The first reaction of parents who notice that their child is growing a second row of teeth is natural fear. In dentistry, it is generally accepted that there are two causes of pathology:
- abnormal growth of molars;
- polyodontia or supernumerary teeth.
Normally, permanent teeth replace baby teeth only after the latter fall out. The germ of the molar tooth stretches upward, thereby contributing to the destruction of the roots. With some features of jaw development, this does not happen, which is why the second row appears.
Reasons for the growth of the second dentition in a child
Double or “shark” teeth in children appear when the baby tooth and the rudiment of the molar are located at different points in the oral cavity. When a new set erupts, the baby tooth remains in place. A tooth grows above a tooth, which not only does not look aesthetically pleasing, but also interferes with the development of the rest of the row.
The most common reason why teeth do not change is improper breathing. A lot depends on how a child breathes. Breathing disorders lead to problems with bite, deterioration of posture and changes in facial shape.
A child’s jaw develops correctly only when he breathes correctly through his nose. The tongue in this position presses on the palate from the inside. A natural semicircular shape of the jaw is formed, in which there is enough space for all the molars. This is why it is so important to teach your child to breathe through his nose to prevent the growth of the second row of teeth.
Useful tips
Before removing an incorrectly positioned wisdom tooth, we offer a number of tips that will help you prepare and go through the operation more comfortably:
- Try to make an appointment for tooth extraction in the morning. During the night, the hormone cortisol accumulates in the body, which helps to survive stressful situations. In addition, one should take into account the fact that the inevitable bleeding from the wound at the site of the former tooth will stop by the evening, and the person will be able to sleep peacefully.
- Eat well before surgery. As a result, saliva will be released in smaller volumes, and then you will need to leave your jaws alone and not eat for some time.
- If possible, immediately use a cold object and periodically apply it to your cheek on the way home to prevent swelling from forming. A pack of dry ice from a motorist's first aid kit will do.
- At home, rinse your mouth with clean water or medications recommended by your doctor.
- Take medications in the correct dosage, do not get carried away with self-medication and self-prescription of drugs.
Recommendations for a better rehabilitation period after removal of an impacted wisdom tooth:
- You will need to allow a blood clot to form at the site of the extracted tooth. His presence is mandatory. The clot protects the socket from the penetration of bacteria and prevents complete deformation of the gums. Dry socket is dangerous and provokes inflammation.
- Do not touch the blood clot with your tongue, toothbrush bristles, or cutlery. It is not even recommended to use mouth rinse for 2-3 days after surgery. It is better to take the medicine into your mouth, hold it for a while and spit, avoiding the chance of dislodging the clot.
- To stop bleeding, it is permissible to use sterile cotton wool or gauze swabs. It is allowed to moisten with Chlorhexidine, Miramistin. It is prohibited to use hydrogen peroxide!
- For several days you will have to eat soft food and maintain an acceptable temperature of food and drinks.
- You are supposed to temporarily give up physical activity and training. Baths and saunas, swimming pools, solariums are prohibited.
- You cannot heat the surgical area, as this will cause a dangerous inflammatory process. You can apply ice, but under no circumstances keep it on your cheek all the time. Optimal rhythm: 5 minutes cooling, 5 minutes break. If you don’t have ice at home, bags of frozen vegetables and meat from the freezer will do.
- Maintaining oral hygiene is not prohibited. The main thing is to leave the operated area alone in the first days and not try to thoroughly clean the teeth located near the wound. Disinfection can be carried out with solutions of Chlorhexidine, Furacilin, holding it in the mouth and spitting it out, without rinsing.
Medicine knows of cases when wisdom teeth are prescribed to be preserved. But if it grows, pushing neighbors, lies horizontally or rests on the roots of nearby teeth, there is no need to think twice. Such an eight is considered problematic and is deleted without regret.
Perforation of the bottom of the maxillary sinus, diagnosis and treatment
If a wisdom tooth grows horizontally and puts pressure on the adjacent tooth
Supernumerary teeth in children
The appearance of additional tooth buds is rare, occurring in only 2% of cases. The anomaly is associated with a disorder of embryonic development. A tooth that appears above a child's tooth is usually removed. But this does not always happen: if the tooth does not disturb the shape and aesthetics of the dentition, the dentist can leave it.
Sometimes supernumerary teeth are located outside the dental arch. The appearance of a tooth on the palate of a child is rare, however, this is no exception. There is no need to be afraid of this: it does not affect your health in any way. The Natadent clinic has a pediatric orthodontist who will help solve this problem quickly and painlessly.
Method for removing a horizontally lying figure eight
Any position of a wisdom tooth identified as a deviation from the norm implies an unambiguous recommendation for complex removal. The operation falls into this category because it requires a series of traumatic actions for the patient to extract the tooth completely.
The intervention can be complicated by various unpleasant consequences, so before the operation the surgeon carefully prepares and calculates possible options for the development of the situation. An X-ray is mandatory.
