When a patient loses their primary maxillary molars early, there is a distinct risk that the adult molars will tip and drift forward. This may, in turn shorten the length of the arch, block the normal eruption of the bicuspids, and create a significant malocclusion. The result ...Crooked teeth, a poor bite, the the need for orthodontics, and further difficulties (like sleep apnea) caused by a diminished intra-oral volume.
As a dentist, your priority is to prevent this arch length loss – an accomplishment that is easily achievable with a Nance Space Maintainer, one of many dental appliance offered through SML Global.
The Nance appliance uses a combination of molar bands, an arch wire and an acrylic button in the pre-maxillary region to keep the molars in place and maintain the arch length. The only caveat: If you do recommend a Nance appliance for your patient, make sure to observe it carefully throughout treatment. For some patients, the acrylic button may irritate the surrounding tissue.
