###Human: I have a tooth growing out of gums in abnormal position and causes pain. Why? ###Assistant: Hi. Usually, by 13 years of age, all milk teeth should have fallen out. If not, then you can ask them to be removed. Also, as the permanent canines are growing out from sideways you can ask your dentist to remove the milk tooth directly below it as soon as possible to allow it space to grow. If your dentist is not doing it, then go find another one. Braces can be put after all milk teeth are removed.