 Hi, it's Q&A with Dr. Jay. Sorry, I missed you on Monday. We had the new dentist committee meeting And I was tied up all day so I didn't get a chance, but I had a great question come in From one of my colleagues dental school classmates sent me this case and referred to him for endodontic therapy on 3 and 14 This is an image from a year ago that the dentist sent over and then here's a picture of the teeth And he was kind of asking what the approach should be and Next March, there'll be an article in dental town on this but these teeth have a very unfavorable long-term prognosis and especially in the maxilla We do see the second molars move into place. We see the premolars drift distally if there's some crowding So we have a better arch segment if they've got crowding up in the premolar region And then we do have a second molars. That's usually not impacted by hyperplasia And I I really don't worry if the third molars there are not This tooth is not going to last this kid a long time. And if if it's left and there's crowding We can end up with a huge space Which unfortunately they may need to have an implant or a partial or Have the super eruption of a tooth into the other spot down the road It's just a nightmare to deal with if this is lost later versus now So especially in the maxilla. I have no hard time getting rid of these and then in the mandible We just had a I think three kids come to the office. They took out their permanent first molars in the mandible and everything looks great. So Looking more I'll probably put the other webinar on this on timing and things. There are some guidelines out there but don't lose sleep about it do the best thing for the kid long-term and Have great communication with your specialist is the right thing for My colleague to do and reach out to the gp and explain what your thoughts are and go from there Nothing wrong with both ways, but if this is my kid these these would be out. Have a great thursday