any dentists about to advise me about dd aged 11 1/2

[piratecat]

The dentist today said that we will review in 6 months but he feels there is no room in top on one side for both the lateral incisor and the canine.

Canine is not errupting yet, on that side, tho there is a white mark.
Behind and sticking sideways is her erupted fully grown lateral incisor, and he said that i may have to come out???
Her baby canine is almost filling that gap, it is a bit wobbly.

I said so she could end up with one missing lateral, to which he said yes, or in time they might take out a premolar. Surely that would be better aesthetically?

Has probably got to see an orthodontist after the next 6 month check.

She is upset. I am surprised. any advice ?? thanks

bump

The decision to remove a tooth will be made by the orthodondist and they will discuss all the options before commencing treatment. Ultimately it will be down to you to make the decision and consent to a treatment plan. So please don't worry.
Usually the orthodondist will wait until all the permanent teeth are through before commencing treatment. From your description it sounds like your dentist is planning an early referral because of the tipped lateral. This standard practice to make sure the canine isn't damaging the root of the lateral as it moves past it. Since there is nothing you can do to intervene again don't worry. However if this is spotted early treatment can be planned accordingly.

hello and thankyou.
what is a tipped lateral, is that the one sitting behind with its side facing forward. it's behind the baby canine.

the dentist who is a lovely man just made it sound like it's number is up. the other one on the left is sat there perfectly.
the bottom row, well they are crazy.
should she wiggle that baby one like mad?
oh does this run in families as have just today realised ex mil has no lateral incisors at all. nor has ex's sibling
a boy we know had one of his lateral removed as it had no roots.
its a whole new world we have entered today.

sorry for so many questions and thanks if you answer.

If you can, I think I'd wait until he's seen the orthodontist. My daughter's four top teeth stick out so she can't close her month. She orthodontist has done an xray and says the teeth either side of these (which are still to grow through), will be doing the opposite and growing inwards at quite an angle, so she will have her brace at about the time they are to come through in the hope of lining them up while coming through.

I think I'd be tempted to ask if he an see an orthodontist earlier and he/she can decide whats the best thing to be done.

hi Madmog,

how old is your dd, mine is 11 1/2. Only 3 of her top 4 are in place, the right incisor is sticking down into her mouth, the baby one blocking it. She has all her others an there's no room.

Maybe i should ring dentist and ask a few more questions, if it would be better for her to go sooner.

ok i rang the dentist and spoke with the nurse who saw dd, and she assured me that had dentist wanted dd to see ortho now he would have said.

x

Lateral incisors are probably the most common tooth to be missing and yes it is genetic. However they can be totally or partially missing. The incisor teeth develop from three lobes (mammalians) that fuse to form the normal triangular tooth shape.
When affected the tooth develops with one or more of the lobes missing and are known as peg laterals, if none of them develops the tooth is missing.
If you google mammalian peg lateral images you can have a look and compare.
Again the orthodontist will decide the best course of treatment. Often peg laterals are retained and when treatment is complete they can be built up cosmetically to make them look like normal laterals.

wow thankyou its fascinating. i appreciate you replying.

in dd's case the incisor is right down or grown should i say. yet it's sitting well back behind a baby tooth.
dentist doesn't think there is enough room for it and the canine that is just showing as a white line at the moment.
on the other side dd incisor is down and in place but the canine isn't yet. tgdtdwgp alot more of that canine though i am guessing because the baby tooth was lost months ago.

he is apparently very experienced in ortho and my greatest surprise was that he told us it will most likely have to go . do they really leave people with only one lateral.
i understand there wouldn't be a gap.

also the nurse said that there is more they can do if i went private as the nhs will only offer certain options.

i understand this to a degree but being am nhs patient myself i am used to not being able say to have white fillings as a compromise.

what compromise are we talking about here with this type of situation.

would very much appreciate your thoughts again. thankyou.

I don't think the Nhs vs pirate option is necessarily true. As previously said, the Ortho will need to wait until all the permanent teeth have erupted before making a decision. It is quite common to align the lateral incisor and extract the premolar but depending on its position, there can also be a greater chance of relapse (tooth moving back after treatment).

Feel free to pm me if you wish

like the typo ! v pirate. it sometimes feels like its NHS versus me with all the ailments dd has had lol!

Hmm the nurse was not worth worrying about then.

Thankyou for the info about the molar,it does seem like a more natural way to go.

I shall stop worrying so much, it was just the way dentist put it then.

I would agree with Rayof regarding NHS v private.
And dentists who are very experienced in orthodontics are usually orthodontists. It is a very specialist area and most of us General Dental Practitioners only do it under their strict supervision. My DS's teeth are developing into an orthodontists worst nightmare but there is absolutely no way I would dream of treating him myself. He has already had one removable brace but will likely need years of treatment in his teens.

thanks willdoitinaminute, that clarifies the difference for me and that the nurse was prob trying to put my mind at rest.

I hope your son's treatment works well. x