Dental Issues: When Baby Teeth Don't Fall Out

Primary teeth do not fall out?

Following up, I consulted a doctor who informed me that I have a congenital condition of missing teeth.
The method you mentioned for filling cavities (restorative treatment) did not reveal any cavities before the extraction, and I also underwent root canal treatment, yet the tooth pain persisted.
Initially, I discussed with the doctor whether there was a cavity in that tooth, but he concluded there was none and could not determine the cause of the pain, which lasted for a long time before the extraction.
Before the extraction, the doctor advised me to carefully consider how to address the gap left by the missing tooth, especially since it was a front tooth, but I could no longer endure the pain.

Ying, 20~29 year old female. Ask Date: 2015/09/13

Dr. Zhang Xiangyuan reply Dentistry

Dear netizen, regarding your inquiry about the extraction of primary incisors and the congenital absence of permanent incisors, it is advisable to have a dentist examine and assess the situation.
Depending on the size of the gap, options may include dentures, dental fillings, or an evaluation by an orthodontist to determine if orthodontic treatment is feasible.
If you have further questions, it is recommended to discuss them with your treating dentist to determine the most appropriate course of action based on your individual needs.
Thank you for your question.

Reply Date: 2015/09/13

More Info

When dealing with dental issues in children, especially concerning baby teeth that do not fall out as expected, it is crucial to understand the underlying causes and appropriate treatment options. In your case, it seems that you have been experiencing significant pain and complications with your teeth, leading to the extraction of one of your front teeth. This situation can be distressing, particularly when it involves young children.

Firstly, it is essential to recognize that baby teeth, also known as primary teeth, typically begin to fall out around the age of six, making way for permanent teeth. However, there are instances where baby teeth may not fall out as they should. This can be due to several factors, including the presence of underlying dental issues, such as cavities or infections, or even congenital conditions like hypodontia, where one or more teeth are missing from the dental arch.

In your situation, it appears that you have been diagnosed with a congenital condition resulting in missing teeth. This can complicate the dental landscape, as the absence of certain teeth can lead to misalignment and other dental issues. It is also concerning that you have experienced persistent pain, which suggests that there may have been an underlying infection or other dental pathology that was not initially diagnosed.

Regarding the treatment options, if a tooth is severely decayed or infected, extraction may be the only viable option, especially if other treatments like fillings or root canals have failed. After extraction, it is crucial to consider how to manage the space left by the missing tooth. Options include dental implants, bridges, or space maintainers, depending on the age of the child and the specific dental situation.

As for your concerns about anesthesia, particularly in the context of your child's dental treatment, it is understandable to feel apprehensive. General anesthesia is sometimes recommended for children who are unable to cooperate during dental procedures due to anxiety or fear. In a hospital setting, where there are trained anesthesiologists, the risks associated with general anesthesia can be minimized. It is essential to have a thorough discussion with your dentist or pediatric dentist about the necessity of general anesthesia and the safety protocols in place.

In the meantime, managing pain and discomfort is crucial. Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help alleviate discomfort. However, it is essential to consult with a healthcare professional before administering any medication to ensure it is appropriate for your child's age and health status.

Additionally, applying topical oral gels may provide temporary relief for gum discomfort, but it is vital to use these products as directed and consult with a dentist to avoid any adverse effects.

In conclusion, while the situation with your child's dental health is challenging, there are various treatment options available. It is essential to work closely with a qualified pediatric dentist who can provide a comprehensive evaluation and develop a tailored treatment plan. If you are considering a hospital for treatment, look for one with a pediatric dental department that has experience in managing complex cases and offers a child-friendly environment. Your child's dental health is paramount, and addressing these issues early can help prevent further complications down the line.

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