Protect the room your child’s permanent tooth may need after a baby tooth is lost too soon. PCO Pediatric Dentistry & Orthodontics provides personalized evaluations and pediatric space maintainers for children with early primary tooth loss. An early gap does not always require an appliance. Dr. Sara examines the missing tooth area, available space, bite, and stage of tooth development before recommending monitoring or a custom space maintainer.
A pediatric space maintainer is a small dental appliance used when a primary tooth, also called a baby tooth, is lost before its normal time. It helps hold the existing gap open so nearby teeth are less likely to move into the room reserved for the developing permanent tooth.
A space maintainer does not straighten teeth like braces. It passively preserves available space while the adult tooth continues to develop. Appliances may be fixed or removable, and the right choice depends on the tooth involved, eruption timing, available room, oral hygiene, and a child’s ability to care for the device.
Board-Certified Pediatric Dentist
Dr. Sarunphorn “Sara” Rasamimari is board-certified by the American Board of Pediatric Dentistry. She earned a Bachelor of Science in Public Health with a minor in Psychology from Indiana University, completed her DMD at Midwestern University, and received advanced pediatric dental training during her residency at NYU.
For a space maintainer evaluation, Dr. Sara looks beyond the visible gap. She reviews the tooth that was lost, remaining arch space, the child’s bite, oral hygiene, and the development of the permanent tooth. She explains why an appliance or careful monitoring may be suitable and can coordinate with Dr. Tiya when broader orthodontic concerns are present.
Space maintenance requires more than placing an appliance in an empty area. It requires careful timing, a suitable design, regular monitoring, and clear guidance for the family.
Dr. Sara’s pediatric specialty training supports careful decisions about early tooth loss, developing permanent teeth, available arch space, appliance selection and follow-up care.
Each recommendation reflects the tooth that was lost, eruption timing, existing space, bite development, oral habits, dental health and your child’s ability to manage care at home.
We explain the appliance with simple words, show your child what to expect, check the fit carefully, and provide practical instructions for eating, brushing and daily care at home.
When shifting, crowding, or bite development needs added review, Dr. Sara can coordinate with Dr. Tiya, PCO’s board-certified orthodontist for connected specialty care when needed.
Dr. Sara is a board-certified pediatric dentist with advanced training in caring for infants, children, and teens.
Dr. Sara is a board-certified pediatric dentist with advanced training in caring for infants, children, and teens.
Dr. Sara is a board-certified pediatric dentist with advanced training in caring for infants, children, and teens.
Dr. Sara is a board-certified pediatric dentist with advanced training in caring for infants, children, and teens.
The appliance holds the open area after early baby tooth loss, helping protect the room that may be needed as the permanent tooth continues developing beneath the gums.
Keeping the gap open may reduce movement from nearby teeth into the missing area, which helps avoid losing additional room while your child’s smile continues to change.
Regular follow-up lets Dr. Sara monitor permanent tooth development, check appliance fit, and choose the right time to safely remove the device from your child’s mouth.
The process varies according to the missing tooth, selected appliance, and your child’s dental development. Some devices require records and a separate placement visit.
Dr. Sara examines the area, supporting teeth, bite, and oral health. Digital X-rays may be recommended to check the permanent tooth, eruption stage, and remaining bone.
If space maintenance is suitable, the design is selected from the examination findings. An impression or digital scan may be taken to help create an accurate appliance.
The appliance is checked for fit, then placed according to its design. We explain how it should feel, and show your child how to avoid pulling, pushing, or damaging it.
Follow-up visits help us inspect the appliance, supporting teeth, gums, and permanent tooth. We remove, repair, or replace the device when clinical findings require it.
No. Some gaps can be monitored, especially when the permanent tooth is close to erupting or the risk of space loss is low. Dr. Sara considers the tooth involved, timing, available room, bite, dental development, hygiene, and other individual factors before making a recommendation.
Space maintainers are designed to hold space rather than actively move teeth. A child may notice pressure, fullness, or mild irritation while adjusting to the appliance. Continued pain, swelling, a sharp edge, or gum injury should be reported to the office.
Most children can eat many of their usual foods after they adjust. Sticky, chewy, and very hard foods can loosen cement, bend wires, or damage the device. Follow the specific food instructions provided for your child’s appliance.
A fixed appliance is cemented to supporting teeth and can only be removed by a dental professional. A removable device can be taken out as directed, but it must be worn consistently and stored safely to remain useful.
Coverage varies by insurance plan, diagnosis, appliance type, and individual benefits. Our team can help you review available coverage and explain expected costs before treatment begins.
PCO Pediatric Dentistry & Orthodontics is located at 34-22 35th Street, Queens, NY 11106. Our office is convenient for families from Astoria, Long Island City, and nearby Queens communities looking for a pediatric dentist after a baby tooth is lost earlier than expected. Parents may contact us when early tooth loss happens because of severe decay, infection, an extraction, dental trauma, or another developmental concern.
Dr. Sara examines the open area, nearby teeth, available arch space, bite, and permanent tooth development. Digital X-rays may be recommended when they provide information needed to decide whether the gap should be monitored or supported with a fixed or removable space maintainer. Families receive a clear explanation of the recommended appliance, fitting process, daily cleaning, food precautions, and follow-up schedule. Call (718) 223-5652 or schedule online to arrange a pediatric space maintainer evaluation at our Queens office.