Most dentists vote for early removal of the impacted figure eight. Over the years, the molar roots grow strongly and the jaw bones become denser, which prevents the tooth from being quickly removed from the socket. In youth, tissues are restored faster, and discomfort is experienced more easily.
However, the complexity of the operation is quite surmountable, and it occurs under strong anesthesia. The patient does not experience pain during removal.
Can you put a crown on a wisdom tooth?
Step-by-step method for extracting a horizontally located wisdom tooth:
- The use of an anesthetic, the drug “Ultracaine” is mainly used;
- Making an incision in the gum to expose an impacted wisdom tooth;
- If access to the roots is difficult, sawing the bone is necessary. The manipulation is performed extremely carefully, without the risk of damaging the adjacent tooth;
- Application of forceps and removal of the figure eight using loosening technology;
- When the third molar is in a recumbent position, the dentist first saws the tooth into pieces and removes them piece by piece;
- Suturing the incision on soft tissues with the application of a cotton-gauze swab. If self-absorbable suture material is used, no further treatment of the wound is required. In case of direct suturing, the sutures are removed at a doctor’s appointment in the clinic.
At the last stage of the operation, ice is applied to the extraction area, thus preventing the formation of severe swelling of the gums. The doctor discusses the possible consequences of the intervention: increased temperature, tissue soreness due to injury, bleeding. In this case, the normal limits are indicated, if exceeded, you should immediately contact the clinic.
What to do if the child’s teeth grow in the second row?
When a doctor sees a tooth above a patient’s tooth, he immediately understands what’s wrong. First, the orthodontist removes the baby tooth. After this, the permanent tooth will move into place on its own under the action of the tongue muscle, if there is enough space. But what to do if a child has a lack of space for molars?
The primary task of the dentist and parents will be to restore normal breathing. At this stage, it is necessary to “retrain” the muscles of the mouth to work differently. This is where trainers or mouthguards come to the aid of specialists.
Orthodontic appliances solve several important problems:
- train the muscles of the oral cavity, stimulating their natural development;
- correct the direction of development of the child’s jaws;
- correct the position of the tongue in the oral cavity;
- teach the child to breathe through the nose;
- get rid of bad habits.
Wearing trainers is most often considered as a preparatory stage. After this, more serious orthodontic treatment begins with the use of braces. However, here the first step is the most important, since the effectiveness of further work depends on it.
How much does treatment cost?
The cost of treating hyperdontia is determined by the complexity of the case. The price for a simple removal of an additional tooth is, on average, 1,500 rubles . In cases with impacted or dystopic teeth, it will be slightly higher - for its removal you need to pay from 4,000 to 15,000 rubles .
Depending on the clinic, the cost of treatment may include preoperative examination, the operation itself and postoperative management. You can accurately calculate the final price only in the dentist's chair, since it is impossible to know in advance how the operation will go, whether complications will arise, or how the recovery period will go.
How to understand that a child is at risk of growing teeth in two rows?
Attentive parents should monitor the process of teeth growth and loss. The change of dentition begins at 6-8 years: the first to fall out are the central and lateral incisors. At 9-11 years old, the lower canines change. By the age of 10-12, the upper canines and small molars grow. The formation of the bite ends at the age of 13-14 years.
A child’s tooth grows above the tooth when the baby tooth does not leave its place in due time. In this case, parents should definitely consult a doctor. The earlier the pathology is detected, the easier it is to correct the child’s second dentition.
You don’t have to wait for your baby teeth to suddenly fall out on their own! If you notice that your child’s molars are cutting in, but his baby teeth aren’t even loose yet, take him to the dentist. With “shark” teeth, not only the appearance, but also the shape of the jaw is disrupted.
Consequences of polyodontia disease
Polyodontia in humans can often be the cause of retention. This is a phenomenon in which normal teeth are unable to erupt due to the interference of supernumerary teeth. The former may remain in the jaw or take an abnormal position.
In addition, even if the complete incisor grows before the supernumerary one, the latter will be able to displace it. This will lead to the person being unable to chew food normally. And if several extra incisors grow at once, they can cause the loss of permanent teeth.
Mouthguard as a preventive measure for the second dentition
In dental practice, mouth guards are worn by children over four years of age. At this age, the child is already consciously approaching wearing a trainer and can wear it for a long time. The device is made according to individual casts, taking into account the characteristics of jaw development. The material from which the mouthguard is made is soft and does not injure the mucous membrane.
From the age of two, children can wear removable plates to correct bad habits. If a child often sucks a pacifier or fingers, his bite does not develop properly. These children are more likely to have teeth growing in two rows. A soft plate will help avoid this.
In our clinic, parents trust doctors with their most valuable asset – their children. You can rely on our specialists in any situation. To confirm these words, we publish reviews from our grateful clients.
Natadent specialists know how to win over the youngest patients. Most guys leave the dentist's office without the same fears. True professionals in their field not only master their tools flawlessly, but also make every trip to them as comfortable as possible.
