Of all stripes and colors

Salome B., 10 years old, arrives in the office with her parents who want us to take charge of her comprehensive dental care. She is generally healthy, with no special medical history, but is presenting acute pain from a temporary molar (64) and a permanent molar (36) as well as generalized dyschromia. – The intra-oral exam reveals discolored incisors (brown/gray) and slightly asymmetric open-bite stretching from canine to canine (fig. 1 and 2). The lateral incisor in the upper jaw on the right side (12) is significantly rotated and tilted buccally, the upper frenum maintains a medial diastema. – The deciduous teeth are dark brown and the coronal portions of the teeth have been reduced to a few millimeters (fig. 3). – The tip of a cusp appears to be erupting in buccal ectopia, between the upper temporary molars 54 and 55.