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This happened`with our six year old. Sometimes the adult teeth do not "attack" the root of the "baby" tooth and weaken it enough to make it fall out first. This is not an "emergency" but you should probably have the tooth looked at by a pediatric dentist.

It is quite normal for the permanent tooth to appear slightly behind the baby tooth and slightly before the baby tooth is lost. If it is "wiggly", it probably won't make much difference whether the tooth is removed or allowed to come out on its own. The tongue does a good job of pushing the permanent tooth forward into position if there is adequate space. A lot depends on the amount of spacing among the baby teeth. Definitely ask your child's dentist about the "arch length" at your next visit.

The biggest concern is that the new tooth will not have room to be properly placed. In situations like this, the baby tooth will have to be pulled. Sometimes the coexisting tooth will work out the baby tooth on its own. Some dentists will say to give it one to two months to see if the "baby" tooth works out on its own.

One other thing though, ONLY in the lower front is it normal for the teeth to erupt behind. Anywhere else, if the permanent tooth hasn't come out, then the baby tooth may need some help.

Basically, it is a judgment call for the dentist, and except in a few extreme cases, there is no "right" answer.

To view a chart about teeth eruption, visit the Related Link.

For an "answer" from a real dentist saying basically the same thing visit the Related Link.

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11y ago

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