Perda precoce de dentes decíduos e os mantedores de espaço: uma revisão narrativa

Abstract

INTRODUCTION: Deciduous teeth play an important role in the healthy development of permanent dentition and their early loss can lead to further occlusions such as midline deviation, space loss, migration of adjacent teeth, extrusion of the opposing tooth and even dental impaction. In addition to the

functional effects, these changes can affect the child's self-esteem and well- being. In this scenario, space maintainers are essential to prevent such

complications and ensure the correct alignment of permanent teeth. OBJECTIVES: To review the literature on space maintenance in cases of early loss of deciduous teeth, highlighting its importance in preventing orthodontic problems and the main devices used. METHODOLOGY: RESULTS: It has been reported that early loss of primary teeth can cause a series of orthodontic problems, such as misalignment, malocclusion, crowding, and functional alterations. Space maintainers have demonstrated strategies in preventing such complications, especially when accompanied by clinical supervision. CONCLUSION: Space maintainers are fundamental tools in preventive dentistry, ensuring the correct development of the permanent dentition, avoiding future orthodontic complications. Although effective, their success depends on

the collaboration of patients and guardians, in addition to regular clinical follow- up.