Deciduous teeth play a significant role in the normal development of occlusion, as a guide for the eruption of permanent successors. Early loss of deciduous teeth in the primary and mixed dentition stage alters the integrity of dental arches and is one of the main causes of malocclusion in permanent dentition. Management of space created by early loss of the deciduous tooth is important to prevent or intercept malocclusion, either by eliminating the need for orthodontic correction in future or to reduce the complexity of correction in permanent dentition. Hence, the role of paediatric dentistry is immense in space management as a part of managing developing dentition and occlusion in comprehensive oral health care of children.