Author: Dr Shaun Goh
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Treatment Indications & Timings
Clinical Assessment & Presentations
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Description
Early loss of deciduous teeth
“Early loss of primary teeth, particularly the C, D and Es, can have significant influence on the developing permanent dentition.”
– Royal College of Surgeons Guidelines 2006
Early loss of deciduous incisor
Early loss of deciduous canines
Early loss of deciduous molars
Early loss of deciduous teeth can occur spontaneously (due to crowding or ectopic teeth), extractions or trauma (Proffit et al. 2013). It is important for dentists to diagnose early loss of deciduous teeth so orthodontic assessment and a management plan for space requirements can occur.
When do deciduous teeth exfoliate normally?
Treatment Indications & Timings
Early treatment indications
➤ Early loss of Cs
➤ Early loss of Ds
➤ Early loss of Es
Clinical Assessment & Presentations
Intra-oral Features
Loss of arch length / crowding
Midline shifting
Malocclusion
Diagnosis & Considerations
Diagnosis
- Premature loss of deciduous
Clinical Considerations
- Existing dental and skeletal relationships
- Is there spacing and crowding in the current dentition?
Treatment Options
Click a treatment category to explore.
➤ Loss of primary incisors (A and B)
➤ Loss of primary canines (C)
➤ Loss of first primary molars (D)
➤ Loss of second primary molars (E)
➤ Loss of arch length
Associated Problems
Crowding | Ectopic canines | Ectopic premolars
