Problems during tooth replacement | Teeth replacement in children

Problems during tooth replacement

Numerous problems can occur during the formation and development of permanent teeth. It is especially common that permanent teeth have too little space to break through at their intended location due to a too small jaw. In this case, the orthodontist and the dentist work together, so that the dentist pulls teeth to make room, while the orthodontist uses the space to place all teeth straight in position with a “brace”.

If the hard palate is too small due to insufficient growth of the upper jaw, the teeth have no space and with a normally developed lower jaw a false bite occurs: the lower teeth bite in front of the upper teeth. By stimulating the growth of the upper jaw and subsequent repositioning of the teeth, the malocclusion is corrected. This procedure is called palatal expansion.

Furthermore, teeth can break through crookedly and stand crooked or in a gap, if there is too much space. This may be the case if teeth or groups of teeth have not been created. In many cases the lateral incisor or a premolar is missing.

In addition, the bite position can also interfere with the change of teeth. If, for example, the lower jaw is in front of the upper jaw and not the other way round as would normally be the case, it hinders the upper jaw from further growth and the teeth shift. Disorders in the bone development of the upper and lower jaw such as cleft lip, jaw and palate can also have a strong negative effect on tooth development, which must be counteracted early on. Due to the many factors that can negatively influence the development of the teeth, it is advisable to go to an orthodontist for a check-up at the age of 7 to 8, if the dentist has not already advised this. The dentist can then counteract disturbances at an early stage, which is quicker and gentler in the early stages due to growth than after the end of growth.