Should You Pull Your 6-Year-Old's Wobbly Tooth? - Dentistry

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Teeth of a six-year-old child?


Hello.
My child is six years old.
One of his front teeth has started to wiggle.
However, the tooth has not fallen out yet, and a new tooth is growing behind the gums.
I would like to know if we should have the front tooth extracted.
Thank you.

Mr. Chen, 30~39 year old female. Ask Date: 2011/09/11

Dr. Qiu Qiongyao reply Dentistry


It is recommended to visit a dental clinic for extraction.

Reply Date: 2011/09/11

More Info


When it comes to a 6-year-old child with a wobbly tooth, it's important to consider a few factors before deciding whether to pull the tooth or let it fall out naturally. At this age, children are typically in the process of losing their primary (baby) teeth to make way for their permanent (adult) teeth. This transition usually begins around age 6 and can continue until around age 12.

In your case, since your child's front tooth is already wobbly and new teeth are emerging behind it, this is a common scenario. The primary tooth is loosening as the permanent tooth pushes up from underneath, which is a natural part of dental development. Here are some points to consider:
1. Natural Process: If the tooth is wobbly and there is a new tooth coming in, it is usually best to allow the primary tooth to fall out on its own. This process is typically painless and can be a rite of passage for children, often accompanied by excitement about the arrival of their new adult teeth.

2. Timing: If the tooth is very loose and your child is comfortable, you might encourage them to wiggle it gently. If it is not ready to come out, forcing it can cause unnecessary pain or trauma to the gums.
3. Dental Hygiene: Regardless of whether the tooth is pulled or falls out naturally, maintaining good dental hygiene is crucial. Encourage your child to brush their teeth twice a day and floss regularly. This will help keep the gums healthy and prevent any potential infections.

4. Consulting a Dentist: If you have concerns about the tooth's condition or if it seems to be causing your child pain, it is always a good idea to consult with a pediatric dentist. They can provide guidance on whether the tooth should be extracted or if it is safe to wait for it to fall out naturally.

5. Potential Complications: In some cases, if a primary tooth does not fall out when it should, it can lead to crowding or misalignment of the permanent teeth. If the new tooth is coming in at an angle or if the primary tooth is not loosening as expected, a dentist may recommend extraction to prevent future dental issues.

6. Emotional Support: Losing a tooth can be an emotional experience for children. It’s important to provide reassurance and support during this time. Many children look forward to the "Tooth Fairy" tradition, which can make the experience more enjoyable.

In summary, unless there are specific concerns or complications, it is generally advisable to allow your child's wobbly tooth to fall out on its own. However, regular dental check-ups are essential to monitor the situation and ensure that everything is progressing normally. If you have any doubts or if the tooth seems to be causing issues, consulting a pediatric dentist is always a wise choice.

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