Fixed unilateral appliance
May suit: A selected single-tooth space where adjacent support is suitable. Timeline: Fitting and scheduled checks until eruption or plan change.
A space maintainer is an appliance considered after premature loss of a baby tooth. Its purpose is to help preserve an existing gap while the succeeding adult tooth develops, not to straighten the whole bite or recreate space that has already been lost.
At Sai Multi Speciality Dental Clinic, Baner, Dr Shrikant Gadakh assesses the tooth lost, time since loss, eruption stage, available space, bite, oral hygiene and cooperation before recommending an appliance, monitoring or orthodontic input.

Clinically reviewed by Dr Archana Satpute and Dr Shrikant Gadakh, both dentists at the clinic. Last reviewed 16 October 2026.
Space maintenance may reduce unwanted tooth movement after selected early baby-tooth loss, but it is not necessary in every case and requires cleaning, monitoring and timely removal or adjustment.
When a baby tooth is lost before its expected shedding time, neighbouring teeth may drift or tip into the space. Whether this matters depends on which tooth was lost, crowding, bite, dental age and the position of the succeeding tooth. [1]
Fixed appliances attach to one or more teeth, while removable types depend more on wear. Appliance selection is individual; the simplest suitable way to meet a defined objective is preferred.
A passive maintainer aims to hold the space that remains. If teeth have already moved, an active orthodontic plan may be required to regain space. Observation can also be appropriate when natural development is unlikely to be harmed.
Patients also search for this as a space holder, a baby tooth gap retainer or a space maintainer appliance for children. If you are looking for space maintainers in Baner, the dentist checks which baby tooth was lost, where the adult tooth is on the X-ray and whether holding the space will help or whether monitoring is enough. Related reading: pediatric dentistry.
The right treatment starts with identifying the condition and the least extensive suitable option.
Suitability depends on examination findings, not symptoms or appearance alone.
Premature tooth loss can follow decay, infection, trauma or an eruption problem. The resulting space does not behave identically in every child. Diagnosis therefore considers development and evidence uncertainty rather than treating the appliance as an automatic rule. [2]
May suit: A selected single-tooth space where adjacent support is suitable. Timeline: Fitting and scheduled checks until eruption or plan change.
May suit: Selected arch-level space needs after eruption assessment. Timeline: Records, fitting and continuing monitoring.
May suit: Low movement risk or space already requiring active management. Timeline: Review by eruption stage or an orthodontic sequence.
Want to talk this through before you book? Our team can answer questions about space maintainers by phone or WhatsApp.
The condition, remaining support and long-term maintenance needs determine the appropriate option.
Record which tooth was lost, why and when.
Check bite, crowding, successor position and dental age.
Compare observation, a fixed or removable appliance and referral.
Place the appliance and check stability, clearance and tissues.
Review hygiene, cement, breakage and the succeeding tooth.
Care moves from diagnosis and planning to treatment, checks and maintenance.
Assessment and records come first. A custom appliance usually requires a fitting sequence and later review appointments. The schedule changes with appliance type and eruption. Repair, recementation, adjustment or replacement may be required, and the appliance must be removed when its purpose ends.
Visit numbers depend on diagnosis, complexity, preliminary care and review needs.
A child may notice pressure, extra saliva or changed speech while adapting. A passive appliance should not continually cut the cheek or gum. Persistent soreness, looseness, breakage or interference with eating should be reported rather than tolerated.
Tell us about anxiety, sensitivity, previous difficult dental experiences or medical concerns before care begins. We can explain each stage, agree on a stop signal and pause when clinically appropriate.
Comfort planning begins with knowing what you feel and agreeing how we communicate during care.
Brush carefully where the appliance meets the teeth.
Do not pull or pick at wires, bands or acrylic.
A detached part can stop working or create a swallowing risk.
Timing of adjustment or removal depends on development.
Follow the advice for your specific procedure and contact us when symptoms worsen instead of settling.
Space maintainers can loosen, break, trap plaque, contribute to decay, irritate tissue or interfere with eruption. Evidence does not support a universal appliance for every early loss. An appliance cannot control all growth or ensure that braces will not be needed later. [3]
Medical history, medicines, ability to tolerate care and the feasibility of long-term maintenance are considered before elective treatment.
Space maintainers can loosen, break or trap food, and poor cleaning around them can cause decay or gum irritation. If the appliance is not checked, it can also interfere with the coming adult tooth. Call the clinic if the appliance becomes loose, a wire pokes the gum or the child has pain or swelling near it.
Not sure whether space maintainers applies to you? Call or message the clinic and we will explain the next step.
We recommend treatment only when the expected benefit and maintainability justify proceeding.
Bring the date and reason for tooth loss, previous X-rays and any orthodontic advice. Dr Shrikant reviews eruption, occlusion, space and hygiene, then explains whether the likely benefit justifies appliance care.
Before you decide, we explain the likely benefits, material risks, alternatives and consequences of delay. You can take time to consider elective treatment.
Care in a developing mouth is planned around eruption, growth, medical history, cooperation and the child’s ability to keep the treated area clean. The caregiver remains part of consent, prevention and follow-through. Imaging is prescribed only when the expected diagnostic benefit justifies exposure.
We also review decay risk, fluoride, diet, brushing support and previous disease. Facial swelling, fever, disturbed sleep from pain, difficulty eating, trauma or a loose appliance that could be swallowed needs earlier contact rather than waiting for a routine recall.
The first visit establishes the diagnosis, priorities and a treatment plan specific to you.
Your care is planned by the dentist whose training matches the treatment, with coordinated support when more than one speciality is involved.

