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Pediatric Dentistry/canine extraction at age 6 yrs

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Question
My 6 yo has some crowding of teeth and 3 of her lower permanent incisors have erupted and the fourth one is impacted as per the dentist . he advised me to get the lower baby canines removed . I want to know how beneficial this approach is and any long term problems with it. will the permanent canines erupt on time and how she will be biting for next 5-6 yrs.

Answer
Dear Vishaka;

This is not uncommon. If both lower canines are removed then that will give enough room for the impacted incisor to come in. Your daughter will then have probably have some extra room and may need a space maintainer to hold the extra space after the fourth incisor erupts. Another option is just removing the canine on the side of the impacted tooth. Her midline will be off but that will be corrected in the future with braces. She is definitely heading that way.  The permanent canines will need to be monitored on their eruption because the chance that they may be blocked out later is possible.  She will have no problems biting. All my patients with this issue are fine with biting.

Again this advice is without examining your daughter and looking at her xrays.

Dr. Glen

Pediatric Dentistry

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Glen Ehrenman D.D.S.

Expertise

I can answer any question in the field of pediatric dentistry which may include questions regarding interceptive orthodontics.

Experience

I have been in private practice for 26 years in Westbury, NY. My practice treats patients from infancy through their late adolescence.

Organizations
American Academy of Pediatric Dentistry Nassau County Dental Society American Dental Association New York State Dental Association

Education/Credentials
SUNY at Stony Brook, School of Dental Medicine 1981-1985 Eastman Dental Center, Rochester, NY, Pediatric Dentistry 1985-1987

Awards and Honors
Diplomate of the American Board of Pediatric Dentistry Clinical Asst. Professor-SUNY at Stony Brook, School of Dental Medicine-Dept of Children's Dentistry Attending DDS-SUNY Stony Brook University Hospital Attending DDS-North Shore University Hospital at Syosset Attending DDS-Winthrop University Hospital

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