Natural developmental changes.
No need to worry, visit the dentist for extraction.
If the primary tooth is significantly loose, wait
Commonly referred to as "double teeth,"
it is a natural developmental change.
The permanent tooth may emerge while the primary tooth has not yet fallen out.
This can occur when the primary tooth's shedding is delayed or starts earlier than scheduled.
The permanent tooth should push upward, dissolving the roots of the primary tooth.
When the permanent tooth is positioned behind the primary tooth,
it can happen due to insufficient space within the oral cavity
Treatment
It is crucial to assess the condition and health of both the newly emerged permanent tooth and the existing primary tooth. Immediate professional intervention is necessary. If the primary tooth in front of the permanent tooth is significantly loose, it may naturally fall out, but if not, extraction may be required to allow the permanent tooth to take its place.
During the extraction, if the root of the primary tooth breaks midway, it is advised not to forcefully extract it but rather wait for it to come out naturally while gently manipulating the gums. Extraction is typically performed under local anesthesia using lidocaine.
However, if the child has an underlying medical condition, obtaining permission from the treating hospital is crucial before extraction. For instance, a child taking medication for hypertension needs approval to ensure there are no interactions between the antihypertensive drug and lidocaine, which is used for anesthesia during dental procedures. Depending on the
type of antihypertensive medication, there may be potential side effects such as prolonged bleeding after extraction
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