Milk teeth in adults – what to do?

Echo of childhood

Milk teeth are something from the realm of a carefree and touching childhood, most of us are sure. It is not for nothing that the Scottish writer James Barrie, in the fairy tale about Peter Pan - a boy who did not want to grow up and remained forever young - specifically mentions that “his mouth was full of pearly milk teeth. None have fallen out yet.” Replacing baby teeth with permanent ones is the same step into adulthood as first grade and first grade.

The change of teeth begins at the age of 5–6 and usually ends by the age of 14–16. Moreover, according to the observations of doctors, children are currently replacing their baby teeth with permanent ones at a younger age than several decades ago. But sometimes baby teeth persist into adulthood. People encounter similar cases at 20, 30, and even 50 years old! Why does this happen and what should be done in this case?

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Why didn't my baby tooth fall out?

The structure of temporary and permanent teeth has certain differences. Dairy teeth have the same shape as molars, but they are smaller in size, their roots are much shorter, and they grow in the amount of only 20 pieces versus 32 permanent ones, including wisdom teeth. The service life of “children’s” teeth is also short: their roots begin to dissolve (dentists say “resorb”) approximately 2 to 3 years after they are fully formed. The process begins from the area where the crowns of the permanent teeth growing underneath touch them.

However, it happens that the rudiments of molars do not form for some reason. In this case, the roots of the milk teeth most often dissolve under the influence of the rudiments of adjacent permanent teeth. But sometimes this does not happen, and then “children’s” teeth are preserved in adults - doctors call them persistent, from the Latin persistere - to remain, to remain.

The reasons for the absence of permanent tooth buds can be different. Sometimes these are hereditary characteristics, metabolic disorders or disorders of the endocrine glands, trauma and osteomyelitis of the jaws. Chronic and acute inflammatory processes in baby teeth, in particular, periodontitis that is not cured in a timely manner, can also lead to damage and death of the rudiments of permanent teeth.

It also happens that the rudiments of permanent teeth, although they are formed, lie very deep, without touching the roots of milk teeth. This may be caused by insufficient space or misalignment of the permanent tooth. In these cases, milk teeth can remain in an adult.

Reasons for deviations

Reasons for the absence of the process of changing bone organs in the jaw row:

heredity;
maxillary osteomyelitis;
mechanical injuries of the jaw in childhood;
metabolic disorders (in particular calcium deficiency);
glandular pathologies;
acute and chronic inflammation (periodontitis);
unfavorable factors during the mother’s pregnancy (the fetus may not develop the rudiments of permanent teeth or the formation process will begin much later than usual).

If there are rudiments of permanent units, problems may also arise:

the germ is too deep (the crown does not touch the root of the temporary tooth and replacement does not begin);
incorrect position or direction of growth of constant units.

In all these cases, an adult may have many or one milk tooth left.

Signs of the development of Costen's syndrome and orthopedic treatment used in modern dentistry.

In this article we will discuss whether malocclusion can develop due to a pacifier.

Follow the link https://orto-info.ru/zubocheliustnye-anomalii/chelyustey/krivaya-ne-prigovor.html to find out which doctor you should contact if your jaw is crooked.

What to do if an adult’s baby teeth don’t fall out?

Of course, baby teeth often cause problems in adults. Firstly, they are designed to have a short lifespan, and therefore their resistance to caries is much lower than that of permanent teeth. Secondly, baby teeth that do not fall out in time can interfere with the growth of permanent teeth and lead to their incorrect location. However, this does not mean that a baby tooth found in an adult must necessarily be removed. It all depends on each specific case. Most often, doctors recommend keeping well-preserved baby teeth in adults - let them last as long as they can. After all, the permanent ones may never emerge in their place.

In any case, the question of the fate of a baby tooth in an adult is decided only after an x-ray is taken. This will help to find out whether there are rudiments of an unerupted permanent tooth, as well as whether the roots of the baby tooth are being reabsorbed. If there are no rudiments and the roots of the baby tooth have not resolved, while the baby tooth is motionless and looks quite aesthetically pleasing, then it is not worth removing it. The same applies to cases when the permanent tooth, judging by the x-ray, is in such a position that it is impossible for it to erupt even after the removal of the milk tooth.

Rehabilitation after removal of baby teeth

The hole heals completely in 7-9 days. If the dentist did everything correctly, there are no complications after the operation. Sometimes on the first day there may be bleeding from the wound, slight swelling and inflammation of the operated area. Normally, unpleasant symptoms disappear after 1-2 days; if they persist longer, consult a doctor.

