Missing primary incisors
Dear Doctor: Since my front baby tooth was extracted over six months ago and has not yet been restored, there is currently about 0.2mm of space remaining.
Is there still a chance to restore the tooth?
Ying, 20~29 year old female. Ask Date: 2015/11/03
Dr. Zeng Guanghui reply Dentistry
Primary teeth should naturally exfoliate during the mixed dentition phase.
If they remain in the mouth until the age of 21, it may be due to the absence of successor permanent teeth.
After the extraction of a primary incisor, if the remaining space is only 0.2 mm, it may not be possible to fill the space with a dental filling.
In such cases, it is advisable to consult a dentist to evaluate the possibility of orthodontic treatment or to consider a dental prosthesis to occupy the space.
Reply Date: 2015/11/03
More Info
When it comes to dental care, especially for children, the loss of a baby tooth can raise several concerns regarding future dental health and the need for interventions such as fillings or space maintainers. In your case, since you mentioned that your child lost a baby tooth and the space has narrowed to about 0.2mm over the past six months, it’s important to consider a few key factors.
First, baby teeth, or primary teeth, play a crucial role in the development of a child's mouth. They help in the proper alignment of permanent teeth, aid in chewing, and are essential for speech development. When a baby tooth is lost prematurely, it can lead to potential issues with the alignment of the permanent teeth that will eventually replace them. If the space left by the lost tooth is too narrow, it may not allow the permanent tooth to erupt properly, which could lead to crowding or misalignment.
In your situation, the space being only 0.2mm suggests that it is quite narrow. While it may be possible to place a filling in the area, it is unlikely that a traditional filling would be effective or appropriate in this case, especially since fillings are typically used to restore the structure of a tooth rather than to maintain space. Instead, a space maintainer might be a more suitable option. Space maintainers are dental devices that help keep the space open for the permanent tooth to erupt properly. They can prevent adjacent teeth from shifting into the empty space, which is crucial for maintaining proper alignment.
It's also important to consider the timing of any intervention. Generally, it is advisable to consult a pediatric dentist as soon as possible after a baby tooth is lost, especially if it has been several months. The dentist can evaluate the space and determine whether a space maintainer is necessary. They will also assess the overall dental health of your child and monitor the development of the permanent teeth.
In terms of pain or discomfort associated with getting a space maintainer, most children tolerate the procedure well. The dentist will typically use local anesthesia to minimize any discomfort during the placement of the device. Afterward, there may be an adjustment period as your child gets used to the space maintainer, but it should not cause significant pain.
In summary, while a filling may not be the appropriate solution for the space left by the lost baby tooth, a space maintainer could be beneficial in ensuring that the permanent tooth has enough room to erupt properly. It is highly recommended to schedule an appointment with a pediatric dentist for a thorough evaluation and to discuss the best course of action. Early intervention can help prevent more complex dental issues in the future, ensuring your child's dental health remains on track.
Similar Q&A
Understanding Dental Issues: When Baby Teeth Don't 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 toot...
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 ...[Read More] Understanding Dental Issues: When Baby Teeth Don't Fall Out
Can You Get Fillings After Removing Braces and Tooth Extraction?
Because I had braces, but due to certain factors, they were removed midway today. However, I had two teeth extracted earlier. Can I still get dental fillings, doctor?
Dr. Huang Zhicheng reply Dentistry
Hello, since you have had two teeth extracted, there are concerns regarding reconstruction. If these teeth need to serve as abutments for a dental bridge, the crown cannot be reused. Otherwise, after cleaning, the crown should be able to be re-cemented. Wishing you peace and heal...[Read More] Can You Get Fillings After Removing Braces and Tooth Extraction?
How to Care for Your Teeth After a Filling Falls Out
Hello, doctor. About a year ago, I had a dental filling done at a dental clinic, and today while brushing my teeth, I noticed that the filling has come off. However, I won't be able to schedule an appointment to have it redone within this week. During this time, is there any...
Dr. Zeng Guanghui reply Dentistry
After a restoration falls out, you should immediately return to the dental office to have it replaced. Before your appointment, try to keep your mouth clean by brushing thoroughly, and avoid consuming very hot or cold foods, as well as hard items.[Read More] How to Care for Your Teeth After a Filling Falls Out
Can I Request a Dental Refill for an Incomplete Filling?
Hello, doctor. Today I went to the dental clinic to have a filling done for a lost tooth. However, I didn't check in the mirror at the time, so I wasn't aware of how it turned out. Later, when I got home, I noticed that a small corner was not filled, as indicated by the...
Dr. Zeng Guanghui reply Dentistry
If there is a small corner missing after the filling, it is recommended to return to the dentist for an examination or to assess whether a re-filling is necessary.[Read More] Can I Request a Dental Refill for an Incomplete Filling?
Related FAQ
(Dentistry)
Losing Baby Teeth(Dentistry)
Baby Teeth(Dentistry)
Missing Teeth(Dentistry)
Retained Tooth(Dentistry)
Post-Extraction(Dentistry)
Pregnancy(Dentistry)
Silver Filling(Dentistry)
Tooth Trauma(Dentistry)
Tooth Gap(Dentistry)