Treatment Indications & Timings
Early treatment indications
➤ Early loss of Cs
- If lost prematurely it is often a sign of severe future crowding. It is likely to cause a midline shift.
- Early treatment to balance the extraction or maintain the space to address the midline is warranted.
➤ Early loss of Ds
- Early loss can produce loss of leeway space by mesialisation of posterior teeth and there maybe a midline shift as well. Often premolar crowding will result.
- Intervention for space maintenance, balancing or compensating extractions can be considered.
➤ Early loss of Es
- Early loss will often result in mesialisation of the permanent molars and hence increase risks of premolar/canine crowding and a dental malocclusion.
- There is minimal risks of midline shifting