Space Maintenance

If baby teeth are lost early then the permanent 1st molars may drift into their space.  The critical tooth to consider is the deciduous 2nd molar which is the most posterior baby tooth in each arch.  If an anterior tooth is lost early it may be an esthetic issue or may delay the eruption of a permanent tooth as the gum tissue has healed over, but it is usually not an orthodontic issue.  If the permanent molar drifts into the position of the baby molar then the 2nd premolar will be impacted and there will be an overall loss of space for the permanent teeth.  Failure to maintain this critical space may mean more complicated orthodontic space regaining later or even extraction of permanent teeth.  A variety of removable or permanently cemented appliances may be used to maintain the space.

 

A related issue is the preserving of the excess space when the baby molars are lost.  Orthodontists refer to this as “leeway” or “e” space.  Children normally experience an “ugly duckling” phase as the larger permanent incisors replace the smaller baby incisors.  The reverse situation happens in the posterior portion of the mouth as the permanent premolars are smaller than the deciduous molars.  Preserving this space with a Lower Lingual Holding Arch can help avoid extractions and prevent aligning the incisors forward into thin gum tissue and causing recession.

Montebello Drive West
2575 Montebello Drive West,
Suite 101, Colorado Springs, CO 80918
Tel: (719) 268-7138
Fax: (719) 599-5107
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Woodland Park
400 W Midland Ave #110,
Woodland Park, CO 80863
Tel: (719) 687-6129
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Bentele Orthodontics
What our patients say...

We went to an evaluation at an orthodontist before this one and the price seemed kind of high so then I came to an evaluation here & not only was the price lower but immediately we felt very comfortable and loved the atmosphere of the office. The staff is wonderful, always on time & Dr. Bentele is a great Dr. - very knowledgeable, friendly & with excellent communication. I would recommend this practice to everyone!

We highly recommend Dr. Bentele and his practice. He is honest, friendly, skilled & timely - you name it. He and his staff are wonderful! Angela at the front desk is especially kind and helpful. Best of all - Dr. Bentele creates a wonderful outcome of beautiful teeth. I've experienced two other orthodontists with other children and Dr. Bentele definitely outshines all - in every way - even in cost! I can't speak highly enough about Bentele Orthodontics!

This office is extremely thorough in explaining all aspects of orthodontics from finances to procedures. I'm very confident in this office.

Dr. Bentele makes the patient feel comfortable with his skill and calm confidence. He's honest about the treatment needed and tries to keep the patient informed of the treatment.

Dr. Bentele is our orthodontist for our two children. He provided clear treatment plans with a practical approach. Dr. Bentele does all of the banding and bonding himself and the office appointments are appropriately scheduled. Our children get in and out quickly and the office is never overscheduled, resulting in short waits and unhurried treatment. We're very satisfied and would recommend our friends to see Dr. Bentele!

Dr. Bentele and all staff have been very professional and the cost was reasonable. The approach of not having braces on longer than necessary is one area where I have seen other children suffer (children who went to other orthodontists). The way Dr. Bentele explains what he is doing and why has been good for my daughter to learn the importance of her treatment. I appreciate Dr. Bentele's patience with us as we experienced a difficult financial time during the beginning of our process.