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FAQ:  Pediatric - Children's Dentistry



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Question:
Hi, my baby daughter had to have one of her front tooth extracted due to impact/accident as the tooth was fractured. I am concerned about her self-esteem/image, even though she is really young, I would like to know if she can wear an appliance in place or what I can do.

I don't know if I should leave it alone or what and I am also concerned if the adult tooth would grow in properly and if it will grow out in there. Please advise. The dentist who pulled my daughter's tooth was not very helpful, didn't communicate with me very much and wasn't very reassuring. The other dentist told me that I would have to wait til my daughter turned three to have an appliance put in but that seems a long time to wait. ...Michele in MD

Answer:
Michele, I'm going to assume that the tooth that was extracted was a top front tooth. Whenever a top tooth is lost/extracted early, the good news is that there will be no space lost.

Since the canines/cuspids are in place, they are like the foundation of a house and will not allow the teeth to move. Yes, you can have a pedo-partial placed which is an appliance which will have a tooth present. You will have to wait until she has her first primary molars (it's preferable to wait until the 2nd primary molars; but it will work with the 1st molars).

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