Dental Nation
Symptom guide

Baby Teeth Not Falling Out

A baby tooth that stays in place can affect the expected change to permanent teeth; learn what signs need assessment.

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The short answer

A baby tooth that stays in place can affect the expected change to permanent teeth and should be assessed when eruption is delayed.

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Baby Teeth Not Falling Out dental educational illustration

What does it look like?

What may be seen
FindingMeaning
Baby tooth remainsThe expected change has not happened[2]
Permanent tooth delayedEruption may need assessment[2]

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Why might a baby tooth remain?

Retained primary teeth have recognised causes and treatment plans; the important question is whether a permanent successor is delayed or absent.

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Possible situations
SituationClinical question
Delayed eruptionIs the permanent tooth developing and positioned to emerge?[2]
Retained toothDoes the primary tooth need treatment planning?[2]

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What can you do tonight?

Keep the tooth clean with normal brushing and arrange dental assessment for a retained or delayed tooth. Do not pull it out at home.

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How is it checked?

Assessment determines whether the permanent tooth is delayed, absent, or following an altered eruption path, then uses that finding to plan care.

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What treatment may be needed?

Treatment planning is based on the eruption problem. Children may receive care in primary dental services, community services, or specialist paediatric teams when their needs are additional or complex.

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Can it be prevented?

Regular child dental care and keeping emerging teeth healthy support early recognition of eruption problems and protect the surrounding teeth.

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When should it be assessed?

A delayed or retained tooth belongs in child dental assessment, particularly when a permanent tooth has not erupted as expected or the retained tooth is causing a concern.

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Frequently asked questions

Is a retained baby tooth always harmless?

A retained tooth should not be dismissed when permanent eruption is delayed, because the eruption problem needs assessment.

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