Table of contents:
- Why is the final tooth taking so long to erupt?
- How the treatment is done
- What to do while the tooth is not born
When the baby tooth falls out and the permanent tooth does not erupt, even after waiting for 3 months, the child should be taken to the dentist, especially if he has symptoms such as toothache, changes in the gums and bad breath, for example.
The dentist should take into account the age and teeth of the child and perform a panoramic x-ray examination, which is only recommended from the age of 6, to check the entire dental arch and if the tooth unborn is hidden in other places in the mouth.
Normally, it takes about 1 month for the permanent tooth to erupt, however, if it does not appear even after 1 year, it may be necessary to place a retainer, to maintain the space necessary for the permanent teeth to grow.Dental implants are not recommended in childhood, as they can harm the development of permanent teeth.
Why is the final tooth taking so long to erupt?
Some of the reasons why the tooth is taking a long time to erupt are:
1. Baby tooth fell out before the ideal period
Permanent teeth may take time to erupt, because the milk tooth may have fallen out before the ideal period, due to a blow or due to the presence of cavities, for example. In this case, the permanent tooth should only appear at the predicted time, which can occur between 6 and 12 years old, depending on the affected tooth.
Baby teeth, in most cases, fall in the following order:
2. There is no permanent tooth
When the child is over 6 years old and has started to lose his milk teeth, but not all permanent teeth are emerging, you should wait up to 3 months to go to the dentist, so that he can make an evaluation, in order to verify if the tooth germ is present, which is an embryonic structure from which the tooth is derived.
In some children, it is possible that the baby tooth will fall out and another tooth will not come in because they do not have a replacement tooth, a situation called anodontia. In this case, you need to see a dentist.
Anodontia can be suspected when there are other cases in the family and when the baby tooth has fallen out for more than 2 years and the definitive tooth has not yet erupted. However, in some cases, the tooth may be located in another region of the mouth and only a panoramic x-ray of the mouth can indicate its location.
How the treatment is done
When the tooth has not erupted, but is present in the gum, the dentist may choose to place an orthodontic device to pull the teeth, opening space for the permanent tooth to be able to position itself and erupt.
If there are no spare teeth in the gum, the dentist may recommend braces to be placed on the teeth so that the other teeth remain in their ideal position and, in the future, when the child turns 17 or 18 years old, a permanent dental implant can be placed.However, when the teeth settle well, despite the lack of the other tooth, treatment may not be necessary because, in this case, it does not affect chewing or appearance.
What to do while the tooth is not born
To ensure oral he alth, the child must be taught to wash their teeth well, to avoid cavities and gingivitis. Teeth should be brushed at least 3 times a day, after meals and always before bed. If the child has a good space between their teeth, it is not necessary to floss, but if the teeth are very close together, they should floss before the last brushing of the day. Learn how to brush your teeth correctly.
Other important precautions are to eat foods rich in calcium so that teeth and bones are strong and avoid eating sweet foods because they favor cavities.