Consult Doctors. FREE.
Real Doctors, Expert Answers
Connect with Facebook Connect with Google For Doctors
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Consult Doctors. FREE.
Real Doctors, Expert Answers
By creating an account, you are indicating that you have read and accepted the DoctorXDentist Terms of Use.
Registration Progress
Step 1: Indicate Topics of Interests
Step 2: Follow Relevant Doctors
Complete!
What are your interests?
Please select at least 3 interests.
NEXT
NEXT
Registration Progress
Step 1: Indicate Topics of doctors
Step 2: Follow Relevant Doctors
Complete!
Follow your favourite doctors
We found some doctors you may like. Click continue to follow them.
CONTINUE
CONTINUE
Consult Doctors. FREE.
Real Doctors, Expert Answers
Continue with Facebook Continue with Google

or

OOPS!

SOMETHING WENT WRONG.

PLEASE TRY AGAIN.

OOPS! SOMETHING

WENT WRONG.

PLEASE TRY AGAIN.

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR QUESTION HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR QUESTION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR ANSWER HAS BEEN

SUCCESSFULLY SUBMITTED.

YOUR ANSWER

HAS BEEN

SUCCESSFULLY

SUBMITTED.

YOUR QUOTE REQUEST HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL GET BACK TO YOU SHORTLY!

YOUR QUOTE REQUEST

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS WILL GET

BACK TO YOU SHORTLY!

YOUR THREAD HAS BEEN

SUCCESSFULLY CREATED.

HEAD OVER TO FORUM PAGE NOW

TO JOIN THE DISCUSSION

YOUR THREAD

HAS BEEN

SUCCESSFULLY

CREATED.

HEAD OVER TO THE FORUM PAGE NOW

TO JOIN THE DISCUSSION!

YOUR REVIEW HAS BEEN

SUCCESSFULLY SUBMITTED.

THANK YOU.

YOUR REVIEW

HAS BEEN

SUCCESSFULLY

SUBMITTED.

THANK YOU.

OOPS!

THERE IS SOMETHING

WRONG WITH YOUR EMAIL.

PLEASE TRY AGAIN.

OOPS! THERE IS

SOMETHING WRONG

WITH YOUR EMAIL.

PLEASE TRY AGAIN.

YOUR EMAIL HAS BEEN

SUCCESSFULLY SUBSCRIBED.

THANK YOU.

YOUR EMAIL

HAS BEEN

SUCCESSFULLY

SUBSCRIBED.

THANK YOU.

YOUR CONSULTATION HAS BEEN

SUCCESSFULLY SUBMITTED.

OUR DOCTORS WILL

GET BACK TO YOU SHORTLY.

YOUR CONSULTATION

HAS BEEN

SUCCESSFULLY

SUBMITTED.

OUR DOCTORS

WILL GET

TO YOU

SHORTLY.

MESSAGES TO
VIP
Mara
from Singapore asked a question

What should I do if my 5 year old child’s tooth is growing in an abnormal position at the upper gums? (photos)

Request answers from expert doctors:

DxD

We will distribute this question to expert doctors, and notify you about new answers.




Dental Children’s Health Paediatric Dentistry

My son is 5 years old. I discovered today that he has a growing tooth at the front upper gums, which I assume is abnormal because it is not aligned. I also requested for the dentist to remove the black tooth as in the photo, but he told me that the tooth shouldn't be removed because of his young age. Why is that so, and what should I do next for my child?

DOCTOR’S ANSWER (2)

Dear Mara, 

I sincerely hope I am not too late in answering your enquiry. 

Thank you so much for including a picture of your son's dental condition which helped me get a clearer picture of what he is experiencing. As Dr Geraldine has pointed out the presence of tooth decay and also explained the need for dental radiographs ( X-rays ), I will not repeat those points. 

The white area noted on the upper left gums is likely to be part of an existing baby tooth. This is a condition called root fenestration. This is likely due to the tooth decay on the upper left lateral incisor ( the second tooth from the right, as shown in the picture) which I assume may have been present for some time now. His body has been trying to fight this decay and infection. Unfortunately, in the process, the bone surrounding that tip of the tooth's roots has started to soften and dissolve. This causes us to be able to get a peek at the tooth roots through the gums or what I like to call a "window" effect. 

I agree with you that the black tooth should be removed at present. At present, there are minimal risks as compared to the potential benefits reaped if the decayed tooth were removed. While I agree that baby teeth are important space holders for the permanent teeth, I think at this juncture, ensuring decay and any oral infection is quickly brought to a minimum should be considered our first priority for your son. 

A more detailed examination should be conducted by your dentist to ensure there are no other dental cavities to be managed - especially at the back molars. These are common spots where decay may occur. I recommend you bring your son to a paediatric dentist ( a specialist dentist who is specially trained to see children )  or at least a dentist who is comfortable managing children at a young age to get started. 

Hope this has helped you clear up any doubts! 

Warmest regards

Dr Tabitha Chng

0 495 views 0 Doctors agree Wed Aug 29 2018 15:02:53 GMT+0000 (UTC)

Dear Mara,

I would recommend taking an X-Ray to check on a few matters:

1) If your son has all his permanent teeth and to assess their stage of development.

The upper front teeth usually erupt around 7 years of age. Early removal of the baby teeth means that your son will be without his front teeth for another 2 years, which could be why the dentist you saw was not keen to remove them. The Xray will also be able to show the root development of the permanent upper front teeth, which would tell us how soon it will be erupting.

2) To confirm if that is it is really the permanent front tooth growing out or an extra tooth.

Extra teeth (or supernumerary teeth) typically present themselves in the front area of the upper jaw. If it is an extra tooth, it will have to be removed. If it is one of the permanent teeth, I would suggest to wait until more of the front teeth erupt before embarking on some early form of orthodontic/braces treatment. I would advise seeing an orthodontist then to have it assessed.

3) Tooth decay

Your son has tooth decay on the upper front four teeth, chances are he would have decay at the back teeth/molars as well as they are harder to keep clean.

I would strongly recommend seeing a dentist or pedodontist (dentist who specializes in seeing children), and removing the badly broken down teeth, as well as treating the other teeth with decay. They would also be able to advise you on good oral habits and using the right toothpaste to fight against tooth decay.

Baby teeth are important for chewing, smiling and speaking, and most importantly, they help to preserve the space meant for the adult teeth to come through.

If they are lost too early, permanent teeth can drift into the space and this makes it difficult for other permanent teeth to come through. This will result in crooked teeth and even buried teeth as they have no space to erupt, hence we need to take care of our baby teeth as well.

Hope this helps! All the best!

Warm regards,
Dr Geraldine Lee

0 731 views 0 Doctors agree Wed May 02 2018 13:40:36 GMT+0000 (UTC)
Not the answer you're looking for? Browse other answers tagged Dental Children’s Health Paediatric Dentistry or ask your own question now FOR FREE.

Get Doctor Quotes

Name of Treatment
Category
Budget
Full Name
Email
Contact Number
Other Information
Contact By Phone
Contact By WhatsApp