This is the dental photograph of a 9-year old girl whose mother is very much concerned about the jutting out of our upper front incisors. She is also concerned about big space in between her upper two central incisors.
But she need not be so concered, she was told. She was told about Ugly-Duckling stage of dentition.
She needs to be attending dental Clinic regularly for periodic dental check-ups. So far as slight jutting out of her front two teeth is concerned she needs to be reassured for the time being. In all probability with the eruption of permanent canines, such spaces get closed automatically. Basically in such cases wait and watch policy is to be adopted —child’s milk teeth are shedding (falling off), permanent teeth are taking their place, her face is developing, we are expecting overall growth spurts…. there are so many events happening and end result would be an interplay of all these factors.
But we prefer wait and watch policy with the understanding that if at any of the subsequent visits it is noticed that something unusual is happening which requires immediate care like filling a carious tooth, removing some milk tooth obstructing the eruption of permanent teeth – needless to say, it would be prompty taken care of.
Till then, let her enjoy her Ugly Duckling Looks like her so many peers — after all she is not all alone in this boat!
Her mother is not much concerned about the wavy edges of young permanent front incisors teeth —called Mamelons, thank God!