What Are Spacers for Teeth and Why Are They Used?

Dental spacers, also known as orthodontic separators, are small devices typically made of rubber or metal, placed between teeth. They prepare the mouth for orthodontic treatment by creating necessary space, ensuring a smoother process for subsequent dental procedures.

Why Spacers Are Used

Orthodontists use spacers to create small gaps between specific teeth, most often the molars. These gaps are necessary to accommodate orthodontic bands, which are metal rings that fit around the teeth and serve as anchors for braces or other appliances. Without sufficient space, placing these bands would be difficult, potentially compromising treatment effectiveness. The spacers gently push teeth apart by applying pressure, which stretches the periodontal ligament and encourages bone development, creating the needed room.

Wearing Spacers and What to Expect

The placement of spacers is a quick process. An orthodontist slides the spacers between the designated teeth, sometimes using dental floss or a specialized instrument. After placement, expect sensations such as pressure, mild discomfort, or a feeling akin to food stuck between the teeth. This soreness subsides within a few days as the teeth gradually move apart.

Spacers are temporary and usually worn for a short period, typically ranging from a few days to one or two weeks before the next orthodontic appointment. While wearing them, it is advisable to stick to softer foods, especially during the initial days, to minimize discomfort and prevent dislodging. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage soreness. Some people may experience temporary changes in speech or increased saliva production as they adjust to the presence of spacers.

Caring for Spacers and Removal

Care for spacers involves avoiding foods that could dislodge them, such as sticky, chewy, or hard items like gum, caramel, or nuts. Gentle brushing around the spacers maintains oral hygiene, but flossing directly between the teeth should be avoided. A water flosser or interdental brush can clean around the spacers effectively.

If a spacer falls out prematurely, especially more than two days before the next appointment, contact the orthodontist promptly. This ensures the created space does not close before the orthodontic bands can be placed, delaying treatment. Removal is quick and straightforward, often using a special tool or pliers. Once removed, orthodontic bands are then placed around the molars.

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