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Big teeth...

33 replies

PlateSpinnerJuggler · 25/08/2021 21:57

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???

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l2b2 · 26/08/2021 10:49

Get a referral to a one of the London Dental hospitals- it will be specialist paediatric and orthodontic input there.
Unless the same type of clinicians also work privately, then not suitable for bog-standard private dentistry.
Also, your daughter probably still hasn't lost all her deciduous teeth yet, there may be other permanent teeth that have failed to form unfortunately.
The hypodontia clinic will make a treatment plan for your DC; whether that involves adhesive bridges/ temporary partial denture or long term implants, will be decided once all the variables are known. Good luck.

L1ttleSeahorse · 26/08/2021 11:15

@PlateSpinnerJuggler I'd report your OP and ask MN to ammend your title as I think you will get more responses if you want to do that. However you may have enough already?

Absolutely front central teeth are important! I wasn't meaning to minimise that sorry. You do want a referal to a hypodontia clinic and you are amazingly well placed as you are already in London - we have to travel a few hours in.

I would stay NHS - particularly as you have access to London hospital dentists. But you do need to be referred.

L1ttleSeahorse · 26/08/2021 11:16

I'm a bit surprised your dentist couldn't see teeth on the xray at 10 and still didn't refer.

PlateSpinnerJuggler · 26/08/2021 11:35

[quote L1ttleSeahorse]@PlateSpinnerJuggler I'd report your OP and ask MN to ammend your title as I think you will get more responses if you want to do that. However you may have enough already?

Absolutely front central teeth are important! I wasn't meaning to minimise that sorry. You do want a referal to a hypodontia clinic and you are amazingly well placed as you are already in London - we have to travel a few hours in.

I would stay NHS - particularly as you have access to London hospital dentists. But you do need to be referred.[/quote]
Thanks - how do I report a post?

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CarrotTops · 26/08/2021 13:09

The dentist needs to do appropriate imaging to determine if the teeth are present and then refer onto an orthodontist. It's not acceptable to just tell parents watch and wait.

If the dentist has done an xray and they aren't evident on it, and they haven't erupted by 10, it's most likely they aren't present. They aren't going to be chilling below the xray field and naturally come through. Even if they are present, which I doubt they are, it still needs a referral as they would be heavily impacted and won't erupt of their own accord

She will probably end up seeing a hospital orthodontist maybe with some restorative input, it won't necessarily need to be the royal London or the eastman off the bat. 2 teeth isn't major hypodontia, so don't worry too much, although she needs xrays to confirm she's not missing anymore. The NHS will be absolutely fine to deal with this, you don't need to go private. Tbh the NHS tends to be better at managing hypodontia as you get multidisciplinary management

I would definitely go back to the practice and ask to see the previous dentist. You shouldn't need to push for this, I'm not sure what the dentist is thinking tbh

PlateSpinnerJuggler · 26/08/2021 15:45

Thanks @CarrotTops

I have called the practise and asked the situation to be reviewed by the lead dentist there - he's currently on paternity leave but the guy at reception (who is always very lovely and helpful) said he's diarised it to discuss with him next week when he's able to contact him.

Out of curiosity @CarrotTops why is multidisciplinary thought to be required for dental work?

Same daughter has a thyroglossal cyst duct which too is congenital- wondering if could be linked...

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l2b2 · 26/08/2021 18:09

Multidisciplinary in respect that joint orthodontic and paediatric dentistry involvement plus specialist prosthodontists usually get on board too.

PlateSpinnerJuggler · 26/08/2021 18:27

@l2b2 thanks! Hadn't realized how many different dental fields there are... appreciate the guidance

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