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