Space Maintenance Appliance Summary

Appliance
Band & Loop

Indications

Lingual Arch

Nance Holding Arch

Transpalatal Arch

PD 240

Notes

Unilateral space loss

situations
Spans single tooth space
only
Maxilla or mandible
Both teeth adjacent to
edentulous space will be
present until the
unerupted tooth erupts

Unilateral and bilateral

space loss situations
Mandible
Anteriorly wire contacts
incisors at cingula

Can be modified to
hold incisor position if
primary canine lost
prematurely

Unilateral or bilateral
space loss situations
Maxilla
Acrylic button contacts
palatal mucosa

Alternative to
transpalatal arch

Unilateral or bilateral
space loss situations
Maxilla
Wire lies just off of palatal
mucosa

Omega loop at
midline is optional
allows for adjustment
at delivery but NOT
intended to make
appliance active
Alternative to Nance
holding arch

Distal Shoe

Premature loss of primary

2nd molar before eruption
of permanent 1st molar
Shoe provides guide plane
for permanent 1st molar
Spans single tooth space
only

Wire loop should be

designed so that it
falls below height of
contour of ridge and
abuts the anterior
tooth at the contact
area
Can be fabricated on
band or SSC

Post-placement
radiograph
mandatory to confirm
position of shoe
Can be fabricated on
band or SSC