{"id":5782,"date":"2022-07-27T11:02:24","date_gmt":"2022-07-27T15:02:24","guid":{"rendered":"https:\/\/carolinacompletedental.com\/?p=5782"},"modified":"2025-05-05T18:00:57","modified_gmt":"2025-05-05T18:00:57","slug":"late-for-an-important-date-when-baby-teeth-dont-fall-out","status":"publish","type":"post","link":"https:\/\/www.carolinacompletedental.com\/blog\/late-for-an-important-date-when-baby-teeth-dont-fall-out\/","title":{"rendered":"Late for an Important Date: When Baby Teeth Don\u2019t Fall Out"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">Most kids lose their baby teeth\u2014also called primary teeth\u2014in a distinct sequence at set intervals.&nbsp; Children\u2019s baby teeth come out naturally starting around age six, becoming progressively looser as they fall out (sometimes with a little extra wiggling because the Tooth Fairy is expected to visit).&nbsp;<\/span><\/p>\n\n\n\n<!--more-->\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">Sometimes baby tooth loss doesn\u2019t happen in the usual order, and a permanent tooth appears prior to the loss of the primary tooth, which leads to a double row of front teeth. While this is a common pediatric dental concern that should be addressed, it is no cause for alarm and rarely has long-term negative effects.&nbsp;<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">When the loss of a primary tooth and subsequent eruption of a permanent tooth takes over a year longer than the anticipated date, that primary tooth is considered <\/span><a href=\"https:\/\/www.colgate.com\/en-us\/oral-health\/life-stages\/childrens-oral-care\/over-retained-baby-teeth-a-guide-to-treatment-1013\"><span style=\"font-weight: 400;\">over-retained<\/span><\/a><span style=\"font-weight: 400;\">. Are you concerned because your child\u2019s baby tooth isn\u2019t falling out, or the permanent tooth hasn\u2019t appeared yet? <a href=\"\/about-us\/\">Goose Creek dentists, Dr. Barganier, Dr. Zuffi, Dr. Williams, and Dr. McAdams<\/a>, discuss over-retained baby teeth and possible treatment options below.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Baby Teeth Need Assessment<\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">Baby teeth should be checked routinely by a dentist so abnormalities can be identified and treated early for your child\u2019s long-term oral health and comfort.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">The first step when assessing a child\u2019s over-retained baby tooth is a comprehensive oral examination that includes a thorough exam with <a href=\"\/services\/technology\/\">digital x-rays<\/a>. Condition, color, shape, and position of the over-retained tooth must be evaluated in case it is fused to the bone, a condition known as <\/span><i><span style=\"font-weight: 400;\">ankylosis<\/span><\/i><span style=\"font-weight: 400;\">. When ankylosis occurs, the affected tooth appears sunken in the gums and is unable to come out on its own.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What Are Some Causes Over-Retained Baby Teeth?<\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">The most common cause for an over-retained primary tooth is the absence of a permanent tooth to take its place. When the baby and permanent teeth are developing as they should, the permanent tooth will push on and eventually dissolve the primary tooth root, facilitating its loss so the permanent tooth can take its rightful place in the jaw.&nbsp;<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">In up to 7% of cases, permanent teeth are absent, which occurs more frequently in girls than boys. Other possible causes for over-retained primary teeth include obstruction, trauma, infection, environmental factors, endocrine disorders, genetics, and misalignment or delayed eruption of the permanent tooth underneath.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">What are the Risks of Not Treating Over-Retained Baby Teeth?<\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">Over-retained primary teeth can lead to other serious dental issues later, which is why early assessment and treatment is beneficial. <a href=\"\/services\/family-dentistry\/#GumDisease\">Periodontal (gum) problems<\/a>, <a href=\"\/services\/family-dentistry\/#ToothColoredFillings\">cavities<\/a>, and misalignment of adjacent permanent teeth can occur if over-retained baby teeth are left untreated.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span style=\"font-weight: 400;\">Treatment Options for Over-Retained Baby Teeth<\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">The condition of the over-retained tooth or teeth and the surrounding structures of the mouth determine the best treatment for your little one. If the child has several over-retained teeth, it is likely that several permanent teeth below are missing. If this is the case, an orthodontist should evaluate your child in addition to your dentist so an acceptable treatment solution can be carefully planned and executed for optimal end results.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">If the over-retained baby tooth is structurally strong and satisfactory in appearance, that tooth can be retained. If the tooth is strong but looks unattractive, its aesthetics can be improved with a dental restoration.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">If the primary tooth is crooked, <a href=\"\/services\/oral-surgery\/\">extraction<\/a> is the best option for two reasons: 1) the gap can be closed later with <a href=\"\/services\/orthodontics\/\">orthodontic treatment<\/a>; or 2) an absent tooth can be replaced with a <a href=\"\/services\/restorative-dentistry\/#Bridges\">fixed bridge<\/a> or <a href=\"\/services\/dental-implants\/\">dental implant<\/a>. A dental implant is currently the superior option due to aesthetics, functionality, jawbone health, and higher rates of success.<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"font-weight: 400;\">If you have questions or concerns about your child\u2019s over-retained baby teeth, your Goose Creek dentist at Carolina Complete Dental Care would be happy to welcome you and your child for examination and treatment. We\u2019d love to hear from you\u2014<a href=\"\/contact-us\/\">contact us<\/a> today!<\/span><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><i><span style=\"font-weight: 400;\">The content on this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Most kids lose their baby teeth\u2014also called primary teeth\u2014in a distinct sequence at set intervals.&nbsp; Children\u2019s baby teeth come out naturally starting around age six, becoming progressively looser as they fall out (sometimes with a little extra wiggling because the Tooth Fairy is expected to visit).&nbsp;<\/p>\n","protected":false},"author":2,"featured_media":5783,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,5,4],"tags":[65,99],"class_list":["post-5782","post","type-post","status-publish","format-standard","hentry","category-blog","category-dental-health","category-patient-care","tag-baby-teeth","tag-over-retained-baby-teeth"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - 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