Addressing Your Baby's Crooked Front Teeth: When to Seek Dental Advice - Dentistry

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The front tooth has grown misaligned?


Hello Dr.
Lin: My daughter is currently 10 months old.
Last month, she got her first incisor, which appears to be crooked.
From my perspective, it is leaning to the left.
Yesterday, she developed her second incisor (just the tip is showing), and it is leaning to the right, making her teeth look like a "V" shape.
I've heard that the emergence of the lateral incisors may help straighten them out.
Is that true? Won't it push them to become even more crooked? She tends to bite on everything, regardless of whether it's soft or hard—she bites on chairs and the headboard, and she even grinds her teeth on the crib rails (which are now scratched).
Does biting on hard objects really have an impact? If her teeth do not straighten out on their own, under what circumstances should we see a doctor? Or should we wait until she is over one year old and go at the scheduled time indicated in the health booklet? Thank you, doctor.

Lin, 20~29 year old female. Ask Date: 2006/02/27

Dr. Lin Qingye reply Dentistry


Hello Miss Lin: Before a baby develops teeth, the dentist's focus is on the overall health of the oral environment.
Once teeth begin to emerge, it is even more important to have regular dental check-ups.
I understand you may be a new mother, so I want to remind you to consider purchasing teething toys available on the market for your baby to chew on.
Additionally, be sure to keep small, dangerous objects out of reach and avoid allowing her to ingest anything that is not edible.
If time permits, I hope you can visit our clinic, where we will provide you with satisfactory service.
P.S.
If you have any other parenting questions, feel free to call (06) 6351131-2208, Lin Qingxiao.
20060302

Reply Date: 2006/02/27

More Info


When it comes to addressing concerns about your baby's crooked front teeth, it's important to understand that early dental development can vary significantly among infants. At 10 months old, your child is in a critical phase of dental growth, and it's not uncommon for the first few teeth to erupt in a less-than-perfect alignment. Here are some key points to consider regarding your concerns:
1. Natural Variation in Tooth Eruption: It's essential to recognize that many infants experience irregularities in tooth alignment as their primary teeth emerge. The first set of teeth, known as primary or baby teeth, often come in at different angles and positions. This is generally normal and can improve as more teeth come in. The presence of lateral incisors (side teeth) can indeed help to guide the alignment of the central incisors (front teeth) as they grow.

2. Impact of Chewing and Biting: Your observation that your baby is chewing on various objects, including hard surfaces, is typical behavior for infants. This exploratory chewing can sometimes influence tooth positioning, but it is usually not a significant factor in causing misalignment. However, excessive biting on hard objects could potentially lead to dental issues, such as wear or fractures, so it's advisable to monitor this behavior.

3. When to Seek Dental Advice: If you notice that the misalignment persists as more teeth come in or if there are other concerning signs, such as difficulty in chewing, pain, or if the teeth appear to be getting worse in alignment, it may be time to consult a pediatric dentist. Generally, the first dental visit is recommended by the age of one or within six months of the first tooth eruption, whichever comes first. This visit can help establish a baseline for your child's dental health and allow for early intervention if necessary.

4. Waiting for Natural Development: In many cases, it is advisable to wait until your child is a bit older before seeking treatment for crooked teeth. As the jaw grows and more teeth come in, many alignment issues can resolve on their own. Pediatric dentists often recommend monitoring the situation until the child is around three years old, when more permanent teeth start to come in.

5. Preventive Care: To promote healthy dental development, ensure that your child has a balanced diet low in sugary snacks and drinks, as these can contribute to cavities and other dental issues. Regularly cleaning your baby's gums and emerging teeth with a soft cloth or a baby toothbrush can also help maintain oral hygiene.

6. Parental Observation: Keep an eye on your child's dental development and note any changes in alignment or behavior. If you have concerns about the way the teeth are coming in, or if there are any signs of discomfort or issues with eating, do not hesitate to reach out to a dental professional for advice.

In summary, while it is common for infants to have some misalignment in their teeth as they begin to erupt, many of these issues can self-correct as more teeth come in. Monitoring your child's dental health, maintaining good oral hygiene, and consulting with a pediatric dentist at the appropriate time will help ensure that any potential issues are addressed early on. If you have ongoing concerns, especially as your child approaches their first birthday, consider scheduling a dental visit to discuss your observations and receive personalized guidance.

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