Question 39 · LDEK · Craniofacial and occlusal development
A 7-year-old patient comes to the clinic. Parents are concerned about diastema between upper central incisors. During examination you see; diastema, erupted teeth16,11, 21, 26, 36, 32, 31, 41, 42, 46 and the presence of teeth 55, 54, 53, 52, 62, 63,64, 65, 75, 74, 73, 83, 84, 85, Angle class I bilaterally, upper lip frenulum correctly placed. Which is the correct treatment?
- A. fixed upper appliance to close the diastema.
- B. composite widening of teeth 11 and 21 to close the diastema.
- C. functional appliance to close the diastema.
- D. frenulectomy; because despite the correct attachment, the upper lip frenulum always causes diastema.
- E. observation; this situation is physiological.
Hint
Consider the 'ugly duckling' stage and the effect of unerupted permanent canines on the roots of newly erupted central incisors.
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