“My son is on his orthodontic treatment and a part of his tooth is now above his gums. Is it normal?”
My son is being treated by an orthodontist for the last 6 months for his upper and lower braces. We have now observed that a part of his tooth which should be inside the gums is protruding out. While our orthodontist doesn't seem to find it concerning. We are wondering if it is normal?
9 Answers
Hard to know with out seeing it. But teeth do move around alot during the first 6 - 8 months. But if the gum tissue swells it may look funny or sometimes they will protrude then as heavier wires are placed they will align. Your orthodontist will know if it is normal movement or not.
Hello,
It is not uncommon to have the teeth appear to change in height or size relative to the gum tissues during orthodontic treatment. The most common cause is inflammation of the gum tissues which can cause the tissues to swell slightly. This happens frequently and makes the tooth appear to be covered by more gum tissues. This is almost always reversible with excellent hygiene. Outstanding tooth brushing, flossing, and adding an oral rinse (Listerine works best) helps tremendously. If the tooth appears longer out of the gum tissue, this can be from movement to move the tooth in to proper occlusion with the opposing teeth. Also, teeth that appear longer during treatment can happen when there is some gum recession. Usually, it is mild and of minimal concern, but occasionally it can progress.
It is not uncommon to have the teeth appear to change in height or size relative to the gum tissues during orthodontic treatment. The most common cause is inflammation of the gum tissues which can cause the tissues to swell slightly. This happens frequently and makes the tooth appear to be covered by more gum tissues. This is almost always reversible with excellent hygiene. Outstanding tooth brushing, flossing, and adding an oral rinse (Listerine works best) helps tremendously. If the tooth appears longer out of the gum tissue, this can be from movement to move the tooth in to proper occlusion with the opposing teeth. Also, teeth that appear longer during treatment can happen when there is some gum recession. Usually, it is mild and of minimal concern, but occasionally it can progress.
If you mean that the root is protruding through the gum this is not normal and may lead to long term periodontal problems with this tooth. It may require a tissue graft and possibly a bone graft as well. I would recommend having his dentist check it out if you don't feel you are getting a straight answer from the treating doctor. Without a photo, I'm not saying anything is wrong, but from your description it could be a problem.
When in doubt get a second opinion from another orthodontist.
Teeth are constantly moving while undergoing orthodontic treatment. Discuss your concerns with your orthodontist and I am sure he/she will be able to explain it to you in detail.
I would consult again with you orthodontist and ask them to explain why they don't think it's of any concern. At times, orthodontists may rush through an exam and forget to tell you the main reason something will or has happened. If you are unsatisfied with his/her response, then consult with your primary care dentist. They should be able to answer any questions between the two of them. Hope this helps...Dr. B.
I need a photo of what you are trying to describe to me before answering your question. What you are asking is not clear to me. Send me a photo and phone number where I can contact you. I will be happy to respond.
Dr. Ernest Goodson
Dr. Ernest Goodson
It’s hard to know without seeing what’s going on. Is the root sticking out of the gums?
If you are concerned and do not trust the opinion of your orthodontist please seek a second opinion. It is difficult to form a judgment and give advice without seeking the case.