BDS, MDS · Orthodontist
Dr Shrikant completed BDS at Rural Dental College, Loni, and MDS in Orthodontics and Dentofacial Orthopaedics at M.G.V. Dental College, Nashik. He focuses on bite and alignment concerns.
His input is available when tooth position affects the plan.

BDS, MDS · Endodontist
Dr Archana completed BDS at Rural Dental College, Loni, and MDS in Conservative Dentistry and Endodontics at SMBT Dental College, Sangamner. She received a Maharashtra University of Health Sciences gold medal and has taught as an assistant professor.
She assesses symptoms, tooth structure and restorative needs before recommending care.
The relevant dentist leads your plan, with coordinated support when needed.
Overall Google rating for Sai Multi Speciality Dental Clinic, Baner
858 Google reviews, as of 16 October 2026. Read all reviews on Google.
“Had a great experience with my braces treatment. The doctor is very professional, friendly, and explains everything clearly. The treatment process has been smooth and I’m very happy with the results. Highly recommended!”
“Just completed my braces treatment with Dr. Shrikant sir at Sai Dental Clinic. Really good doctor, very kind and has perfection in his work. Highly recommend. Thank you for great results!”
“Took braces treatment here! Dr. Shrikant was very patient and skilled at his work. The clinic is well managed and the results were really good. Highly trust them for any dental work.”
“I am currently undergoing braces treatment. I used to have significant gaps between my teeth, but now they have all aligned beautifully. The doctor is providing excellent treatment, and as a result, I feel very happy and satisfied.”
The rating below is the overall Google rating for the clinic, not a rating for Space Maintainers. These are 5-star Google reviews chosen for relevance to this page, shown as written. A longer review may be shortened at the end of a sentence, and the link opens the full review. Reviews describe individual experiences and do not predict the result of your treatment.
Find us in Alacrity Commercial Complex near Bitwise Terratower, Mohan Nagar, Baner.
Sai Multi Speciality Dental Clinic, Baner
Shop no 101, Alacrity Commercial Complex, near Bitwise Terratower, Mohan Nagar Co-Op Society, Baner, Pune, Maharashtra 411045, India
+91 70203 80193
WhatsApp +91 70203 80193
| Monday–Saturday | 10:00 am–1:00 pm 4:00 pm–9:00 pm |
|---|---|
| Sunday | Closed |
Please call before travelling on public holidays.
Call before travelling to confirm the schedule and any access requirements.
No. The decision depends on the tooth, timing, bite, existing space, successor development, hygiene and cooperation.
A passive maintainer holds selected space; it does not provide comprehensive tooth alignment.
Until the clinical objective ends, often as the succeeding tooth erupts, with timing confirmed at reviews.
Contact the clinic promptly and do not let the child pull at it or continue using a removable part unsafely.
No. It addresses a defined space concern but cannot control every cause of crowding or jaw development.
Brush the appliance and nearby teeth gently twice a day with fluoride toothpaste, and help your child reach the back teeth. Avoid sticky foods that can pull it loose. Regular check-ups let the dentist watch the adult tooth that is coming through.
It is removed when the adult tooth is about to come through or has begun to erupt. The dentist checks with X-rays and examination at reviews, and does not leave the appliance in longer than needed.
An examination remains necessary even when your concern sounds similar to a common dental problem.
Tell us what you have noticed and whether the concern is routine, uncomfortable or urgent.
Bring the proposed appliance design and images. We can review the tooth lost, successor development, space analysis, alternatives, follow-up burden and the planned point for removal.
We confirm appointment requests after checking availability.
Care planning for teeth in a developing mouth.
Assessment of eruption, space and developing bite.
Risk-based examination and preventive review.
Related care depends on the diagnosis, treatment sequence and long-term maintenance needs.
Medical information: This page is general education and does not diagnose or replace an examination. Your plan depends on clinical evaluation.
Reviewed by: Dr Archana Satpute, BDS, MDS (Conservative Dentistry and Endodontics) and Dr Shrikant Gadakh, BDS, MDS (Orthodontics and Dentofacial Orthopaedics), both dentists at the clinic. Last reviewed: . Next review: April 2027, or sooner if a source changes.
Review scope: clinical statements, timelines, risks and warning signs were read against the sources listed below.
How this page is written: the clinic prepares each page from its dentists’ guidance and published health-body sources, then both dentists read it before it goes live. See how the clinic reviews dental information. To report an error, call +91 70203 80193 or message the clinic on WhatsApp.
Disclosure: Sai Multi Speciality Dental Clinic, Baner provides the dental care described on this page.
At Sai Dental Clinic Baner, we believe in creating beautiful, healthy smiles that last a lifetime. Our dedicated team, led by Dr. Shrikant Gadakh and Dr. Archana Satpute, offers top-notch dental care in a friendly and comfortable environment. Whether you’re a child, teen, or adult, we’re here to make your dental experience pleasant and stress-free.
Shop no 101, Alacrity Commercial Complex, near Bitwise Terratower, Mohan Nagar Co-Op Society, Baner, Pune, Maharashtra 411045
+91-70203 80193
saimultispecialitydental1@gmail.com