If necessary, comprehensive orthodontic treatment is recommended for primary and permanent bicuspids. The second premolars are the teeth that are just in front of the molars. Sometimes one can be removed during treatment with braces, but if your child is missing this permanent tooth, it's likely due to hypodontia. If your child experiences a significant delay in their primary or permanent teeth, we'll want to see you to rule out disease or other conditions. We may need to remove those baby teeth and consult with an orthodontist to make a plan to straighten the permanent teeth.
Root resorption in deciduous teeth is slow due to the lack of mediators needed to accelerate it; however, it accelerates and spreads in only one direction when a permanent pericoronal follicle, rich in epithelial growth factor (EGF), or other mediators of bone resorption, approaches. The most appropriate treatment for any child who is missing a permanent tooth can only be determined by an examination by a qualified dentist. For example, orthodontic treatment can create a space in the area where a tooth should have grown if other teeth have been crammed into this space. There are several ways in which orthodontics can be used along with dentistry to help when a child is missing a permanent tooth. This particular problem can often be prevented if dentists insert a space maintainer in the place where the tooth is lost to keep that area of your child's mouth open until the permanent tooth begins to emerge naturally. An example is orthodontics, which creates a space in the area where a tooth should have arrived but didn't, and another tooth has filled that space.
When permanent and deciduous teeth are close to each other, the space between them is filled with follicular tissue attached to the enamel through reduced epithelium on one side, and connective tissue rich in clasts near the surface of the deciduous tooth on the other side. For this reason, the resorption process is established in the deciduous roots and is oriented towards the region of the permanent tooth to come. Cementoblasts that cover the root surface of permanent teeth lack receptors for local and systemic bone resorption mediators. When children are congenitally missing a baby tooth, a permanent tooth will not usually form in the gums below it. While most delays in losing baby teeth are harmless, in some cases, losing teeth too soon or too late can cause problems with the spacing and crowding of permanent teeth. Anglo-Saxon authors prefer to refer to temporary or primary deciduous teeth, since they consider the term deciduous to be popular and rather secular.
