Milk Teeth

Milk teeth or deciduous teeth are the first set of teeth that erupt soon after birth. They are also known as primary teeth. They are 20 in number and fall off between the age of 6 to 10 years. They differ from permanent teeth in many ways. They are small and whiter with short roots. They are more prone to caries due to the sugary diet of children, prolonged bottle feeding, and poor oral hygiene. Proper care must be taken to keep them caries-free as it may affect the developing permanent tooth bud.

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My kid's pulpectomy could not be completed as she was screaming. Will it bleed?

Query: Hello doctor, My daughter underwent a root canal. She is 4. The dentist tried to do it with gas and numbing it. She sat well through the drilling, then when he was doing the pulpectomy, she screamed and choked and flailed around. The dentist seemed unable to handle it all and he said she had a hyper...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to It is normal for the pulp to bleed profusely when it is a little enlarged inside, like a polyp. The dentist could have easily managed her, had he given a local anesthesia (just a drop would have numbed it) directly inside the pulp when doing the root canal treatment....  Read Full »

My son's front tooth got slightly bent due to a fall, but there is no pain or swelling. Is it safe to give painkillers at night?

Query: Hi doctor, My son fell down in the playground and his front tooth is slightly bent but I do not see any swelling in that area. He was crying in pain for some time but he looks normal now. Can I give him some painkillers before bed? Do you advice Paracetamol or Ibuprofen? He takes Ventolin and Flixo...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to I read your query and can understand your concern. If the tooth is not mobile then no need to worry for now. But it may become nonvital after a few months or a year and will get darker in color. If any swelling occurs later on, it may need a pulpectomy procedure. Still...  Read Full »

My 18-month-old son is on a sugar-restricted diet but has decaying teeth. Is it reversible or manageable?

Query: Hello doctor, My 18-month-old son's teeth are decaying. First, the front (upper) four decayed, and now the sides have started decaying. He has a restricted sugary diet and has not been breastfed for the last seven to eight months; however, he is on breastfeeding now. Please suggest if the decay is r...  Read Full »

Dr. Anjana. G.

Answer: Hi, Welcome to I read your query and can understand your concern. As per the image (attachment removed to protect the patient's identity), your baby has rampant caries, which is nothing but a borrowing type of dental cavity that occurs due to various factors. Initial treatment includ...  Read Full »

My daughter’s last left back tooth broke and was hollow. Why?

Query: Hi doctor, My 10-year-old daughter's back left tooth completely broke off on her gum, and it was hollow. I believe it is an adult tooth. How would a tooth be hollow?  Read Full »

Dr. Tooba Qazi

Answer: Hi, Welcome to If it is the second last tooth of the last side, then it is the last milk tooth that got broken, as it falls off in between age 9 to 11 years. If it is the last tooth of arch that got broken it is the permanent molar tooth. It is the only permanent molar in arch till 12 y...  Read Full »

A 7-year-old child lost two front teeth 18 months ago. When will they erupt?

Query: Hello doctor, My 7-year-old daughter lost her two front teeth well over 18 months ago. They have no signs of coming in still. Is there a problem? Should I get a check up done? Please advise.   Read Full »

Dr. Muzaffer Hussain Parray

Answer: Hi, Welcome to Normally it should have started erupting as seven to eight years is the average age and 7 to 12 months is the average eruption time after tooth falls. In case your girl is malnourished or low in weight or there is any other systemic condition associated, the situation m...  Read Full »

Why is permanant teeth coming behind of my daughter's milk teeth?

Query: Hi doctor, I usually check my daughter's teeth as per her local pediatric dentist's suggestion as her front teeth are about to fall. Before three days, everything was normal. When we checked today, we found that the tooth was coming from the backside of the milk tooth. It seems to be very much cross...  Read Full »

Dr. Bharat Joshi

Answer: Hello, Welcome to The permanent teeth erupt back of the milk teeth. It is normal to cross the milk teeth as they will come in a straight line in one to two years. I request you to please get an image of the involved teeth to see the status of the root whenever you get a clinical check...  Read Full »

How to fix broken front two teeth in a 6-year-old?

Query: Hi doctor,My 6 year old daughter fell and broke her two front teeth. Please check the photos. I am on my way to a physician, and the blood is almost stopped. But, I want to know your opinion of the situation. Is it dangerous?  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to You have to get her to a dentist. To remove the dangling milk tooth and stitch the area if laceration is present. Apply ice over the area of trauma. It does not seem to be much problem as the tooth appears to be a milk tooth and thus even if it goes, the next te...  Read Full »

Kindly give your suggestion on the delayed tooth eruption of my 15-year-old son.

Query: Hello doctor, My son is 15 years old. His milk teeth are not fallen out yet. Based on the X-ray report, the permanent teeth are below the milk teeth. Hence, we are getting extraction of milk teeth in phases and waiting for permanent teeth to erupt. However, it had been more than a month, and the p...  Read Full »

Dr. Rakshana Devi M

Answer: Hello, Welcome to I saw the X-ray that you have attached (attachments removed to protect the patient’s identity). Certain people will have delayed eruptions. So do not worry. As the milk teeth are extracted, we can wait for another two weeks for the permanent teeth to erupt. As the ...  Read Full »

Is it better to go for pulpectomy or extraction for my 2-year-old son who has tooth pain?

Query: Hello doctor, My 2-year-old son has tooth pain. He has been suggested pulpectomy or extraction. Which one is better? Kindly suggest.   Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to The best option at two years of age is going for a pulpectomy to save the tooth and retain the space until the permanent tooth erupts. Extraction is not recommended at such an early age. I hope this helps. Do revert in case of further doubts. Thank you.   Read Full »

My son has cavities in his milk teeth and is very non-cooperative. Will it be possible to treat him?

Query: Hello doctor, A few days back, I had an appointment with a dentist for my root canal treatment. I took my little son with me as he was alone at home as the maid took off. He was holding a straw and playing, and accidentally, the dentist just saw his mouth when he opened it. The dentist told me my so...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to Please attach pictures of his teeth if possible. It is always better to get cavities filled at this age. Sedation can be used to restore them; yes, they may affect permanent teeth later. Thank you.  Read Full »

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