Bilateral Loss of Maxillary primary canineS

Cause: resorption (ectopic eruption of lateral incisors)

When both primary canines are lost in the maxilla due to root resorption caused by ectopic eruption of permanent lateral incisors, it is a strong indicator of an underlying tooth size-arch length discrepancy (TSALD). 

Typically, no treatment is recommended in this situation. We find that space maintenance with a Nance tends to be of little if any value in this scenario. It is likely that orthodontic care will be needed in the future to resolve the malocclusion.

Since management of this situation can be challenging and very patient specific, Dr. Jeff likes to air on the side of caution and refer to a specialist to create a comprehensive long-term plan when uncertain.