Hello, I have a 5 year old boy who has a permanent mandibular central incisor beginning to erupt lingual of the primary tooth. What is the current protocol for this situation, extract or observe?

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  • Dr.Ritz

    Dr.Ritz 12 - December - 2011, at 01:30 AM

  • Permanent adult incisors erupting behind baby incisors are common in kids. Technical term for adult teeth erupting lingually is shark teeth. Adult lower incisors usually erupt at age of 6 years. Permanent teeth grow behind the baby teeth if roots of baby teeth don’t dissolve normally or because of overcrowding of the jaw or can occur because of deviation. Around 10% of kids encounter this problem. As of now, you can wait and watch. Lower Baby teeth will get loose on its own and fall and will be replaced with adult teeth. Permanent teeth will get a straighter look as they move in final position. If baby teeth don’t fall even after few weeks or months, then you can visit a dentist to get the milk teeth pulled out. If you are apprehensive, then you can visit a pedodontist who is specialist in children dentistry. For more info on adult teeth erupting lingually to baby teeth, refer to.... http://www.identalhub.com/dental-baby-teeth-not-fallen-and-adult-teeth-coming-in-869.aspx

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