Violation
The mother of a 6 year old patient is concerned because her child has a “double row of teeth”. On examination, teeth 4.1 and 3.1 are erupting lingual to 8.1 and 7.1. Teeth 8.1 and 7.1 demonstrate significant mobility and radiographically have one quarter of the root remaining. The incisor segment is not crowded. What is the most appropriate management?
Reassure parent that this occurrence is a variation of normal eruption.
Disc teeth 8.2 and 7.2 to allow eruption of 4.1 and 3.1.
Extract teeth 8.1 and 7.1 at this appointment
Refer the patient to an orthodontist as soon as possible