Tooth Extractions
When a tooth cannot be saved or is creating a significant problem, an extraction may be the healthiest next step. We explain why, prepare your child thoughtfully, and stay clear about recovery.
Explore Tooth ExtractionsRestorative Care · Kids First
Space maintainers for kids in Zanesville, Ohio.
When a baby tooth is lost too early, nearby teeth can drift into its space. A space maintainer may help preserve room for the permanent tooth that is still developing.
A clear plan, at your child’s pace
What parents in Zanesville should know.
Baby teeth are natural guides for permanent teeth. If a primary tooth is removed or lost well before its normal time, the space can narrow and make it harder for the adult tooth to come in where expected.
A space maintainer is not right for every child or every early tooth loss. Dr. Malek considers which tooth was lost, your child’s age, the development of permanent teeth, and the overall bite before recommending one.
How this care can help
What a space maintainer may help prevent
- Shifting of neighboring teeth into an empty space
- Loss of room for a developing permanent tooth
- Potential crowding or eruption concerns linked to early tooth loss
- A gap that may make normal development less predictable
Before, during, and after
How space maintenance is planned
- 01
We assess the missing tooth and timing
The location of the tooth, reason it was lost, and stage of development guide the decision.
- 02
We choose the right type
If a device is recommended, it is selected and fitted for the specific tooth and space.
- 03
We show you how to care for it
Families learn what foods or habits to avoid and what to watch for at home.
- 04
We monitor development
Regular visits help us check the device, eruption pattern, and right time for removal.
Home guidance
Living with a space maintainer
Brush carefully around the device, avoid sticky foods that can dislodge it, and call if it feels loose or breaks. Bring your child for regular checks as the permanent teeth develop.
Related pediatric care
Helpful next reading for families.
Dental Crowns
When a baby tooth needs more protection than a filling can provide, a pediatric crown can act like a protective helmet — restoring function while the tooth stays in place for development.
Explore Dental CrownsDental Cleanings
A gentle cleaning does more than polish a smile. It removes buildup, helps us spot changes early, and gives your child repeated proof that a dental visit can feel calm and manageable.
Explore Dental CleaningsFor space maintainers
Why Kids First?
Every recommendation starts with the whole child — their health, comfort, development, and family — not just the tooth in front of us.
Board-certified pediatric expertise
Dr. Robert Malek is a Diplomate of the American Board of Pediatric Dentistry, a voluntary credential earned through specialty residency and examination.
We treat the patient
We do not just fix teeth. We treat the patient — taking time to understand comfort, development, health history, and what will make the visit work for your family.
Here for southeast Ohio families
Our Zanesville office welcomes children and adolescents from Newark, Cambridge, Coshocton, Lancaster, New Lexington, and surrounding communities.
Helpful answers
Questions parents often ask
Does every missing baby tooth need a space maintainer?
No. The need depends on which tooth is missing, your child’s age, the permanent teeth developing below, and the overall bite. An exam helps determine the right plan.
How long does a child wear a space maintainer?
It stays in place until the appropriate permanent tooth is ready to erupt or Dr. Malek determines it is no longer needed.
Can my child eat normally with a space maintainer?
Most children adjust well, but sticky foods and habits that can bend or loosen the device may need to be avoided. The office will provide specific instructions.
Kids First Pediatric Dental Care
Ready when your family is.
Tell us what your child needs. We will listen, explain the next step clearly, and help you find an appointment time that works.