Total Care Kids · Pediatric Space Maintainers

Space Maintainers for Kids in American Fork, UT

If your child lost a baby tooth earlier than expected, the empty space it leaves behind matters. A space maintainer is a small, custom appliance that holds that spot open so the adult tooth underneath has room to come in where it should.

A simple, proactive step now can help your child avoid crowding, stuck adult teeth, and far more complicated orthodontics down the road.

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Gentle, kid-friendly fittings
Serving families in American Fork & Utah County
Happy young patient smiling in the dental chair at Total Care Kids in American Fork, Utah
Close-up of a child healthy smile with baby teeth

Your Child Lost a Baby Tooth Early. Now What?

Maybe it was a cavity, an accident on the trampoline, or a tooth that simply came out years before it should have. Whatever the reason, you are left looking at a gap and wondering if it is a problem.

Here is what many parents are never told: baby teeth do an important job holding space for the adult teeth forming underneath. When one is lost too early, the neighboring teeth can start to drift into the empty spot.

If that space closes up, the adult tooth can get blocked, come in crooked, or become stuck in the gum, which often means braces or oral surgery later. A space maintainer is designed to prevent that from happening.

What Is a Space Maintainer?

A space maintainer is a small, custom-made dental appliance that fits comfortably in your child’s mouth and holds open the space left by a baby tooth that came out too soon.

Think of it as a placeholder. It gently keeps the neighboring teeth from sliding into the gap, so when the adult tooth is ready, there is a clear path for it to come in straight.

Most are fixed quietly onto the tooth next to the space and stay put until the adult tooth is on its way. Once the new tooth is ready to erupt, we simply remove the maintainer. Kids adjust to them quickly, and most forget it is even there.

Band-and-loop space maintainer on a dental model holding open the space of a lost baby molar

An example of a band-and-loop space maintainer on a dental model. Your child’s appliance is custom-made for their mouth.

Types of Space Maintainers We Use

The right one depends on which tooth was lost and where. At your consult we recommend the simplest option that will do the job.

Band-and-loop space maintainer with the developing adult tooth shown in the bone below

Band-and-Loop

The most common type. A small band fits around one tooth and a smooth loop holds the space for a single missing tooth. Simple, sturdy, and comfortable.

Nance holding arch space maintainer on an upper dental model with a palatal acrylic button

Nance Holding Arch

Used in the upper jaw when a back baby tooth is lost early. A thin wire crosses the roof of the mouth to a small acrylic button that rests against the palate, holding the upper molars in place so they do not drift forward.

Lower lingual arch space maintainer with a wire along the tongue side connecting the back molars

Lingual Arch

The lower-jaw option for holding several spaces at once. A thin wire runs along the tongue side of the lower teeth, connecting bands on the back molars. Comfortable and out of sight.

A Note for Metal-Conscious Parents

Wait, Isn’t That Metal?

Yes, and here is why we are comfortable with it.

Total Care Kids is a biological practice, so we know many of our parents work hard to keep unnecessary metals out of their kids’ mouths. We do too. A space maintainer is one of the few times we do use metal, because for this specific job there is no real alternative that works as well.

The metal is dental-grade stainless steel, the same family of material used in quality cookware and surgical instruments. It is not amalgam and it contains no mercury. It sits in the mouth to do a temporary job, not to stay there forever.

It is temporary, it is necessary, and it is still the best option we have for holding that space. It is removed as soon as the adult tooth is ready. We think of it as a short-term tool that prevents a much bigger, more complicated problem later: permanent space loss, stuck adult teeth, and years of orthodontics that are far harder on a child.

Dr. Michelle Jorgensen, founder of Total Care Kids

Total Care Kids was founded by Dr. Michelle Jorgensen on a whole-child philosophy. Our associate doctors provide your child’s care.

What to Expect at Your Visit

Getting a space maintainer is simple and comfortable. Here is how it usually goes.

  • A gentle exam of the space and the teeth around it
  • A quick digital scan or mold so the appliance fits just right
  • A custom maintainer made for your child’s mouth
  • A calm, painless placement at a follow-up visit
  • Simple care and cleaning tips the whole family can follow
  • Easy check-ins to watch for the adult tooth
  • Quick, comfortable removal when the new tooth is ready
  • A warm, kid-friendly setting from start to finish

Every child is different. Your care team will walk you through what is right for your child.

What Does a Space Maintainer Cost?

Cost varies depending on the type of maintainer and what your child needs, so we review the exact cost with you at the consult, before anything is made. There are no surprises.

It helps to keep the number in perspective. A space maintainer is a small, one-time investment. Losing the space is far more expensive to fix, often meaning braces or surgery to bring in a stuck adult tooth.

In most cases, holding the space now is the simpler and more affordable path.

Why Total Care Kids

We look at your child’s whole mouth, not just the one gap. How they breathe, how their jaw is developing, and how their adult teeth are coming in all factor into the plan.

We are honest about when a space maintainer is needed and when it is not. If your child does not need one, we will tell you. And when metal is the right tool for the job, we will explain exactly why, so you can feel confident in the choice.

What Utah Parents Are Saying

★★★★★

They look at the entire health of your body, not just your dental health. Each visit is so thorough. The staff is very professional and friendly. My kids LOVE going to the dentist!

Robyn P., Utah parent
★★★★★

We were so well taken care of! Margot and Dr Jones were so cute and silly with my boy, and clear, kind, and informative with me.

Shannon H., Utah parent
★★★★★

Always impressed with this company and culture. They are very friendly and personable. Exceptionally kind to my toddler and made going to the dentist comfortable and easy.

Isabelle A., Utah parent

Space Maintainer Questions Parents Ask

Are space maintainers really necessary?

Not always. They are recommended when a baby tooth is lost early enough that the space could close before the adult tooth comes in. We evaluate each child and only recommend one when it will genuinely help protect the space.

Does getting a space maintainer hurt?

No. Placement is gentle and painless, and most kids feel a little pressure at most. Children usually adjust within a day or two and quickly forget it is there.

Is it safe? I try to avoid metal for my kids.

It is dental-grade stainless steel, the same family of material used in quality cookware and surgical tools. It contains no mercury and is not amalgam. It does a temporary job and is removed once the adult tooth is ready.

How long will my child wear it?

Until the adult tooth underneath is ready to come in, which can be months or a few years depending on your child’s age and which tooth was lost. We monitor it at regular visits.

How do we take care of it?

Normal brushing, gentle flossing around it, and avoiding sticky or hard candy that could loosen it. We give you simple care tips at placement, and we check it at each visit.

What does a space maintainer cost?

It depends on the type and your child’s needs. We review the exact cost with you at the consult before anything is made. In most cases it is far less than the orthodontic treatment needed if the space is lost.

Hold the Space, Protect Your Child’s Smile

To schedule your child’s space maintainer consult, call us at (801) 754-6533, or request a call back using the form on this page.

If you call during non-office hours, leave a message and we will return your call on the next business day.

Total Care Kids

224 S 1100 E, American Fork, UT 84003

Serving American Fork, Lehi, Highland, and Utah County

“The doctors at Total Care Kids, along with their AMAZING staff, make a visit to the dentist something you never dread! They explain everything going on inside your child’s mouth, and how dental health affects overall health. Thank you TCK!”

Karen, Parent at Total Care Kids

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