Why Are Adult Teeth Growing Behind Baby Teeth? Understanding Tooth Development

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By STURZ & ABBY | November 5, 2025

As a parent, seeing your child’s first baby teeth emerge is a momentous occasion. However, it can be concerning when you notice that their adult teeth are growing behind their milk teeth. This situation, often referred to as “teeth growing behind milk teeth,” can leave parents wondering if this is a normal part of tooth development or a sign of a dental problem. Understanding why this happens and what steps to take can ease any worries.

What Happens When Teeth Grow Behind Milk Teeth?

It’s a common situation where the permanent (adult) teeth begin to grow behind the baby teeth, often referred to as “adult tooth growing behind baby tooth” or “tooth growing behind baby tooth.” This typically occurs when the adult teeth are ready to emerge, but the baby teeth are still firmly in place. As the adult tooth pushes through the gum, it might cause the baby tooth to appear as if it is being pushed out of the way.

In most cases, this is a normal part of the development process. The adult teeth, especially the molars, grow in a position that is further back in the mouth. However, when these teeth start growing in behind the baby teeth, they might not always push the baby tooth out quickly enough. Thus, leading to a situation where “tooth coming out of the gum” looks abnormal.

What Causes Teeth to Grow Behind Teeth?

This phenomenon can happen for a variety of reasons, but here are some of the most significant ones:

Delayed Loss of Baby Teeth

What It Means:

Some children take longer to lose their baby teeth, which can cause the permanent (adult) teeth to grow behind them. Typically, when the adult tooth is ready to come in, it gently pushes on the root of the baby tooth, signaling that it’s time for the baby tooth to fall out. However, if the root of the baby tooth hasn’t dissolved enough or the baby tooth is firmly in place, the adult tooth might have to grow in behind it instead of pushing it out.

What You Can Do:

If your child’s baby tooth is hanging on longer than expected, it’s important to keep an eye on it. Regular dental visits are key, as a dentist may recommend removing the baby tooth if it isn’t loosening on its own. This can help the adult tooth come in correctly. Encourage your child to gently wiggle loose baby teeth to speed up the process.

Misalignment of the Adult Tooth

What It Means:

Sometimes, the adult tooth might not come in straight, and instead, it could emerge at an angle. When this happens, it may appear to grow behind the baby tooth rather than pushing it out. Misalignment can happen due to various reasons, such as genetics or the way the teeth are developing.

What You Can Do:

While some degree of misalignment is common, it’s important to monitor how the adult tooth grows. If the tooth is coming in at an angle or causing discomfort, it’s a good idea to consult an orthodontist. They may use X-rays to check the tooth’s position and determine whether early orthodontic treatment, such as braces or spacers, is necessary to guide the tooth into its proper place.

Lack of Space in the Mouth

What It Means:

In some cases, a child’s mouth may not have enough space to accommodate all the developing teeth. This could be due to a naturally more petite mouth or overcrowded teeth, which makes it difficult for the adult tooth to emerge properly. As a result, the permanent tooth might grow behind the baby tooth because there isn’t enough room for it to come in at the right angle.

What You Can Do:

If you notice that your child’s teeth appear crowded or there is a lack of space, it’s essential to address this issue early. Your dentist may recommend spacers or other preventive treatments to create enough room for the adult teeth to erupt correctly. In some cases, an orthodontist might need to intervene to ensure your child’s teeth align correctly.

What to Do When a Tooth Grows Behind a Baby Tooth?

If you notice that your child has a tooth growing behind their milk tooth, the first step is to stay calm. This is generally a normal part of their tooth development. In most cases, the baby tooth will eventually loosen and fall out on its own, allowing the adult tooth to take its place.

However, if the baby tooth doesn’t fall out after the permanent tooth has erupted, it might need to be extracted by a dentist. This is often the case if there’s no sign of the baby tooth loosening naturally.

Signs to Watch for

While a tooth coming in behind the baby tooth is common, there are some situations where you may need to seek professional help:

  • The baby tooth doesn’t loosen or fall out after the permanent tooth grows behind it.
  • Your child experiences pain or discomfort due to misalignment.
  • The permanent tooth is severely angled or is causing other issues in the mouth.

In such cases, a dentist will assess the situation and determine the best course of action, which may involve extracting the baby tooth or creating space for the adult tooth to emerge correctly.

How to Prevent Tooth Misalignment?

Though there is no guaranteed way to prevent a tooth from growing behind a baby tooth, you can take a few steps to ensure healthy dental development:

  • Regular Dental Checkups: Keep up with routine dental visits to monitor the development of your child’s teeth.
  • Proper Oral Hygiene: Encourage your child to brush and floss regularly to maintain healthy teeth and gums.
  • Monitor Tooth Loss: If a baby tooth is hanging on for longer than expected, consider visiting the dentist to discuss potential interventions.

Ready for Your Child’s Healthy Smile? Let Us Help!

Teeth growing behind milk teeth is usually a normal part of your child’s dental development. While it can be a bit concerning to see, most of the time, the adult teeth will align themselves correctly with minimal intervention. Understanding the reasons behind this issue and recognizing when it’s time to seek professional help can provide reassurance as your child’s smile grows. 

If you have any questions or concerns about your child’s dental health, don’t hesitate to visit our dental office. At Sturz and Abby Dental, our pediatric emergency dentists in Bakersfield are committed to providing the highest quality care for your child’s smile. Book an appointment with us today, and experience why we are the best spot in Bakersfield for your child’s oral care.

FAQs

Why is my child’s adult tooth growing behind a baby tooth?
This occurs when the adult tooth starts to emerge before the baby tooth falls out. It’s common and often resolves on its own as the baby tooth loosens.

What should I do if my child’s tooth is growing behind their baby tooth?
In most cases, the baby tooth will fall out on its own; however, if it doesn’t, consult with a dentist to assess if the tooth needs extraction.

Is it common for a permanent tooth to develop behind a baby tooth?
Yes, it’s common for adult teeth to emerge behind baby teeth. The baby tooth will usually fall out as the adult tooth takes its place.

How long does it take for a tooth to grow behind a baby tooth before falling out?
It can vary, but typically, it takes a few months for the baby tooth to loosen and fall out once the adult tooth starts growing behind it.

Should I worry if my child’s adult tooth is growing in at an angle?
Some degree of misalignment is normal, but if the tooth is severely angled or causing discomfort, consult a dentist for guidance.

Can a dentist help if my child’s adult tooth is stuck behind the baby tooth?
Yes, if the adult tooth is stuck or misaligned, a dentist can help guide the tooth into place or extract the baby tooth if necessary.

How can I prevent my child’s teeth from growing behind each other?
Regular dental checkups and maintaining proper oral hygiene can help prevent issues with tooth eruption and misalignment.

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