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In my mind, permanent tooth is more important since my own milk tooth got worn & decayed, after growing my permanent tooth, there is no sign of that decay so milk tooth is not that important and because no other permanent tooth grows, it needs a lot of care" (17- year old boy, third- grade high school student).
There is a danger that if the milk tooth falls out too soon and the permanent tooth is not ready to erupt, neighbouring teeth will occupy the space as they grow and cause overcrowding problems, with unsightly overlaps.
One year it was a chocolate box full of all sorts of things like hatpins, bits of ribbon and lace, stamp edging and my first milk tooth.