Comprehensive preventive and therapeutic plan and occlusal balance recovery in pediatric dentistry: a clinical case

The pacient is a 12 years old girl derived to the Pediatric Department, Faculty of Dentistry, UdelaR. She presents mixed dentition, absence of 4.2 and space loss to its eruption, persistence of 8.3, with lower midline deviation to the right; the anterior sector diastemas are insufficients to locate the retained tooth. Sagittal molar relationship is Class II Angle, with loss of space for the eruption of 1.3. Radiographically, compound odontoma had prevented the eruption of 4.2 and 4.3. The integral treatment plan consists in a first stage of health education, infection control, strengthening the host and dietary advice. The second stage, orthodontic- surgery: the installation of orthodontic appliances in order to regain lost space and to center the midline; the surgically odontoma remove: placing the retained teeths held in the arch and a right canine and molar relationship. Recovered occlusal harmony, follow-up controls were scheduled.