Impaction & Multiple Missing Teeth

12 year old female:

Diagnosis:

  • Missing upper right lateral incisor & lower right cuspid
  • Horizontally impacted lower left cuspid
  • Peg shaped upper left lateral incisor

Treatment:

  • Extraction of impacted lower left cuspid, and peg shaped upper left lateral incisor
  • Upper cuspids substituted as laterals
  • Full fixed appliances
  • 20 months