permanent tooth eruption

image captured with TelScope Telehealth System

Permanent tooth eruption

image captured with TelScope Telehealth System


10-year-old female patient says, “I feel something in the top of my mouth”. No pain reported.


A clinical exam, documented here with a TelScope image, confirms an over retained primary (baby) tooth with a stainless steel crown present.

It’s replacement permanent tooth is emerging (erupting) in the palate. The primary tooth was not mobile because a portion of the roots failed to resorb. Although this is not an urgent situation, the removal of the primary tooth by a dentist is indicated to allow the permanent tooth to fully erupt. The permanent tooth will likely drift back toward a more ideal position if the baby tooth is removed soon.


This is not an uncommon problem, and is an excellent example of a situation that can be pre-screened by a dentist through a teledentistry consultation with a clear photograph such as this that can easily be taken with a TelScope Telehealth System.

About the Author: Dr. Richard Simpson, DMD

Dr. Richard is a board certified pediatric dentist in private practice.
His achievements include:
• Diplomate in the American Board of Pediatric Dentistry
• Fellow in the American College of Dentists
• Fellow in the International College of Dentists
• Fellow in the American Academy of Pediatric Dentistry
• Advisory Board Member of The TeleDentists
• Advisory Board Member of Holland Healthcare
Dr. Richard’s experience and active interests include telehealth, child advocacy, health disparities, policy, and advancing improved medical-dental access to care. Dr. Richard is also a veteran with 15 years of military service.

This content is for information only. This content is not for advice, diagnosis, or guarantee of outcome for patients. No patients should use the information, resources, or tools contained within to self-diagnose or self-treat any health-related conditions. 

Sign up for more content like this from Holland Healthcare:


* indicates required

Profession / Field

Which upcoming device(s) are you interested in?

Recommended Posts