Typically, children lose their final baby tooth by age 12. Usually, when a baby tooth falls out, its permanent replacement follows shortly. However, if a baby tooth is lost and no adult tooth appears within a reasonable time, it could signal impaction, crowding, or a missing tooth. A dental x-ray is the best way to determine the root cause of the issue.
Parents often wonder what to do if their child lacks a permanent tooth. There are three potential solutions: preserving the baby tooth, adding a replacement tooth, or closing the gap with orthodontic treatment. Not all patients are eligible for all three options due to crowding or bite issues.
Sometimes, keeping the baby tooth in place until a permanent replacement can be considered. However, if the baby tooth lacks roots or is decayed, a bridge or implant may be necessary. Orthodontic procedures to close the gap can be challenging and may exacerbate bone and gum issues if not managed properly.
In cases of bite or crowding problems, orthodontic closure after removing the baby tooth might be the best approach, particularly in lower arch underbites or crowding scenarios. Removing lower bicuspids or upper teeth protrusion may be considered depending on the situation.
When congenitally absent bicuspids or upper laterals are involved, closing the space without implants or bridges may be possible. However, if there are no bite or crowding issues, closing the space left by missing teeth isn’t typically recommended.
Determining the right treatment for a child with a missing permanent tooth requires a comprehensive orthodontic examination. Factors such as bite, crowding, and tooth alignment will be assessed during the consultation. If orthodontic closure is possible, it will be offered; otherwise, preparations will be made for eventual tooth replacement.
If you have questions or concerns about your child’s missing permanent tooth, the team at San Marcos Pediatric Dentistry is here to assist. Contact us today to schedule a consultation.
