This is a very common occurrence called “ectopic eruption”.  It simply means a tooth is erupting into the mouth in a different place in the arch.

If the baby teeth are mobile or nearly exfoliated, we typically let children wiggle the teeth out on their own.  If the permanent tooth is significantly erupted – and there is limited or no mobility in the baby tooth – the doctor will occasionally wiggle the baby tooth out to encourage improved eruption pattern.  Please call us for evaluation.