Cary Pediatric Dentistry
Robert D. Elliott, D.M.D., M.S.
Julie R. Molina, D.D.S., M.S.

540 New Waverly Place, Suite 300
Cary, NC 27518
(919) 852-1322

Regular office hours:
M-Th: 8:20am-5pm,
Closed for lunch 1pm-2pm
Fridays: 8:20am-3pm

Summer Hours:
July 22 – August 29, 2019
Monday through Friday 8am-3pm

Space Maintenance

Why do children lose their baby teeth?

A baby tooth usually stays in until a permanent tooth underneath pushes it out and takes its place.  Unfortunately, some children lose a baby tooth too soon.  A tooth might be knocked out accidentally or removed because of dental disease.  When a tooth is lost too early,

Dr. Elliott or Dr. Molina may recommend a space maintainer to prevent future space loss and dental problems.

What are space maintainers?

Space maintainers hold open the empty space left by a lost tooth.  They steady the remaining teeth, preventing movement until the permanent tooth takes its natural position in the jaw.  It’s more affordable – and easier on your child – to keep teeth in normal positions with a space maintainer than to move them back in place with orthodontic treatment.

Band and Loop	            Lower Lingual Arch   (unilateral spacer)	    (bilateral spacer)

Band and Loop             Lower Lingual Arch
(unilateral spacer)          (bilateral spacer)

How does a lost baby tooth cause problems for permanent teeth?

If a baby tooth is lost too soon, the teeth beside it may tilt or drift into the empty space.  Teeth in the other jaw may move up or down to fill the gap.  When adjacent teeth shift into an empty space, they create a lack of space in the jaw for the permanent teeth.  So, permanent teeth are crowded and come in crooked.  If left untreated, the condition may require extensive orthodontic treatment.


Our mission is to provide specialized and comprehensive care for infants, children, and adolescents in a friendly, safe, and state-of-the-art environment with a focus on prevention and education for the families. Dr. Elliott, Dr. Molina, and our TEAM are here to positively change this generation’s view of going to the dentist, one child at a time.