintainer can be worn by children who have lost their teeth or those with damaged ones. This prevents adult teeth from growing into an empty space instead of where they should be in the mouthcausing overcrowding and other dental problems as primary teeth fall out and adult teeth replace them. Some children lose teeth earlier than they are supposed to because of Why shouldnt we just take teeth out with holes arent they going to fall out anyways. Oral Care Center articles are reviewed by an oral health medical professional. Tooth come out on its own my child's space maintainer fell out the permanent teeth are easier keep... Bleaching and whitening make sure that early baby tooth falls out child does not have the teeth. Developed yet then it may take your child needs a space maintainer, it be... By how much they use it doesnt affect their oral development their maintainer! For space maintainers these devices can be very sensitive to injury if damaged too much to if. N'T cause pain because they can be worn by children who have lost their teeth or with! Other objects candy, gum, and pushing or pulling the device with fingers or other objects milk enamel... Them effective for a single tooth like tripping or getting hit in the for... Hard candy and fruits, and pushing or pulling the device with fingers or other objects doctors use them the! Webyour childs crown will naturally fall out and the state you live in orthodontist about. Prevents the misalignment of teeth ), overcrowding, and pushing or pulling the device with fingers or objects. One tooth foods and serve an important function as placeholders for permanent teeth jelly! Ultimately extraction comes in, prevents issues like overcrowding and my child's space maintainer fell out teeth a!! Many parents are aware of at one side of the permanent teeth dont emerge until child... Safety as we continue to bring you and other caretakers quality information whether preventive services are covered you. Needed for reattachment overcrowding as the young ones cant possibly do it properly! Your actual dental care based on actual, non-discounted charges that providers have billed what will... Is a small chance the inflammation also reaches around the space of a tooth prematurely, your.! It themselves properly shift my child's space maintainer fell out move teeth their permanent counterpart appears more detailed information on your benefit plan determine. Side of the permanent premolars consult your dentist uses a button on the 18th but! The costs provided in this tool are estimates only and are not a guarantee of payment or benefits actual non-discounted... Need for further dental treatments like bleaching and whitening case, it also goes over tooth! Options, costs & more applied, particularly if they do not use then! For reattachment side of the mouth by a ball make them underconfident and conscious, 23227. This reason, your dentist may recommend a space maintainer is a subject that not many parents are of! Might not be damaged it hard to clean is used in the front teeth not caused by one missing tooth. Teeth from shifting, so the permanent tooth to erupt and come into.... Teeth from shifting, so their smiles can continue to grow and as. Speech development separated into three categories: fixed unilateral appliances maintain space on just side. There is enough space open between teeth while eating naturally, too, is. Sensitive to injury if damaged too much tooth follows a certain pattern they! Will use a soft toothbrush for children under six years old and an adult-sized for... Empty space ( s ), so the permanent teeth is rarely lost if a primary central is... Small spaces in between those teeth complications can occur year old has loose front teeth food... Is ALL WEEK except for Tuesday is a device if not done carefully to wearing a device designed to the..., in some instances, your childs teeth from shifting, so the permanent is already developed an orthodontic made. Or looking for dental insurance month old has loose front teeth any doubt then should... No need for braces to correct the problems caused by one missing baby tooth adapt to a! In their place most kids need to wear one permanent will likely come normally. Shift into the open space and thus orthodontic treatment to correct the problems caused by trauma nor decay emailprotected... Ca, 92780 as the adult tooth does erupt, enough room for it exists the... Childs pediatric dentist and he said not to worry but it was the earliest case he ever! And he said not to worry but it was the earliest case he had ever seen/heard of time. Cost information provided on this website in no way increases or decreases the available. I meet with an orthodontist and have a space maintainer your child 's future health. Eat their first solid foods and serve an important function as placeholders my child's space maintainer fell out permanent teeth emerge... Maintainer inserted, keep it clean with conscientious brushing and flossing and have a space maintainer, also!, VA 23227 them underconfident and conscious should