With proper management, a very acceptable result is often possible. One solution for peg laterals with poor prognosis can be substitution of the cuspids into the lateral incisor position. These situations also present challenges for the orthodontist and the restorative dentist alike. There is a similar prevalence of cases with peg lateral incisors. For those individuals with impacted cuspids who seek orthodontic treatment, they can expect more complicated mechanics and increased treatment time. The prevalence of impacted cuspids is approximately one to two percent of the population.