Band and Loop Space Maintainer

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The Band and Loop appliance is a unilateral space maintainer that is used to prevent the drifting of adjacent teeth in edentulous areas after exfoliation or extraction. Often used in mixed dentition cases to maintain space to allow for eruption of a permanent tooth. May be designed for unilateral or bilateral treatment.

When a patient loses a primary molar thereby leaving a space in the dentition, the first molar tends to drift forward into that space causing crowding and blocking the proper eruption of the bicuspids.

A Space Maintainer (also know as a Band & Loop ) uses a wire loop soldered to a molar band and extending anteriorly where it contacts the distal edge of the tooth on the mesial side of the space to prevent this drift. The appliance is left in place until the patient’s bicuspid(s) erupt and fill the space.