Milk Teeth Not Falling on Time: Should Parents Be Concerned?

As a parent, it is natural to worry when your child’s milk teeth don’t fall out on time. Many parents visit my clinic with the same question:

“Doctor, my child’s permanent teeth are coming, but the milk teeth are still there. Is this normal?”

The good news is – in many cases, it’s normal, but sometimes it does need dental attention. Let me explain this in simple words.

What Are Milk Teeth and When Do They Usually Fall?

Milk teeth (also called primary teeth) are the first set of teeth that help children chew, speak clearly, and maintain space for permanent teeth.

Normal timeline:

• ● Milk teeth usually start falling between 6 to 7 years
• ● The process continues till 12 to 13 years

 

Every child is different, so a small delay is not always a problem.

You can also read our detailed guide on baby teeth care for new parents to understand how milk teeth develop.

Why Are My Child’s Milk Teeth Not Falling on Time?

There are several common reasons, and most are treatable.

1. Permanent Tooth Is Not Pushing Properly

Permanent teeth usually push the milk teeth out.
If that pressure is weak, the milk tooth may stay longer.

2. Lack of Space in the Jaw

When the jaw is small or crowded, permanent teeth may not erupt properly.

3. Thick or Strong Milk Tooth Roots

Some milk teeth have roots that don’t dissolve easily, delaying natural shedding.

4. Dental Problems Like Cavities

Severe cavities or infections can disturb the natural tooth-falling process.
You can learn more about this in cavities in children – causes and treatment.

Is It a Problem If Permanent Teeth Come Before Milk Teeth Fall?

Yes, this is something parents should not ignore.

This condition is often called “double teeth” or “shark teeth”, where:

• ● Permanent teeth erupt behind or in front of milk teeth
• ● Milk teeth remain in place

If ignored, it may lead to:

• ● Crooked or misaligned permanent teeth
• ● Crowding problems later
• ● Need for orthodontic treatment in the future

 

Early dental guidance can prevent bigger issues later.

When Should Parents Be Concerned?

You should consult a dentist if:

• ● Milk teeth haven’t fallen even after 7–8 years
• ● Permanent teeth are visible but milk teeth are still present
• ● Your child complains of pain or discomfort
• ● Teeth look crowded or overlapping
• ● There is swelling or infection around the tooth

 

Regular check-ups help us identify such problems early.

I strongly recommend reading what’s the right age for a child’s first dental check-up to understand the importance of timely visits.

What Treatment Is Needed?

Treatment depends on the child’s age and dental condition.

Common solutions include:

• ● Monitoring (if the delay is minor)
• ● Simple milk tooth extraction (if permanent tooth is blocked)
• ● Space management to guide proper eruption
• ● Preventive care to avoid future complications

 

The procedure is usually quick, safe, and comfortable for children.

Can Delayed Milk Teeth Cause Problems Later?

If ignored for too long, delayed milk teeth may cause:

• ● Crooked permanent teeth
• ● Speech issues
• ● Difficulty in cleaning teeth
• ● Higher risk of cavities and gum problems

 

Early dental intervention is always simpler and more cost-effective.

How Parents Can Help at Home

Here’s what you can do:

• ● Encourage proper brushing twice daily
• ● Avoid forcing loose teeth at home
• ● Maintain a balanced diet
• ● Schedule regular dental check-ups
• ● Observe any changes in tooth alignment

 

Good habits combined with professional care make a big difference.

A Message from Dr. Smruti Nanda Mahapatra

As a dentist, I always tell parents –
“Milk teeth are temporary, but their role is permanent.”

Delayed falling of milk teeth is common, but it should never be ignored without proper evaluation. A simple dental visit can save your child from future alignment problems and discomfort.

If you have any doubts about your child’s teeth, feel free to consult us.
Early care today means a confident smile tomorrow.

Dr. Smruti Nanda Mahapatra
     BDS, MDS
     Dental Surgeon
Elite Dental Clinic, Patia, Bhubaneswar

 

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