Abstract

Space maintenance is a cornerstone of comprehensive pediatric dental care. The management of the developing occlusion begins with the preservation of the arch circumference, which is crucial for promoting ideal permanent tooth eruption. When the goal is to save the E-space in a crowded patient, a fixed bilateral space maintainer is the best option. However, there are many scenarios where fixed unilateral chairside space maintainers are the most appropriate. These devices allow for the immediate, compassionate placement of space maintenance while the child is still numb.

Acquiring scans or impressions on young children or those with special healthcare needs can indeed present challenges. However, these scenarios are an ideal opportunity to place a fixed unilateral chairside space maintainer, especially when a child is under conscious sedation or general anesthesia. The knowledge from this webinar will equip providers with the necessary skills to handle such situations effectively, making providers feel prepared and competent.

Proper adjustment of any space maintainer is essential for optimal fit and retention. This course will discuss the utilization of pliers and crimpers for optimal fit and the "musts" of optimal adjustment and placement of band and loops and distal shoes.

Tips and essentials of space maintenance will be discussed in detail, as well as follow-up. Attendees will conclude by understanding the indications for fitting/cementing and follow-up/removal for fixed unilateral chairside space maintainers.

Learning Objectives

• Understand when fixed unilateral chairside space maintenance is indicated
• Learn how to fit, contour, and crimp fixed unilateral chairside space maintainers for optimal retention
• Master cementation for success
• Utilize band/crown size charts for optimal efficiency
• Ensure routine follow-up intervals meets needed re-adjustment and removal 

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