Milk Teeth Kids Delhi: Retained Milk Teeth – What to do next?

We humans have two sets of teeth – the primary and the permanent set. The primary or milk teeth develop before birth and start to erupt in infancy. As the age advances and the permanent teeth start flashing, the primary teeth will exfoliate to create space for their successors. Sometimes the primary teeth do not exfoliate, and the condition is known as Retained Milk Teeth or  Retained Primary Teeth. The information below will discuss the causes and treatment of Milk Teeth Kids Delhi.

Causes of  Milk Teeth Kids Delhi

Incomplete resorption of the root

When the primary tooth falls, the root portion is resorbed by the permanent successors. Sometimes the crown portion falls out, and the root portion is not resorbed. If the root is not resorbed, it obstructs the permanent teeth. 

Fusion of bone

The teeth in the socket do not directly touch the bone of the socket. Certain fibers between the tooth and the socket allow specific movement of the tooth within the socket. Sometimes these fibers are absent, and the tooth is fused with the bone. Such teeth fail to exfoliate and present as retained  Milk Teeth Kids Delhi. 

Misaligned permanent teeth

The misalignment in the permanent teeth may be a common cause of delayed exfoliation of primary teeth. Sometimes the permanent teeth fail to erupt, and there is no pressure on the roots of the primary teeth to exfoliate. In a few scenarios, the permanent teeth erupt in front or back of the primary tooth leading to the delay in exfoliation of primary teeth.

There can be other causes of Retained Primary Teeth like trauma, infection, or other pathology. The treatment for milk teeth kids Delhi depends on the exact cause of the over-retained milk teeth. For correct cause diagnosis, our experts need to examine the case clinically and radiographically.

Treatment for Milk Teeth Kids Delhi

Retain

If the crown and root of the primary teeth are in good condition, both aesthetically and functionally, the primary tooth is sound. The choice to retain the tooth is made after confirming the absence of a permanent tooth radiographically. If no shape alteration is required, the decision to maintain the tooth is backed up by periodic follow-up visits. 

The purpose of follow-up visits is to check the retained milk teeth and the adjacent soft tissues at regular intervals. Maintaining good oral hygiene is essential to increasing the longevity of retained primary teeth.

Retain and modify

The second choice for the treatment of Milk Teeth Kids Delhi is to retain and modify the shape if there are esthetic concerns with retained primary teeth. Modification in the condition is only done when the teeth are functionally sound. A detailed clinical examination and radiographic analysis are necessary to confirm the functionality of the retained milk teeth.

Modifications in the shape are generally done using tooth-colored composites or other cosmetic dental procedures.

Extraction

If the tooth is not functionally sound, then maintaining the retained primary tooth is no longer possible. The milk tooth extraction is done after confirming the presence of permanent teeth. If the permanent tooth is present but will take some time to erupt completely, then the space is maintained using space maintainers.

If no permanent tooth is present, the dental implants are planned, and space maintainers are given accordingly to preserve the space for future prosthesis placement.