Fig. 4.

(a-e): Pre-treatment photographic images of a 14-year-old female (AB) with bilateral agenic upper second premolars, a retained and infra-occluded upper right primary second molar, peg-shaped upper right lateral incisor, microdont upper left lateral incisor and an upper midline diastema associated with a pronounced labial frenum.

Management required extraction of the retained primary molar, orthodontic treatment to enable space creation for the restorative build-up of the lateral incisors with composite resin and a frenectomy to reduce the risk of the diastema reopening.