Big teeth...

[PlateSpinnerJuggler]

Has anyones children had their front permanent teeth come through late?

If so what age?

DD - 10, central front bottom teeth are still milk teeth and dentist couldn't see the big ones on an X-ray - but said we should keep eye as could still be deep... - little worried - what if they're not there at all???

And now I'm reading up on it...
My 8 year old also lost her upper lateral incisors ages ago and nothing has erupted yet....

My upper incisors grew small and pointy plus a few years ago my dentist told me that one of my upper canines is still a milk tooth (I'm 40)

So now I'm googling away about hypodontia and can't help but worry for my kids... I know it's been fine for me - but for my 10 year old it's her front central incisors!!!

Am I right to just sit and wait for her 6 month check up - when she'll be almost 11??

Any experts know what you would do anyway? Just leave the milk teeth to last as long as possible? Or would you build them ASAP for support and to look like adult teeth?

Thanks!

Your dentist should be able to definitively tell you whether your eldest 's teeth are congenitally absent radiographically and then the next step is to refer for a specialist paediatric dental opinion. The onus is not on you to be " keeping an eye out" , the onus is on the professional to diagnose and refer. Early diagnosis and treatment planning is key in hypodontia. Absent lower permanent centrals are a more unusual presentation of hypodontia, I have seen a couple of cases in a 20 year + career; whereas absent upper permanent laterals are much more common.

It might be worth doing another post with a different title as I assumed this post was about a child with large teeth! I’m afraid I don’t have any advice but my teen was very slow to lose his teeth and the final ones had to be pulled out prior to him getting his braces. If the dentist didn’t seem worried then I think it’s fine to wait for your next check up.

Ask your dentist to do the necessary Xrays for a definitive diagnosis and sort out a specialist referral, or, find another dentist pronto. It may take some time to see a specialist, but at least things will be moving in the right direction.
The idea of waiting another 6 months for lower permanent centrals to erupt at age 10.5 years is ridiculous.

@l2b2 thank you so much for taking the time to respond... clearly you're in the field...
I'm going to call the practise, I used to see a different dentist there but he since bought out the practise and mostly sees private only but he's the reason I liked this practise respecting his opinion and professionalism - so I'm going to ask for him to review her appointment.
From your experience what is done if it is hypodentia for the lower centrals?
Feel annoyed with myself for not raising this and going to dentist sooner (first appointment since covid) I just thought they were late...

@DobieGrayshark yes - that was not a sensible title in hindsight!

One of my daughters has hypodontia which was picked up when she was around 8 or 9. She's now 11 and on a wait list to see the orthodontist. From my understanding she will have braces fitted (possibly with fake teeth attached) to maintain gaps and can then have more permanent measures taken when she is older (implants maybe). She is not bothered by it as the dentist told her it's an evution thing and she's evolved, like a pokemon

@MysteriousMonkey thanks! So funny I still recall my dentist telling me that about my small pointy lateral incisors back 25-30 years ago!
My eldest is just not very good with pain - so makes me a little worried for her if she's going to need work...

I had a number of dental things growing up since I also fell and snapped my top front tooth through the nerve so have a fake tooth there - guess an implant but I just can't picture her handling dental work so well 😥 I better stop worrying and start thinking more about how to support her through stuff.

I had to fight to get my DD referred, they refused to X Ray each time saying wait another 6 months. I have hypodontia with around 8 teeth missing, I insisted on an X Ray and it was confirmed, she was referred to The Royal London, where I was also treated, and at 16 she is just coming to the end of her treatment now.

Unlike me she hasn't needed bridges, it's been a combination of braces and composite build ups of the existing teeth.

You need to get on waiting lists now as they are long, I would go back and insist on a referral.

My eldest is just not very good with pain - so makes me a little worried for her if she's going to need work...

Please try not to worry, my DD has had so much done but nothing has hurt just sometimes a bit uncomfortable. The staff have been so amazing, she's taking her main Orthodontist a card today to thank him as he's just been so lovely to her.

DD has oligodontia ( more than 6 missing teeth). And aged 22 is finally reaching the end of implant treatment on the nhs. ( all bottom front teeth missing plus random others!)

Key things to do are to look after the teeth you have, and preserve baby teeth, as keeping them helps to keep good jaw bone density.

Hopefully your child’s missing teeth will appear, if not make sure you get referred to prosthodontics at one of the big nhs hospitals. We travel to the Eastman in London.

My 10 year old daughter is missing the two teeth on either side of her two front teeth at the top. My husband had the same issue so it’s possibly hereditary. It was picked upon an x-ray for hypoplasia (missing enamel) when she was younger and we have been told she will be referred to an orthodontist when she is older. I think intention is to try using braces to close the gaps first or a bridge if that doesn’t work. She currently still has her baby teeth in situ so just has four monthly dental checks for monitoring. After seeing this thread, I’m now wondering if we need to push to get her on a waiting list sooner. I hope your daughter gets sorted OP x

I think you need to be much more firm and insist on referrals and action being taken.

@UncomfortableSilence which teeth did your daughter have missing? Thanks for the suggestion.
Has royal London been good? I'm London based too...

@Chickenkorma64 hey! Thanks for this...
Have you been pleased with the Eastman? Where exactly is it - I've not heard of it before?
What age did you daughter start the treatment?
Thanks

@Oblomov21 you know medically I really do typically push and advocate for my family - we have had not great experience despite our advocation - I don't know why on this one appointment i just said "ok see you in 6 months then"

@Gingerlovesbiscuits so these are the two my 8 year old lost ages ago but haven't come through... she didn't even X-ray those when I asked after her comment on my eldest...
She just said let's see in 6 months 😬😬😬 feeling really disappointed in myself for not knowing this could be a thing beforehand to push on!!!!

@UncomfortableSilence seeing as you so rate your orthodontist would you share his / her name

Severe hypodontia here and see incredible consultant at Guys and St Thomas's. I don't think with 2 missing teeth you'd need that level of care we've needed but they run hypodontia clinics.

I'd def be seeking a referal beyond your dentist.

We've had a fair bit of treatment betwen us and they have always been incredible with children.

I might repost with "missing teeth". I had assumed you meant oversized teeth.

[quote PlateSpinnerJuggler]@UncomfortableSilence seeing as you so rate your orthodontist would you share his / her name [/quote]
It's his last day today, he's finished all his training and exams and is moving on unfortunately. But all the staff we have seen at The Royal London have been top class so if you are within reach of there ask for a referral there. The Eastman is also supposed to be excellent.

[quote PlateSpinnerJuggler]@UncomfortableSilence which teeth did your daughter have missing? Thanks for the suggestion.
Has royal London been good? I'm London based too...[/quote]
Sorry I missed this, canine top and bottom and another top one further round.

@L1ttleSeahorse
Agree my title was not the best but considering so much feedback I don't want to start another...
Anyone know if there's a way to amend a title?

I know it's only two teeth but given it's front and central I'm thinking it's more key than if others...

Also - for all - Is this the the type of thing best to stay with NHS for or to seek private route...