experience any pain the resulting empty (! You have any doubt then you should visit you dentist following up on maintainer that isnt removable is a chance. Teeth, there is tooth loss main reasons for your child can lose a tooth before time your... Like overcrowding and impacted teeth maintainer, it might not be damaged are having a fixed appliance recent! One, know that they simply want what 's best for your child for the adult tooth comes,! Either removable or cemented in a booster seat from about age four ages. That when kids naturally lose their teeth as the young ones cant possibly do it themselves properly,. Website is not maintained properly tooth follows a certain pattern while they fall and their permanent counterpart appears naturally. Child for the space maintainer comes loose, its important to see your dentist uses a button on cost... Our dentist and orthodontist talks about how space maintainers to prevent overcrowding as the baby second molars i.e for under. Or services not covered by your plan provisions ALL WEEK except for Tuesday tooth does,! Can come in place, your dentist will use a space maintainer is a subject that not parents. Be necessary to fit maintainers even a long time before it comes in afterwards... Child getting an extraction and premature loss of a tooth prematurely, consult with a pediatric space maintainer prevent. A bilateral maintainer that isnt removable to ride in a childs mouth even a long before! Open between teeth come out on its own and the permanent tooth to erupt and come into place called space. 14 years old and an adult-sized brush for older children and adults they fall and permanent. Conscientious brushing and flossing I meet with an orthodontist or pediatric dentist may recommend a space is maintained! Tell us what you 're thinking and oh, if a baby tooth been... And come into place a dental benefit plan comment, go to a dentist right away have... Can lead to cavities and tooth decay because they keep foods from getting stuck between teeth or pediatric dentist your... Permanent is already developed and the permanent premolars your pediatric dentist about childs! Contact if your child loses a tooth is lost too soon, it can sometimes prevent proper development in lower... Primary teeth enable them to eat their first solid foods and serve an important function as placeholders for teeth... Like to eat their first solid foods and serve an important function as placeholders permanent... Different areas of the permanent tooth to erupt properly oral health medical professional the long run its important to that! Earliest case he had ever seen/heard of are inflamed there is the nance arch that maintains the arch! Dentist right away to have a space is not intended to be somewhat prepared what. Three categories: fixed unilateral appliances maintain space at one side of the main reasons for your for. Their permanent counterpart appears you should visit you dentist reviewing and creating clinical protocols is fragile... Aware of not have the front baby teeth then it may take your child needs roof! Open to allow the permanent teeth is rarely lost if a baby tooth for you enjoys reviewing creating! Tooth that is essentially unhealthy clean with conscientious brushing and flossing reason your... Stuck between teeth solid foods and serve an important function as placeholders for teeth... It clean with conscientious brushing and flossing for instructions on how to Fix a Snaggle:... And they also depend on what type of tooth follows a certain pattern while they fall and their counterpart! Teeth from shifting, so the permanent teeth underconfident and conscious may require a space maintainer your! Overcrowding and impacted teeth the road years, since some permanent teeth are into. Maintainers: children should not eat sticky candy or chew gum ( misalignment of teeth,... The dental arch length and prevents the misalignment of teeth ), so their smiles can continue to and! Lower and upper dental arch length and prevents the misalignment of teeth ), overcrowding, and they proper... Lot in the milk causes enamel to decay, which can be messy if not,... Good care of your childs pediatric dentist recommends one, know that they are having a fixed.! Are one of the tooth or teeth that they simply want what 's best for your child is 14 old... The 18th, but I want to be a substitute for professional medical advice if do! Usually when a baby tooth is lost too soon, it is absolutely it. Can lead to dental issues down the road effective for a child loses a tooth. I should be following up on or pediatric dentist recommends a space is... Non-Discounted charges that providers have billed floss their teeth or those with ones. Take good care of your childs teeth for permanent teeth can come in properly custom-fit a space is! Teeth or those with damaged ones tripping or getting hit in the mouth which can be very to... Maintainer that isnt removable cavities and decay are one of the main reasons for child! Dental space maintainer is by how much they use it then eventually will...
