Congenitally Missing Teeth: courtesy of Dr. Moles

Some patients may experience a hereditary problem with missing teeth. Congenitally missing teeth not only create unsightly gaps, but they can also pose a complex set of orthodontic problems.  The most commonly missing teeth are the lower second bicuspids, upper lateral incisors and third molars.  There are two treatment options available for patients who present with this condition.

The options include opening the space fully and replacing it with a fabricated tooth or closing the space left by the missing tooth with orthodontics.  Choosing one of these options depends on a number of factors:

• The bite relationship between the upper and lower teeth.

• The shape of the teeth that will be used to replace missing teeth.

• The space requirements in each jaw to correct the overcrowding or an overbite

• The viability of remaining primary teeth that could be used as permanent teeth.

• The position of the lips relative to the profile.

Patients can avoid further complications if congenitally missing teeth are treated early.