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Management of lower incisor crowding in the early mixed dentition
T F Foley1, G Z Wright, S J Weinberger
1Division of Graduate Orthodontics, Faculty of Dentistry, University of Western Ontario, London, Canada.
Abstract:
This paper describes normal and problem development in lower incisor positioning and offers options for management of crowded cases. The following guidelines were recommended, (1) lower incisor crowding of 2 mm or less and with an intercanine width greater than 28mm will usually resolve spontaneously, (2) lower incisor crowding of 3-4 mm is best managed by discing of the primary dentition, (3) crowding assessment of 5-9 mm requires extraction of primary teeth with probable placement of a supportive lingual arch and, (4) crowding greater than 10 mm requires fixed appliance therapy and careful orthodontic management with attention to the severity of the malocclusion.
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