27 answers

Loose Baby's Tooth with Permanent Tooth Coming Out Behind It

Hi,
My 5 year old has been wiggling her loose tooth for a week (front lower). I just noticed today that the permanent tooth is coming out behind it. I have read that we could just let the baby tooth come out naturally (since it's already loose) and the permanent tooth will move forward to its rightful place as it comes out.
But, I've also read that some dentists recommend pulling the baby tooth out immediately to prevent the permanent tooth coming out crooked.
I have left a voicemail with her pediatric dentist, but was wondering what you have experienced with your own kids and dentists.

THanks for sharing!

What can I do next?

So What Happened?™

I spoke to my daughter's pediatric dentist and he said to let the baby tooth come out on its own, by wiggling it. He said to call him if it doesn't come out in 2 weeks. He said not to worry about the permanent tooth being crooked because it will most likely move itself forward to the right position. And I have her regular dental cleaning appt. in August anyway, so he'll check on its position too. Thanks everyone for your response and sharing.

Featured Answers

Hi M.,

My daughter had the same problem with both her two front teeth. I took her into the dentist and She just extracted the baby teeth. She gave her a nubming agent and basically wiggled it out. Super easy!

Good luck

1 mom found this helpful

The same thing happened to both my daughter's teeth on the bottom. I pulled the baby teeth myself and her adult teeth moved right into the proper place, no problems. I found tying dental floss around the baby tooth helped me to pull it out with minimal stress to her, since the floss cut the roots. Just use a slip knot.

1 mom found this helpful

More Answers

My daughter is in the same situation - we just saw her dentist 2wks ago and he told her to keep wiggling the loose one since it may not come out as readily with the tooth being located behind it. The hope is her tongue will push the other adult forward after the baby tooth is out of the way. Long term she will probably need braces though.

1 mom found this helpful

Hi M.,

Our dentist has said that if it's a bottom tooth to let the baby tooth come out on its own, but if it's a top tooth, the baby tooth needs to be pulled. Hope that helps.

H. Fahrner

1 mom found this helpful

Hi M.,
Both of my daughter's lower front teeth did that. The baby teeth were loose, but not loose enough to come out yet and the permanent teeth came in behind. The teeth came in of course not correctly but since she has been seeing an orthodontist & had a lateral arch put in behind her bottom teeth to make for room for her teeth. I had never seen teeth come in like that but the ortho. said it is more common than you realize. Good luck! My daughter is 7 yrs. & after getting the arch in December, her teeth have straightened out alot!

1 mom found this helpful

since it's loose I would encourage her to wiggle it until it comes out. I had to have two baby teeth pulled as a kid and it was horrible.

1 mom found this helpful

We had the same with my daughter. I called dentist and was told it would be fine. Let it fall out and when there is room, the teeth will move into place. No worries.

It stayed back until the other front lower tooth came out. When the other teeth on the sides move out, there will be more room for the teeth to slip into place.

1 mom found this helpful

Hi M.,
My almost 8-year-old daughter had the same problem. I was very concerned about the permanent tooth (teeth) coming in crooked if the baby one wasn't falling off. She has been seeing my dentist since she "grew up" going to that office and he's wonderful. I brought her in to check about 3 times in four weeks last November, when she had her first loose tooth and the permanent one was coming out. My dentist assured me that once the baby tooth falls off (it was loose but didn't fall off for a very long time), the permanent one will move into place--she'll be naturally pushing her permanent one forward with her tongue and it won't go beyond where her other teeth are. I am happy to share that that's what happened! Now she has four loose ones, two of which have a permanent one coming up behind them! I also found that some dentists are eager to pull that loose baby tooth out! I did check with one pediatric dentist and that's what they wanted to do. But I trust my own dentist and was comfortable having him check to make sure it was all OK--with that first loose tooth. I feel like I have been rambling. I hope I made some sense to you. Good luck! ~N.~

