Extraction of Retained Deciduous Teeth and Its Consequences @ Dr. Bharathi Dental Clinic & Implant Centre, West Mambalam Retained deciduous (milk) teeth refer to baby teeth that do not exfoliate (fall out) at the expected age, usually because the permanent tooth underneath has not erupted or is missing. While some individuals may not face immediate discomfort, retained deciduous teeth can lead to significant dental problems if not addressed on time. At Dr. Bharathi Dental Clinic, West Mambalam, we emphasize timely intervention for such cases to maintain healthy dental development and function. Why Do Deciduous Teeth Get Retained? Several reasons contribute to retained milk teeth: Absence of permanent successor (congenitally missing tooth) Impacted or delayed eruption of the permanent tooth Misalignment of the permanent tooth bud Ankylosis (fusion of the root of the deciduous tooth to the bone) Trauma or infection in early childhood affecting eruption It is essential to diagnose the cause through clinical examination and radiographs to decide the best course of treatment. When is Extraction Needed? Extraction is usually advised in the following scenarios: If the retained tooth is loose, mobile, or decayed If the permanent tooth is trying to erupt but is misaligned or impacted due to the presence of the milk tooth If orthodontic issues like crowding, midline shift, or improper bite are developing In cases where space needs to be created for prosthetic replacement of the missing permanent tooth Consequences of Not Extracting Retained Milk Teeth If retained deciduous teeth are not extracted at the right time, several complications may arise: Malocclusion and Crowding The permanent teeth may erupt in the wrong position or get blocked entirely, leading to crowding or crooked teeth, requiring complex orthodontic treatment later. Midline Shift Retained teeth can cause asymmetry in the dental arch, especially if present unilaterally, leading to a shift in the midline and esthetic imbalance. Delayed Eruption or Impaction Permanent teeth may remain impacted (stuck in bone) due to lack of space or guidance, affecting both function and esthetics. Periodontal Problems Retained deciduous teeth can loosen over time and harbor plaque and bacteria, leading to localized gum disease. Root Resorption or Decay As milk teeth are not designed to last a lifetime, they are more prone to decay or resorption, compromising surrounding teeth and bone. Treatment Approach at Dr. Bharathi Dental Clinic At our clinic in West Mambalam, we follow a conservative yet timely approach. After radiographic evaluation, if extraction is indicated, we ensure a gentle, pain-free procedure. In some cases, space maintainers or orthodontic intervention may follow the extraction to guide proper alignment. If the permanent tooth is missing, implants or prosthetic replacement options are discussed once jaw growth is complete. Conclusion Timely extraction of retained deciduous teeth is crucial for maintaining proper alignment, occlusion, and oral health. If your child or even an adult in your family has not shed all baby teeth, schedule a dental check-up at Dr. Bharathi Dental Clinic & Implant Centre, West Mambalam, for a personalized assessment and proactive care. Dental Clinics in West Mambalam Dentists in West Mambalam Dentists in Ashok Nagar Best dentist near me Best Dental Clinics in West Mambalam Oral surgeon in West Mambalam Dental Implants in West Mambalam Oral surgeon in Ashok Nagar kids dentist in West Mambalam