Milk Teeth: What to Do If They Don’t Fall Out on Time

Milk teeth, also called deciduous teeth, usually begin to fall out around the age of 6, following a natural order: the lower central incisors typically fall out first, followed by the upper ones.

However, in some cases, the process can be delayed or may not occur at all, causing concern for parents. Acting correctly is essential to prevent malocclusions, dental misalignments, and future orthodontic problems.

Why it is important for deciduous teeth to fall out at the right time

Milk teeth play a guiding role for permanent teeth. If they do not fall out spontaneously, they may block or alter the correct eruption of adult teeth, leading to:

• Dental crowding

• Ectopic eruption (teeth erupting in an abnormal position)

• The need for orthodontic treatment during adolescence

For this reason, any delay in the shedding of milk teeth must be carefully monitored by the dentist.

Avoid DIY: no home extractions

Many parents, trying to help their child, attempt home solutions to remove a loose tooth. This is a mistake to avoid for several reasons:

• The tooth may break or remain stuck in the gum

• The extraction may be painful or traumatic

• The child may associate pain with the dentist, developing fear of dental visits

Only a professional can determine whether to wait or to intervene.

When the dentist should intervene

The pediatric dentist or dentist will be able to:

• Assess the situation with a clinical examination or an X-ray (if needed)

• Determine whether the milk tooth can still fall out naturally or if extraction is required

• Perform, if necessary, a gentle and painless extraction using superficial anesthesia techniques (e.g., ethyl chloride spray to cool the gum)

The procedure is generally simple, quick, and well tolerated by children.

Nutrition: a natural ally for the shedding of milk teeth

Another often overlooked factor is nutrition. A diet made up mainly of soft foods may delay dental mobility.

Useful tips:

• Include crunchy fruits and vegetables (apples, carrots, fennel)

• Encourage active chewing in children

• Avoid over-chopping solid foods

These foods not only support the natural shedding of milk teeth but also contribute to the healthy development of the masticatory system.

What to do if a milk tooth does not fall out

• Never force the tooth to fall out with home remedies

• Do not ignore a baby tooth that remains beyond the natural timeline

• Consult your trusted dentist, who can properly evaluate the case

• Add foods to your child’s diet that stimulate chewing

The shedding of deciduous teeth is a natural but delicate stage of growth. Early and professional evaluation can prevent future complications and ensure your child develops a healthy, well-aligned smile.