Space loss
An ounce of prevention (space maintainer) is worth a pound of cure (orthodontic treatment).
CC: “My child’s back tooth is coming in crooked.”
Dx: ectopic eruption of #29 associated with space loss from premature loss of #T
Tx: referral to orthodontist
🔑: This is the perfect picture to show the importance of baby teeth when it comes to preserving space for the adult tooth. The patient lost #T prematurely due to caries. Without the tooth or a space maintainer, #30 was allowed to drift mesially. #29’s lack of space means it will either fail to erupt or will erupt buccally or lingually. Either way, this will need orthodontic treatment involving the distalization of #30 and bringing #29 in line with the arch.
Yellow arrow indicates the space required for #29.
Red arrow indicates the available space for #29.
Green arrow indicates how #4 has adequate space and is in an ideal position relative to its adjacent teeth.
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This could be avoided with a placement of a space maintainer immediately after the loss of the primary tooth! If you’re looking for a pediatric dentist in NJ to perform such a service, check out our dental office, Justbabyteeth Pediatric Dentistry! (link)
