First tooth came in at an angle

My daughter has her first two bottom teeth. One of them came in crooked, angled kind of like the "/" on the keyboard. Could this cause a problem when her other baby teeth come in? Could it cause a problem with her permanent teeth?


This angulation may indicate several conditions. This could just happen to be the position at which the tooth developed, or it could indicate a spacing problem. At such a young age, it is difficult to predict whether your daughter will have crowding problems with her other teeth. If space is inadequate, teeth will erupt in a crowded fashion. It is possible that other primary teeth will erupt at slight angles. This will, in part, depend upon the growth of your daughter's jaw.

Generally, dentists like to see spacing between the primary teeth because this is an indication that adequate space for the permanent teeth exists. If the primary dentition is crowded, it is more likely the permanent dentition will also be crowded. As your daughter's permanent teeth begin erupting at about 6 or 7 years of age, their position should be evaluated. It may be possible at that time to refer her to an orthodontist.

For now, monitor the position of primary tooth eruption. A child's first dental visit should occur near their first birthday or 6 months after their first tooth erupts. Your daughter's dentist may evaluate the position of her tooth. While nothing may need to be done with the primary teeth, it might be helpful to document and monitor tooth position. If the primary teeth are crowded together, it is possible that one permanent tooth could cause resorbtion of the root of more than one primary tooth as the permanent teeth erupt. This information, available via radiographs, will be helpful in determining tooth loss and eruption patterns.

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