2Nd Opinion - Dental Needs

Updated on March 12, 2010
M.C. asks from West Orange, NJ
11 answers

hello, my son is 5 1/2 yrs old and has a tooth growing in on the bottom, but it is growing behind his 2 baby teeth. Our dentist said there's nothing to do and he'll take a look at it at his next visit (next month). My gf however, said she had the same situation with her child a year or 2 ago and her dentist pulled her son's tooth out to make room so the new tooth could grow in properly. Does anyone have any experience with this? I don't see how my son's tooth can grow in straight and how his 2 baby teeth will come out on their own if the new tooth is not growing directly under the baby teeth to help push them out. thankss for your feedback!

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N.D.

answers from New York on

One of my sons had this problem and I got the same answer from his dentist. A month later I took him back to the dentist and told him to pull the teeth, (both front bottom). Then his top teeth started coming in the same way, I waited and the baby teeth never got loose, so I told the dentist to pull them. He is an adult now and only lost ONE tooth without having it pulled. He had an eye tooth pulled when he was 23. The dentist never wanted to pull it and finally the Navy dentist did it. His adult eye tooth is moving into the space, but I would not wait again, if I had a choice.

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G.S.

answers from New York on

Have your Dentist take a radiograph to see the amount of root disolving. Most of the time if you stimulate the root by continualing wiggling the crown portion of the baby tooth you will cause the tooth to fall out sooner. Most permanent teeth do not errupt directly under the adult tooth. The tongue and the lips help to guide the teeth into their proper position.

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L.C.

answers from Orlando on

My daughter had shark teeth-- her permanent teeth grew in behind her babies. At first , the dentist said we'll just keep an eye on it because he was sure that eventually they would make the babies loose enough to fall out-- but they never did so her babies her pulled. The dentist was actually fine with her having 2 sets of teeth and kept saying let's just wait another 6 months, but I pretty much insisted that he finally pull them.

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C.E.

answers from New York on

Just went through the same situation with our 5 year old daughter. Her Ped dentist had to pull the 4 bottom teeth in order for her two adult teeth to come in properly. They were coming in behind the baby teeth, and her roots were not disolving at all. We were told that she will most likely have many teeth pulled in the future b/c her adult teeth are very ready and rapidly coming in, but the babies are no where near ready to come out on their own. Two months after the 4 bottoms were pulled, the top 4 had to come out b/c the top middle two were pushing out the front of her gums and causing pain. Now that they are gone the pain has stopped and they are moving straight down into place. She has handled everything VERY well and understood that she would feel better once they were gone. I would definitly see a pediatric dentist for another opinion...

C.S.

answers from Charlotte on

This happened with my nephew. Just happens when the new tooth is ready to come in before the old one is ready to come out. His baby tooth fell out a couple months after his permanent teeth came in. I would take your dentists advice and give the baby teeth time to come out on their own. It may spare your child the pain of having to have teeth pulled

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D.C.

answers from Johnson City on

I took my daughter to the dentist around her 7th b'day and on x-ray, the hygeinest said her perm teeth are going to come in behind. She told us start wiggling the baby ones. We did, but weren't consistent. The perm one was in and the baby one was still there. My husband just "accidentally" knocked her baby tooth loose and in 2 or 3 days and lots of wiggling, the baby tooth came out. The perm one was almost in the right place when the 2nd one started doing the same thing. I think if the dentist and Hygienist told us to do it, it's fine. Good luck.

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J.C.

answers from Columbus on

We just dealt with this with our daughter over the past couple months. She had two perm's that came in behind the baby teeth. When we first noticed it, I called our dentist. He told me to keep an eye on them, but he wasn't too concerned at that point in time. He said that if they came in to the point where we could clearly see them behind the baby teeth w/ her head level looking at her straight on then he would like to see her. His other advice was that if she complained of them causing any pain, (other than a lttle normal pain when she was eating) in either the babies or the perms to call his office. Generally as they come in they will dissolve the roots on the baby teeth, but it doesn't always happen. Sometimes if they do not have enough room they will deflect backwards and the roots will not dissolve enough to loosen the baby teeth for them to pull on their own.
This is what actually happened to my daughter. Her perms were showing behind her babies when we looked at her and at about that same time she started complaining that they were hurting her. I called the dentist for a consult. I took her in on a Thursday afternoon & the following Wednesday the dentist pulled her baby teeth b/c they were doing as I mentioned above. They were beginning to deflect backwards, which would have been BAD news for the future if we had let them go too long. When he pulled them he used local anesthetics, a topical gel & then a couple shots into the gums. After pullin them we saw that the roots on them had been dissolved on the back, but not at all on the front root, it was still longer than the tooth itself! Bc they were deflecting back, it would have never dissolved that front root allowing her to pull them. In the three weeks since she had them pulled her permanent teeth have already moved forward quite a bit!
So after my lengthy post I will suggest for you to keep a close eye on them! Don't mention the possible "pain" to your son, but listen to see if he starts complaining b/c you'll definitely want to get him in to see the dentist if he does.
On another note, it seems a lot of dentist don't seem to be concerned about it at all! My friends son, now 5 1/2 has had perms growing behind his babies since Sept. Her dentist refuses to do anything about it. His babies are not loosening, but since the dentist doesn't seem worried she's just letting it go. I would rather get it checked out then let it lead to problems in the future!

T.M.

answers from Lansing on

A couple of my kids have had this exact same problem with about a dozen teeth total so I know quite a bit about it.

I think both your dentist and your friend are right. The dentist can't pull the tooth unless the baby tooth root has already dissolved - did your dentist do an x-ray of the root? Sometimes you really do have to wait to pull the tooth. Then, while waiting for the tooth to be ready to pull sometimes the adult teeth won't grow in straight because they can't. Sucks because depending on how severe they come in your son will probably need braces - that's what happened for us.

Good luck!

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G.B.

answers from Tulsa on

I suggest you make an appointment with a Pediatric Dentist, they are experts in baby teeth and children's teeth. A regular family dentist only did a short term working on these teeth, a pediatric dentist spent years and knows if the teeth need to be pulled or not. They can also put your child out for pulling the teeth, especially if several are needing to be pulled at one time. Local anesthesia can be very traumatic for kids and feeling the teeth being pulled away from the jaw bone and stuff, it's just way easier for them to be asleep.

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J.L.

answers from Minneapolis on

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J.P.

answers from Buffalo on

Is your dentist a pediatric dentist? If not, you might want to get a second opinion from one. My girlfriends son had to have his two front teeth (top) for the same thing. He saw a peds dentist. Good luck!

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