Why Do They Put Spacers in Before Braces?

Orthodontic spacers, also known as separators, are small elastic bands or metal springs placed between teeth. These devices serve as a preliminary step in many orthodontic treatment plans, preparing the mouth for the subsequent application of traditional braces. They are a temporary component in achieving a straighter smile.

Why Spacers Are Necessary

The primary purpose of orthodontic spacers is to create small spaces between specific teeth, most commonly the molars, which are naturally very close together. This separation is essential because traditional braces rely on metal bands that fit snugly around these back teeth. These bands serve as anchors for the archwire, which connects to brackets on other teeth and facilitates gradual tooth movement.

Without sufficient space, attempting to place these metal bands could be challenging, uncomfortable, and might compromise the precise fit required for effective tooth alignment. Spacers gently push the teeth apart, establishing the necessary clearance for the bands to be installed comfortably and securely. This preparatory step ensures proper seating of the braces system’s foundational components for effective treatment.

Experiencing Spacers

The placement of orthodontic spacers is a quick and straightforward procedure, often taking less than 15 minutes. Orthodontists typically use dental floss or a specialized tool to stretch the small rings and guide them between the teeth. Following insertion, it is common to experience a sensation of pressure or mild discomfort, often described as feeling like food is stuck between the teeth. This sensation indicates that the spacers are working to create space.

Soreness may develop, particularly when biting down or chewing, and can peak within the first two to three days after placement before gradually subsiding. Over-the-counter pain relievers, such as acetaminophen, can help manage this discomfort, and rinsing with warm salt water may also provide relief. During this time, it is advisable to avoid sticky, chewy, or hard foods that could dislodge the spacers. While regular brushing is encouraged, flossing directly where the spacers are located should be avoided to prevent them from coming out prematurely.

Moving from Spacers to Braces

Once the spacers have successfully created the necessary gaps, they are ready for removal. The orthodontist will gently remove them using a small tool, a process that is often quicker and less uncomfortable than their initial placement. The newly established space then allows the orthodontist to comfortably fit the metal molar bands around the back teeth.

These bands anchor the entire braces system. After the molar bands are securely in place, the orthodontist proceeds with bonding the brackets to the rest of the teeth. Finally, the archwire is threaded through the brackets and bands, beginning the active phase of orthodontic treatment. This sequence ensures that each part of the braces system is properly positioned for effective and precise tooth movement.