When the milk teeth are shaky, the permanent teeth are erupting slighty inward. Please help.

Hello,

Welcome to iclinq.com.

I went through your query and also seen the image attached (attachment removed to protect patient identity). As a specialist it is quite fine, she is on the safer side as no such visible misalignment once the permanent tooth erupts fully.

As you mentioned and also visible from the image upper left centra incisor (baby tooth) looks totally mobile, it is better to pull it out. You can get a numbing gel like Rexidine M Forte (Chlorhexidine, Metronidazole, and Lignocaine) gel. Apply over the gums on the mobile tooth. Hold the mobile tooth with a piece of cotton and pull it out if possible. Hold the area with a new cotton gauze to arrest the bleeding.

If not possible let it be as placed it might fall off itself seeing the condition. She will be fine, it was better if the tooth was extracted earlier, then there would not be any chances of malalignment. But it very minute and would not be visible as such. Try feeding hard food, small pieces of hard fruits they might help.

I hope this helps.

Hello,

Welcome back to icliniq.com.

You can buy any numbing gels like Dolo gel CT, and dento gel if you cannot get Rexidine M forte gel. Look for these compositions-

Chlorhexidine gluconate (1 % w/w) and Lignocaine or Lidocaine (2 % w/w) for numbing and Metronidazole (1 % w/w). Your best numbing gel should have all these together especially Lignocaine or Lidocaine.

I hope this helps. Thank you.