Dealing with Adult Teeth Issues: What to Do About Retained Baby Teeth?

Q: Dealing with Adult Teeth Issues: What to Do About Retained Baby Teeth?

Hello Wing： There are two possible scenarios for your situation. <br>a. <br>The permanent teeth have erupted, pushing the primary teeth aside, and these primary teeth should be extracted. <br>b. <br>If the primary teeth are not loose at this time, an X-ray should be taken to chec

Significant issues regarding my teeth?

I am 18 years old and still have some baby teeth.
What should I do? I previously visited a clinic where the doctor advised me to have them extracted, but after the extractions, some teeth only partially erupted, and others did not erupt at all.
As a result, I stopped going for extractions because I was concerned about how I would eat, especially since these are mostly molars.
So, will my teeth still grow in? Am I going to need dentures? Should I have those baby teeth extracted? Can't I just make do with them?

wing, 10~19 year old female. Ask Date: 2005/06/26

Dr. Yang Hui reply Dentistry

Hello Wing: There are two possible scenarios for your situation.
a.
The permanent teeth have erupted, pushing the primary teeth aside, and these primary teeth should be extracted.
b.
If the primary teeth are not loose at this time, an X-ray should be taken to check for the presence of permanent teeth underneath.
If permanent teeth are present, they should be extracted; if there are no permanent teeth and the teeth are aligned properly, extraction of the primary teeth may be considered unnecessary.
Typically, by the age of 30 to 50, the roots of these primary teeth may gradually be resorbed.
At that time, extraction and consideration for dentures can be discussed.

Reply Date: 2005/06/26

More Info

Dealing with retained baby teeth as an adult can be a complex issue, especially when it comes to understanding the implications for your oral health and overall well-being. Retained baby teeth, also known as primary teeth, can pose several challenges, particularly if they are not replaced by their permanent counterparts. Here’s a comprehensive overview of what you should consider and the steps you can take.

Understanding Retained Baby Teeth
Firstly, it's essential to understand why you still have retained baby teeth at the age of 18. In most cases, primary teeth are expected to fall out and be replaced by permanent teeth between the ages of 6 and 12. If they remain, it could be due to several factors:
1. Lack of Permanent Teeth: Sometimes, the permanent teeth may not develop properly or may be congenitally missing. This is a condition known as hypodontia, where one or more teeth are absent.

2. Positioning Issues: If the primary teeth are not causing any issues, they may remain in place. However, if they are retained for too long, they can lead to misalignment or crowding of the surrounding teeth.

3. Dental Health: Retained baby teeth can sometimes be a sign of underlying dental health issues, such as decay or infection, which may require attention.

What to Do About Retained Baby Teeth
1. Consult a Dental Specialist: If you haven't already, it's crucial to see a dentist or an orthodontist who specializes in adult dental care. They can provide a thorough examination, including X-rays, to determine the status of your retained teeth and the underlying reasons for their retention.

2. Evaluate the Need for Extraction: If your dentist recommends extraction, it’s typically because the retained teeth are causing problems, such as misalignment or decay. While the thought of extraction can be daunting, it’s essential to weigh the benefits against the risks. If the teeth are not functioning properly or are causing pain, extraction may be the best option.

3. Consider Replacement Options: If you do have teeth extracted, your dentist will discuss replacement options. These can include:
- Dental Implants: A permanent solution that involves placing a titanium post in the jawbone, which acts as a root for a crown.

- Bridges: A fixed solution that involves anchoring a false tooth to adjacent teeth.

- Partial Dentures: A removable option that can replace several missing teeth.

4. Addressing Eating Concerns: If you are worried about how you will eat after extraction, discuss this with your dentist. They can provide temporary solutions, such as a partial denture, to help you eat comfortably while you wait for a more permanent solution.

5. Maintain Oral Hygiene: Regardless of whether you choose to keep or extract your retained baby teeth, maintaining excellent oral hygiene is crucial. Brush and floss regularly to prevent decay and gum disease, which can complicate your dental health further.

Conclusion
In summary, while it may be tempting to "make do" with retained baby teeth, it’s essential to address the underlying issues with the help of a dental professional. Ignoring the problem can lead to more significant complications down the line, including pain, infection, and misalignment of your remaining teeth. By consulting with a dentist, you can explore your options and make informed decisions about your dental health, ensuring that you maintain a functional and healthy smile as you transition into adulthood.

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