1 mom found this helpful

This happened with my son's top front teeth. We weren't too concerned and left both sets of teeth there for a long time, hoping the baby teeth would fall out, while the permanent teeth kept on descending. The baby teeth were wiggly but WOULD NOT come out! One day, we noticed something white sticking out of his gum where one of the baby teeth had detached ... it looked like a piece of his baby tooth was broken off at the root and remained lodged in his gum. We took him to the dentist, just to make sure nothing was weird. Turns out, food had become lodged in the portion of my son's gum where the baby tooth had detached and was being pushed into the partially empty tooth socket every time the tooth wiggled. The dentist said we were lucky we came in because the decaying food could have caused an abcess in my son's gums if we had ignored it. The dentist pulled both front teeth so my son could get a toothbrush in there and keep that area clean. I don't want to scare you (and once the baby teeth were out everything was totally fine), but I didn't see this in anyone else's response and I figured it was worth your knowing so you could look. HTH:)

1 mom found this helpful

Hi M.,
As a dental hygienist, I nor have any of the dentists I've worked for ever recommended pulling the baby tooth, unless there were situations that required for it to be extracted/pulled Since her permanent tooth has erupted and is visible, I would say let the baby tooth fall out on its own, or if you'd like, have your daughter speed up the process by wiggling it with her tongue throughout the day. Nature will take it's course and her permanent tooth will line up as it may once it's fully erupted. She may or may not require orthodontics in the future. Not to worry but if you're not comfortable with this, take her to see a pedo dentist, she's the perfect age to be seen and have her teeth cleaned and maybe even have xrays taken to see her alignment. Hope that helps! Best of luck and may the tooth fairy be ready!

1 mom found this helpful

Hi M.,
Check out my profile to see my experience in this area. I wouldn't worry about the placement of the permanent tooth at this time. If you can see the permanent tooth and the baby tooth is really loose, pull it out. I have seen kids (myself included) that have a permanent tooth almost completely in and the baby tooth is STILL hanging by a thread! What I have done with many kids in the dental practices I've worked in is to take a piece of floss and start tying a knot but don't pull it closed. Slip the open knot over the loose tooth to the gumline then pull the two ends tight to finish the knot. As you do this the floss will slide down and detach the gum tissue from the tooth. This works really well as long as the tooth is loose. Have a piece of gauze or tissue ready as there will be some bleeding. You can also put Oral Gel all around the loose tooth before removing it to numb the gums a little. Email me if you have questions. If I don't know the answer I'll pick my hubby's brain!!!
Good luck,
L.

1 mom found this helpful

I would tell her to wiggle it as much as she can. My oldest daughter had a tooth comingin behind her baby tooth and her dentist said to wiggle it as much as she wanted. And it fell out quickly. He did say that he would pull it but if she could wiggle it out that it would be easier for her. Good luck I hope it falls out soon.

1 mom found this helpful

The same thing happened to my son (6 1/2 yrs old). The teeth just fall out on their own and everything is fine. You probably still want to take her to the dentist to make sure the baby tooth roots arent caught in the new tooth. But I'm sure everything will be fine and it will fall out on its own.

1 mom found this helpful

My husband, Dr. Jerry Sanchez, Pleasanton, Ca is a dentist and I am a hygienist. Don't worry! This is quite common and because of the teeth involved (being the front) the tongue usually with swallowing (4000 times daily) will push the teeth to the position of where the baby teeth were. Have your daughter work on wiggling it when she watches TV, reads, etc. Also giving her an incentive to get them out (i.e. $5 a tooth, or a trip to the zoo) will save you lots of $$ and time going to the dentist to have it removed. Lastly, if you are uncomfortable, its always best to check with the professional, your pedodontist, and have him take a look at it. Blessings, K. Sanchez RDH ;o)

1 mom found this helpful

When my son started loosing his baby teeth, he would never tell us when one was loose. We finally figured it out and started checking. Even tales of all the money the tooth fairy would leave, failed to convince him to put any real effort into "helping" loosen a tooth! He was so adament about not pulling them that we decided to leave them alone (unless one was so loose it looked like it might fall out in the night and be a choking hazard). His adult teeth would actually come up behind his baby teeth and be more then half way up before the baby tooth would finally come out. He sometimes looked like a shark with his two rows of teeth! The new adult teeth would start out much further back then normal. But within a short time, they would work their way forward. He's 8 now, and all his teeth are straight and in the proper place. : ) Good luck!

1 mom found this helpful

I pulled my son's out. Right here at home. It didn't hurt and only bled for a few minutes. He thought it was cool that his tooth got pulled out. My Mom used to do that to me and my 6 brothers and sisters.

We tied dental floss around it and yanked. That was it.

You could also try letting her bite into an apple and see if it comes out that way.

Good luck.