During the postoperative period, parents need to monitor the child so that he does not injure the socket or wash out the clot. You cannot rinse your mouth, heat your cheek, sunbathe, take a bath, play sports or play outdoor games. Avoid drinking carbonated drinks, hot and sweet foods.

Is it possible to grow a baby tooth on an adult?

If the baby tooth is mobile or does not suit you from an aesthetic point of view, you still need to start with an x-ray examination. If the x-ray reveals that there are no permanent tooth buds, and the roots of the baby tooth have resolved, while the baby tooth has mobility of 3–4 degrees (that is, the tooth is very mobile), then it should be removed and further decide what type Prosthetics are more suitable for you to replace the loss.

If you are not satisfied with the appearance of the tooth, it is necessary, again using an x-ray, to determine the condition of the rudiments of the permanent tooth and the roots of the baby tooth. Further decisions will depend on each specific case, including the age of the patient and the place in the dentition of the baby tooth. If there are no rudiments and the roots of the baby tooth have not resolved, then you can install a veneer on it or carry out a tooth restoration, which will make it invisible in the dentition. And for those who want to completely transform their hair, we can recommend getting lumineers.

If there are rudiments of a permanent tooth, in this case it is worth assessing how much time they need before erupting and making a decision about removing the baby tooth and “pulling out” the permanent one.

Although milk teeth in adults are an anomaly, this is not a reason to necessarily part with them - they can serve you well for many years to come. However, it is possible that this “greetings from childhood” prevents the permanent tooth from growing. So, if you suddenly have a baby tooth, be sure to take an x-ray and consult a specialist.

Anesthesia for the removal of temporary teeth

The main fear of the child and parents is pain during surgery. But in modern pediatric dentistry there are many effective methods of pain relief, thanks to which the young patient feels comfortable.

Usually, teeth are pulled out for adults under general anesthesia, but weaker infiltration anesthesia works well for children. Children's bones and vessel walls are porous, so the anesthetic quickly penetrates them and “freezes” the desired area for a long time. A guidewire is placed only at the age of 4-7 years during intervention on the lower jaw. This is due to the anatomical structure of molars. Sometimes, along with injections, sedation is used - a special gas that affects the patient’s psycho-emotional state and reduces anxiety.

Children undergo surgery under general anesthesia more often than adults. But parents must understand that general anesthesia means turning off all reflexes, including breathing. Therefore, it is used only when operating on children aged 1 to 4 years, when the child is allergic to drugs, organic lesions of the central nervous system or other methods of pain relief are ineffective.

Despite the fact that the drugs used in pediatric dentistry are safe, the doctor should ask the parents about the child’s chronic diseases and allergic reactions, as well as whether pain relief has been used previously.

Is extraction required?

Only a doctor can answer this question, and always on the basis of an x-ray.

It is recommended to leave well-preserved temporary elements with a normally formed rudiment - in this case, replacement will occur later and the services of a prosthetist may not be needed in old age.

If the position of the permanent tooth in the jaw is incorrect, and it will not be able to erupt when the temporary unit is removed (if it is in good condition and there is no process of root resorption), then doctors also advise leaving it.

The doctor makes a different decision in the following cases:

the baby tooth is mobile (3-4 degrees of mobility);
small size and aesthetically unpleasant appearance (in the absence of the rudiment of a permanent unit);
there is not enough space for the correct arrangement of adjacent teeth (if there is no rudiment or if it is too deep);
the permanent element is sufficiently developed for eruption, but is hampered by the temporary unit;
the temporary element is damaged and can cause inflammation, injuries to the jaw and oral cavity.

Aesthetics and size alone cannot serve as an indication for removal, but are taken into account for further prosthetics , since simple removal can provoke movement of the entire row and further orthodontic problems.

What to do with them

How to solve the problems that have arisen? This is decided by the dentist on a case-by-case basis.

Often, a milk unit that has been well preserved is left, and it serves for a certain time. After all, a permanent unit may not grow in its place.
An accurate diagnosis can be made after monitoring the x-ray. It shows whether there are undetected sprouts, and whether the root of the milk organ is resolving.
If there is no permanent rudiment, and the roots of the temporary fixed unit do not change and the crown looks good, then tooth extraction is not prescribed.
The same is done when the picture shows that the permanent unit will not erupt even after the elimination of the temporary tooth.

And one more thing: baby teeth are left if they do not interfere with other permanent units. But when baby teeth have not fallen out, but they are loose, create problems for the patient and do not look aesthetically pleasing, a decision may be made to remove them. The lost organ is replaced by prosthetics. A damaged unit that is not loose can be revived with lumineers or veneers, giving it the appearance of a permanent tooth