What should I do if my child’s permanent teeth are not erupting?

Feb 17, 2022 Source: Cainiu Health
Dr. Jiang Zhiyang
Introduction
Solutions for delayed eruption of permanent teeth in children include: - Consulting a dentist and undergoing X-ray imaging to determine the underlying cause, followed by tailored treatment based on individual circumstances. - Encouraging increased chewing activity; overly soft or refined diets may fail to provide the physiological stimulation necessary for normal tooth eruption. - Ensuring adequate calcium intake—since teeth are part of the skeletal system—and maintaining sufficient vitamin D levels, for example, by drinking milk regularly.

       Tooth replacement refers to the natural shedding of primary (deciduous) teeth and the subsequent eruption of permanent teeth—essentially a “handover” from primary to permanent dentition. If a child’s permanent teeth fail to erupt as expected, the following approaches may be considered: ① Consult a dental specialist and undergo dental X-ray imaging. If the tooth germ (dental bud) for the permanent tooth is congenitally absent, no tooth will ever erupt at that site; in such cases, dental prosthetics (e.g., a bridge or implant) may be required to replace the missing tooth. Conversely, if the permanent tooth has already developed within the alveolar bone but remains unerupted due to overlying gingival tissue, surgical intervention (e.g., gingivectomy or exposure surgery) may be necessary.

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       ② Encourage increased chewing activity. Overly soft or refined diets may deprive teeth of essential physiological stimulation, potentially delaying eruption. ③ Optimize nutrition. Teeth are calcified structures integral to the skeletal system and require abundant calcium. Consuming adequate milk and ensuring sufficient vitamin D intake support optimal mineralization and enhance the strength of newly erupted permanent teeth.