If your child’s permanent teeth are in the replacement period, you can observe them temporarily, and if there is no improvement after the completion of the replacement period, you need to consider orthodontic treatment. 1. Temporary observation. In children’s molar period, due to the eruption of neighboring tooth germs, compression of the root can cause gaps in the anterior teeth, crowns tilted to the distal center, generally after the eruption of lateral incisors, the teeth will gradually return to the normal position. 2. Orthodontics. If the teething period has been completed and the teeth are still tilted, orthodontic treatment is needed according to the situation in order to align the teeth. It is recommended to check the cause of tilting of permanent teeth in time, so that early targeted treatment can be carried out.