Managing the spacefollowing early exfoliation of primary teeth plays vital role in preventing the development of malocclusion at later stages. A conventional space maintainer cannot be applied in all clinical scenarios. This case report describes a unique situation where a traditional band and loop appliance cannot be delivered since the patient was having dental caries in an adjacent canine. To overcome this limitation esthetically modified double banded space maintainer with Mayne’s loop was given. Customization of the appliances will be demanded by the various clinical scenarios and treatment ideas changes accordingly.