1. Late mandibular incisor crowding is common in modern populations as the mandible continues growing forward while maxillary growth stops, pushing the lower incisors lingually and reducing arch length. 2. Causes include late mandibular growth, increased muscle tone, gingival/occlusal forces, lack of attrition in modern diets, and reduction in intercanine width. 3. Management options for mild crowding include acceptance and monitoring, interproximal stripping for adults, or extracting a lower incisor with fixed appliances and lingual retainers for more severe crowding. Extraction of lower premolars may also be considered.