Crooked teeth in children: when is it necessary to intervene?

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Philippe Gloaguen
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The baby's teeth grow out and seem crooked: it can happen, especially with the first teeth, both milk and permanent. In most cases, they straighten themselves over time. What if they don't straighten? When to go to the dentist? And when is the appliance needed?

MyModernParents interviewed Laura Strohmenger, professor of Dentistry at the University of our city and national supervisor of the Working Group of the Ministry of Health for the elaboration of national guidelines for the promotion of oral health and the prevention of oral diseases in developmental age. Read also: Baby's first teeth, advice to parents

Is it normal for a milk tooth to be born crooked?

Yes. It is quite common, especially when it comes to central and lateral incisors, both lower and upper. This is because, having a lot of space available, they can easily go wrong directions.

In most cases, the teeth slowly return to the right place, both for the action of the other teeth that erupt in the meantime, and for a precise push of the muscles of the lips and tongue.


Bunny incisors

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And here is the first tooth! But have you noticed how some children grow up? Yep, they grow like sweet bunny teeth. Find out why and watch this ...

When should a crooked baby tooth be shown to the dentist?

If, once the eruption of milk teeth is completed (which ends around 30 months), some continue to remain crooked, it is good to ask the pediatrician for an opinion first, then, if the mother needs more information, to a dentist pediatric.

In any case, a periodic visit to the dentist, starting from 3 years, is always advisable, not only to check a crooked tooth, but to evaluate the general structure of the mouth and follow its evolution, check that there are no caries, make sure your teeth are cleaned well. In short, take care of the health of the teeth at 360 ° to prevent future problems. Read also: The teething calendar

What if permanent teeth are born crooked?

The speech is similar to what was said before for milk teeth: it is possible that the tooth erupts in the mouth not straight, but it is possible that in the following months it aligns spontaneously, thanks to the thrust of the other teeth and the lingual and labial muscles.

What is the right age to wear braces?

In general, the right time to correct your teeth could be around at 8 and 11 years old. This is because between 6 and 7 and a half years there is the first phase of exchange of the teeth, which concerns the incisors, anterior and lateral, both upper and lower.

Then follows a period of stability, in which milk and permanent teeth coexist 'peacefully', up to the age of 10-11, in which all the other milk teeth are exchanged.

An orthodontist's intervention can be evaluated either at the end of the first or second phase, although we are currently studying some therapeutic innovations with small mobile appliances, even for children aged 4 to 6 years.

However, it should be emphasized that each situation must be assessed individually, because each mouth is different from the others and a single crooked tooth must be included in the set of teeth.

In addition, orthodontic intervention can also be evaluated if a crooked tooth constitutes a problem for the child from a psychological point of view.

The important thing is that parents are informed about the various aspects: short and long-term benefits, likelihood that the teeth will fit on their own, risk of having to put the braces back in the future.

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