Question 96 · LDEK · Craniofacial and occlusal development

Worried parents of a 5-year-old child report that the child’s mandible is growing, and there appeared spaces between the teeth. During examination you see: edge-to-edge relationship of the upper and lower incisors, palpable alveolar bone behind second milk molars, abrasion of milk teeth, spaces between lower canines and canines in the lower arch. What will you recommend?

  1. A. full orthodontic diagnosis, cephalogram x-ray to exclude prognathism.
  2. B. chin cap.
  3. C. Schöherr plate for exercises.
  4. D. Schwarz plate with posterior bite planes and Bertini screw.
  5. E. only observation because the described situation is physiological.
Hint

Recall what normally happens to the primary dentition between ages 4 and 6 in preparation for the permanent teeth.

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