When Teething Takes a Twist: Navigating the Bumpy Road of Older Children’s Dental Development

The Normal Process of Losing Baby Teeth

The journey from baby teeth to adult teeth is a significant milestone in a child’s life. Typically, children start losing their baby teeth around the age of 6 or 7, beginning with the bottom front teeth. By the age of 8, most children will have lost eight baby teeth, four on the top and four on the bottom. This process usually follows a predictable pattern, similar to the order in which the teeth initially erupted. However, it’s not uncommon for some children to start feeling a loose tooth as early as age 4 or as late as age 8.

When Things Don’t Go According to Plan

Whilst the process may seem straightforward, it doesn’t always go as planned. Parents often find themselves concerned when their child’s baby teeth don’t fall out on time or when new issues arise. So, why does this happen?

Delayed Tooth Loss

One common concern is delayed tooth loss. Between the ages of 8-10, there’s often a “quiet period” where not much tooth loss or eruption occurs. Parents need not worry about this delay unless there are specific issues like crowding or missing permanent teeth. If you notice that your child’s baby teeth aren’t falling out as expected, it’s essential to consult a dentist for an evaluation.

Crowding and Missing Teeth

Crowding occurs when there’s not enough room for permanent teeth, causing them to grow in crooked or misaligned. On the other hand, congenitally missing teeth mean that some adult teeth are absent, causing the baby teeth to remain longer than usual. Both situations may require orthodontic intervention.

The Importance of Early Evaluation and Choosing a Family-Friendly Dentist

Early evaluation can be a game-changer in your child’s dental health. Around the age of 7 is an ideal time to have an initial orthodontic evaluation. This early assessment allows the dentist to identify any potential issues that may become more complicated as your child grows. For instance, issues like crowding, overbite, or underbite can be more easily corrected when addressed at a younger age. Early intervention can often simplify later treatment, making it less invasive, more effective, and potentially less costly.

Moreover, the benefits of early dental evaluation extend beyond just the alignment of teeth. It can also help in the proper development of the jaw and could correct minor speech problems. By identifying and treating these issues early, you’re setting the stage for a lifetime of beautiful smiles and optimal oral health for your child.

Alongside early dental evaluation, choosing a family-friendly dentist is equally crucial. Children are often anxious about dental visits, and a family-friendly dentist can make the experience less intimidating. These dentists are trained to handle children’s dental issues in a way that makes them feel comfortable and safe. They often have child-friendly environments, complete with toys, books, and activities that can make your child look forward to their dental visits.

Regular dental check-ins are essential for monitoring your child’s dental hygiene and growth. It’s recommended that children have at least one dental check-up per year. These visits allow the dentist to monitor the cleanliness of the teeth, the development of the jaw, and the overall oral health. Regular check-ups can also help instil the importance of good oral hygiene in your child, setting them on the path to a lifetime of healthy dental habits.

The Phenomenon of “Shark Teeth”

One peculiar issue that can arise is the phenomenon known as “shark teeth,” where a child’s permanent tooth begins to erupt behind a baby tooth that hasn’t fallen out. This usually occurs between the ages of 5-7 and is generally not a cause for concern.

What Should You Do?

If your child’s mouth is healthy and their baby tooth is starting to wiggle, you probably don’t have to do anything. The baby tooth will eventually fall out, and the adult tooth will take its proper place. However, if the baby tooth isn’t loosening within about two months, or if your child experiences pain or discomfort, it may be necessary to consult a dentist for further treatment.

Signs Your Child May Need to See a Dentist

Baby tooth isn’t loosening: If the baby tooth doesn’t seem to be loosening within about 2 months, you may need to see a dentist to have the tooth extracted.

Shark teeth in the molars: Whilst shark teeth are most common in the front teeth, if your child’s molars are experiencing the same issue, you may want to consult a dentist and orthodontist.

Pain or discomfort: Any kind of tooth pain, besides a wiggly tooth feeling a bit sensitive, warrants a dental consultation.

Is It a Cause for Concern?

Whilst these issues might seem alarming, they are usually not a significant cause for concern. Most of these conditions resolve themselves with time. However, it’s crucial to maintain regular dental check-ups to monitor your child’s dental development and intervene if necessary.


The road from baby teeth to adult teeth can sometimes be a bumpy one, but understanding the process and knowing when to seek professional help can make the journey smoother. So, the next time you find yourself worrying about your child’s dental development, remember that you’re not alone, and help is just a dental appointment away.

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