Unlocking Space: A Modern Guide to Dental Separators
"Everything you need to know about separators in dentistry, from traditional methods to today's innovations."
In orthodontics and various dental procedures, creating space between adjacent teeth is essential. This process, known as separation, facilitates the fitting of bands for orthodontic treatment and allows for other necessary interventions. Historically, dental separators were developed to achieve this separation, initially using simple materials like brass wires.
Early separators, though functional, presented challenges. Brass wires [1], one of the first materials used, were followed by rubber separators [2]. These early methods were often based on clinical needs rather than rigorous scientific evidence, highlighting the practical, problem-solving nature of early dental innovations.
The space within the periodontal ligament (PDL), which averages about 0.25 mm, is crucial. Attempting to fit a 0.16 mm thick orthodontic band without adequate separation can compress the alveolar bone, leading to hyalinization in the PDL. This compression can cause acute pain and discomfort, hindering normal oral functions. Recognizing these issues, Kesling [3] introduced a more refined wire separator in 1957, using a 0.016" stainless steel Australian wire that better conformed to the biological requirements of the periodontium.
The Evolution of Dental Separators: From Brass Wires to Modern Marvels

The evolution of dental separators reflects ongoing efforts to improve patient comfort and clinical outcomes. Early brass wire separators, while pioneering, had significant drawbacks. One major issue was the unpredictable force they exerted, which could lead to discomfort and complications. The wires, often 0.20" thick, could cause occlusal interferences and lacerate oral soft tissues due to their bent pig-tail design.
- Brass Wire Separators: Early solution but unpredictable force and tissue laceration issues.
- Elastomeric Separators: Improved comfort and functionality through material science advancements.
- Hydrophilic Materials: Enhanced biocompatibility and reduced discomfort.
The Future of Dental Separators
Dentistry's reliance on separators will continue as long as maintaining individual tooth integrity remains essential. Whether for orthodontic banding, reproximation, or contouring restorations, separators play a vital role. The variety of separators available today addresses many current clinical needs. However, with the rise of digital dentistry and advanced prosthetic and rehabilitation techniques, the future calls for even more innovative separator designs. These new designs should aim for quicker, more comfortable separation methods, potentially reducing treatment times and enhancing patient experiences.