Basic concepts….
1. Space closure occurs during the first 6 months
after extraction. It is best to insert the appliance
as soon as possible following the exttraction.
2. Loss of space occurs primarily due to a tipping
movement of teeth (mesially or distally). In the
maxillary molar region, space loss occurs due to
rotation (mesial-in) in conjunction with mesial
tipping.
3. Erupting premolars usually require 4-5 months
to move through 1mm of bone as measured on a
BWXR.