Where the number of lacteus dens is completed between second and sixth year, and the child becomes ready to eat adults food, they begin to fall and permanent teeth begin to appear. At the age of six, usually one or two of the permanent teeth start to appear. Lacteus dens is an indication of child health status and the impact of nutrition and other factors affecting the growth of permanent teeth.

Some children suffer from the process of indentation, which may sometimes be accompanied with a slight rise in temperature and irritated mood for the child. If these are ordinary issues occurring with the growth of child's teeth, we as parents and educators should care about child's teeth and get him used to clean them using a toothbrush and toothpaste.

Also, we should not extract a lacteus dens when it is having dental caries, however we should fill it and wait until it falls. It was observed that lacteus dens extraction prematurely leaves a gap for the adjacent teeth to grow distorted whereas keeping them keep place for the permanent teeth to come out in their right place. It is advised to examine the teeth twice a year starting from the third year of child's age.