At 5½ years, it can be normal for the lower front permanent teeth to start appearing while the milk teeth are still present. Usually, the permanent teeth gradually loosen the roots of the milk teeth, causing them to become mobile and eventually fall out.
Next Steps
* Please have a dentist examine him to check whether the permanent teeth are coming in the correct position.
* Do not forcefully pull the milk teeth out at home.
* If the milk teeth are already very loose, they will usually fall naturally.
* If the permanent teeth are coming significantly behind the milk teeth and the milk teeth remain firm, the dentist may sometimes recommend removing the milk teeth to allow the permanent teeth to move into position.
* An X-ray is usually considered only if the dentist feels it is necessary.
Health Tips
* Encourage normal brushing twice daily with a fluoride toothpaste.
* If the milk teeth are loose, your child can gently wiggle them with a clean finger or tongue.
* Don’t worry if the permanent teeth initially look slightly behind the milk teeth—the tongue and normal growth often help them move forward.
* If there is pain, swelling, pus, or the permanent teeth are erupting but the milk teeth are not becoming loose, arrange a dental check-up.