https://www.vetsurgeon.org/f/clinical-questions/30429/puppy-malocclusion Hi there, What would you advise for this 10week old staffy puppy - extract the lower canines ASAP and then wait to see how the mouth develops? en-USTelligent Community 10https://www.vetsurgeon.org/thread/239314?ContentTypeID=1Tue, 27 Sep 2022 19:03:58 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:e58c2877-8048-45e9-b587-987b8fc6ce50Evelyn Barbour-Hill<p>Wot Rob said.</p> <p>Also, initiate ball play straight away. It could help and it cannot do any harm.</p> <p>Personally I like to review such cases every three or four weeks, to track what&#39;s happening, though generally and usually I would not do anything further by way of treatment of linguoversion of the permanent teeth until they are fully erupted.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/239305?ContentTypeID=1Tue, 27 Sep 2022 14:36:44 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:6f22d010-6dc1-4aed-94bc-8474ee1f9caeRob Davis<p>Good spot, these often get missed!</p> <p>Yes, definitely want to extract those as soon as possible. It looks as though there is a class II malocclusion (ie the mandible is a bit short in relation to the maxilla) and there is some evidence that these are more likely to have problems with the adult occlusion than those with class I malocclusions (jaw length ok, just linguoversion of canines).</p> <p>If you&#39;re not used to doing these, you do need to be very careful of the developing adult tooth buds (radiograph to confirm exact positions) - raise a decent flap and gentle technique with no elevation on the lingual side.</p> <p>I usually see them back again at 6 months to assess the adult occlusion.</p><div style="clear:both;"></div>