Orthodontic spacer

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Orthodontic spacer removal

Orthodontic spacers are small devices used in orthodontics, the branch of dentistry concerned with correcting irregularities of the teeth and jaw. These devices, also known as separators, are typically placed between the molars to push them apart slightly. This process creates enough space to fit orthodontic bands around the teeth, which is a crucial step in many orthodontic treatment plans, especially before the application of braces.

Purpose and Function[edit | edit source]

The primary purpose of orthodontic spacers is to prepare the teeth for the placement of orthodontic bands. Bands are metal rings that are cemented to teeth, serving as anchors for dental braces. Without sufficient space between the teeth, placing these bands can be challenging and may not fit properly. Spacers are inserted between the teeth to gently push them apart, creating the necessary space for bands.

Types of Spacers[edit | edit source]

There are mainly two types of orthodontic spacers:

  • Elastomeric Spacers: Made of rubber, these spacers are small and circular, resembling tiny rubber bands. They are stretched and placed between the teeth using special dental tools.
  • Metal Spacers: These are small, metal rings that are placed between the teeth. Unlike elastomeric spacers, metal spacers are not as commonly used due to their discomfort and the preference for the less invasive rubber types.

Procedure[edit | edit source]

The process of placing spacers typically involves a simple, in-office procedure. The orthodontist or dental professional will use a special tool to stretch the elastomeric spacer and slide it between the teeth. Patients may feel pressure or slight discomfort during and after the placement. Spacers are usually worn for 1-2 weeks, after which they are removed, and the orthodontic bands are placed.

Aftercare[edit | edit source]

After the placement of spacers, patients may experience some discomfort or pain as the teeth begin to move. It is recommended to avoid sticky and chewy foods that could dislodge the spacers. Pain relief can be managed with over-the-counter pain relievers and by rinsing the mouth with warm salt water.

Risks and Complications[edit | edit source]

While the use of orthodontic spacers is generally safe, there are potential risks and complications, including:

  • Dislodgement of the spacer
  • Increased risk of tooth decay if oral hygiene is not maintained
  • Slight risk of infection if the spacer causes a cut in the gum

Conclusion[edit | edit source]

Orthodontic spacers play a crucial role in preparing the teeth for the placement of orthodontic bands and braces. By creating the necessary space between teeth, spacers facilitate a smoother and more efficient orthodontic treatment process. Despite the potential for discomfort, the use of spacers is a standard and essential step in achieving a well-aligned and healthy smile.


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Contributors: Prab R. Tumpati, MD