Orthodontic spacers, also known as separators, are small elastic or metal rings that an orthodontist places between specific teeth. Their primary function is to gently create a tiny gap between adjacent teeth. This small space is necessary before placing orthodontic bands, which typically fit around the back molars as part of a brace system.
Immediate Actions to Take
If an orthodontic spacer falls out, remain calm. First, check your mouth to see if the spacer is present or if it was swallowed (generally harmless). If you locate the spacer, save it to show your orthodontist.
Only attempt to reinsert the spacer yourself if you are certain of correct placement and can do so without force or discomfort. Forcing the spacer could cause injury to the gums or improper positioning, which might negate its purpose. If reinsertion feels difficult or unsure, it is best to leave it out.
Potential Consequences of a Missing Spacer
The main concern when a spacer falls out is the potential for the created space between teeth to close. Spacers maintain separation, typically for a few days to a week, allowing room for orthodontic bands to be comfortably fitted. Without the spacer, teeth naturally shift back into their previous, tighter position.
This closure can significantly delay your orthodontic treatment. If the gap narrows too much, the orthodontist may find it difficult or impossible to place the orthodontic band during your scheduled appointment. This often requires placing a new spacer and waiting additional days for the space to reopen, prolonging treatment. While discomfort is usually minimal, a shifting tooth might cause some temporary pressure.
When to Seek Professional Dental Care
Contact your orthodontist’s office as soon as you realize a spacer is missing. While not always an immediate emergency, informing them promptly allows for assessment of the situation. They will determine if the space has closed significantly or if a new spacer needs to be placed before your next appointment.
During your visit, the orthodontist or an assistant will quickly examine the area where the spacer was located. They will check if sufficient space remains or if a new separator needs to be inserted. This process is usually quick and straightforward, and is common during orthodontic treatment.