1 mom found this helpful

Both of my sons lower teeth did that and they moved forward on their own after the permanent teeth came out.

1 mom found this helpful

M.,

ALL of my daughter's baby teeth came out like that--not for us the cute gap-toothed smile! We call her the shark because her teeth come in row by row. Of 8 teeth that came in like that they are all straight and beautiful. Of the 8, we had 1 pulled (after almost 6 months of waiting) because it wasn't loosening.

J.

1 mom found this helpful

MY son is having the same issue and we haveb een told to just let the baby tooth fall out naturally and the permanent tooth will move into place. These are fun and exciting times aren't they?!

1 mom found this helpful

Just let it fall out naturally. The big tooth will eventually push it out. If you see any infection though, call your dentist.

1 mom found this helpful

Hi M.,

My daughter had the same problem with both her two front teeth. I took her into the dentist and She just extracted the baby teeth. She gave her a nubming agent and basically wiggled it out. Super easy!

Good luck

1 mom found this helpful

The same thing happened to both my daughter's teeth on the bottom. I pulled the baby teeth myself and her adult teeth moved right into the proper place, no problems. I found tying dental floss around the baby tooth helped me to pull it out with minimal stress to her, since the floss cut the roots. Just use a slip knot.

1 mom found this helpful

Hi - it's natural for teeth to come out by themselves, and how they come out does not affect the position of the permanent adult teeth. If you try to pull it out you could hurt your daughter as the tooth is still attached! I have three daughters and sometimes their adult teeth have been crooked for a few months, but they all move constantly (even at 40 my teeth are still moving) and my girls' teeth have all straightened up once they are all through. When their wisdom teeth come through they'll all move again to make room!

Both of my children had this happen. Their teeth came in behind, in front and above the baby teeth. Both had to have braces. They lost their teeth later than 5 and both had to have several teeth pulled that didn't want to come out or didn't have room for the permanent teeth. You should pull the baby tooth as soon as it is loose enough so she doesn't choke on it. She may need braces later.

My daughter's teeth do the same thing. Both of her lower teeth eventually moved into place. Her two front teeth are in line with the others, but she still has one baby front tooth hanging on for dear life. It's moved up above where her other teeth are now. I keep telling her if she doesn't pull it out we'll have get the dentist to do it, but she doesn't seem to care. Her dentist did say that her arch isn't large enough to accommodate all of her teeth, so we need to get her an appliance to help give her molars room.

My daughter had this happen with a front bottom tooth. My older son had the same problem with his incisor on the top. My dentist explained it this way. You should let the adult tooth push out the baby teeth naturally; unless, the adult tooth is already coming in behind or in front. My daughter's tooth was so loose that I just had to pull on it with my fingers and it came right out. I wiggled it back and forth then gently pulled up. My son's had to be removed by the dentist, because it was not loosening up on its own. It depends on the circumstances. If the adult tooth's track is way "off course" it won't be able to push the baby tooth out on it's own. I hope that this makes sense.

I'm a dental hygienist and the monther of 10 year old twin girls. Both of my kids had the same experience. When the tooth was about 2/3 way in and still not out I had the tooth removed. The perm tooth erupted and moved forward into place. Every dentist has their own take on the situation. My girls were not freaked out about having an extraction at the age of 5. It is very simple to remove a tooth in this situation. I advise you to leave the operatory and let the dentist be in charge while the procedure is being done. Parents tend to make the whole thing much worse by being in the room.
L.

I have had experience myself with that. My lower teeth were like that and it took a bit more for the bottom teeth to come out. The permanent teeth naturally moved forward because of the pressure of my tongue. My lower teeth were straight but I imagine a dentist or orhodontist might be able to tell how they will move and know whether they should be pulled or not. Funny story about this ---One of the last lower teeth I lost followed the same pattern but was very stubborn to come out. For some reason our dentist wouldn't pull it out. So I decided to tie a string around the tooth and the other end around a door handle. I then slammed the door as hard as I could.....The door swung back and hit me in the nose! And the tooth was till there! I was so mad! It did eventually fall out on its own. :-)

Good morning,
Our five year old had the same issue with her permanent teeth coming in behind her loose baby teeth. Our dentist had us wait and let the baby teeth fall out on their own. We waited and sure enough, the baby teeth fell out and her two teeth that came in behind her baby teeth moved to the front of her mouth just like they were supposed to!
P.

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