Case of Missing Permanent Front Teeth, Resolved with Implant Treatment for a Missing-Tooth Condition

Hello!

I am the director of Seoul Bardi Dental Clinic.

Today, I would like to share a somewhat special case.

No permanent teeth?

Missing permanent teeth

Example case

Usually, when a baby tooth gets loose,

it falls out and an adult tooth (permanent tooth) erupts,

but there are cases where the permanent tooth itself is missing.

This is called a missing tooth.

Many people have this condition

without realizing it.

These days,

people often get X-rays from a young age

and go for regular checkups,

so many already know they are in this situation..

If you simply pull out a baby tooth because it is loose..

sometimes it ends up staying empty.

That is why we take X-rays

and check whether there is a permanent tooth bud.

This patient’s mouth was the same.

The baby tooth had remained in place until adulthood,

and after trying to preserve it as long as possible,

it had now become so loose that treatment was needed.

Example situation

No permanent tooth

Detailed examination results

Baby tooth remains in the front tooth area

Congenital absence of a permanent tooth in that area confirmed

Short baby tooth root with ongoing resorption

Severe mobility

In cases like this,

many people already know

that the permanent tooth is missing.

Congenital missing tooth characteristics

No permanent tooth

Occurs in about 5–10% of the population

Mostly seen in the lateral incisors and premolars

Baby teeth have shorter and weaker roots than permanent teeth,

so they should be retained as long as possible, then removed, and the empty space treated.

If left untreated after falling out,

the tooth alignment can collapse like dominoes,

so it is important to receive treatment without missing the right timing.

When a congenital missing tooth is diagnosed,

it can be surprising,

and you may wonder, why only me..

but if you preserve and manage the baby tooth for as long as possible,

then when its limit is reached, you can consider the timing for treatment.

Just as other teeth receive appropriate treatment when problems arise,

missing teeth can also be used without issue if they are properly treated.

Choosing a treatment method

No permanent tooth

If one tooth is missing, there are broadly two treatment options

1. Bridge

: A disadvantage is that the healthy natural teeth on both sides must be shaved down

If retreatment is needed in the future, all three teeth must be addressed

Because the front tooth area is important for aesthetics,

this approach requires even more caution

2. Implant

: Independent treatment is possible

Most stable in the long term

After sufficient consultation with the patient,

the following treatment plan was established

Extraction of the baby tooth + immediate implant placement

Bone grafting performed

For the front teeth, the gum line was shaped with aesthetics in mind

The front teeth are the most visible area when smiling,

so aesthetics and natural appearance

were given top priority.

24.2.23

While extracting the baby tooth,

an implant was placed

Since there was a gap in the middle,

a temporary tooth was made so it could be used in the meantime

After checking the implant condition 6 months later,

an impression was taken

One week later,

the tooth was inserted. It was temporarily attached,

and we checked whether there were any uncomfortable areas

or anything that needed improvement.

Because the color seen inside the clinic

and the feel seen outdoors can be different,

we had the patient try it sufficiently

before proceeding with final bonding.

24.11.5

After checking the condition,

and hearing that it was fine,

the treatment was completed, and another check-up was scheduled for one week later

Timing of treatment for patients with missing teeth

No permanent tooth

When the baby tooth is healthy

-> Monitor the condition through regular checkups

When the baby tooth starts to become loose

-> Start establishing a treatment plan

When the baby tooth has severe mobility or pain

-> Proceed with immediate treatment

Treatment method selection

-> If a single tooth is missing

implant treatment should be considered first

Preserving healthy teeth is the top priority

Congenital missing teeth

are a problem that more people experience than you might think.

So please do not worry too much,

and if you choose the right treatment method

at the right time,

you can maintain healthy teeth.

From baby tooth preservation to implant treatment,

we will help you receive treatment with peace of mind,

step by step.

Thank you

Call to make a reservation
02-481-4278

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Case of Missing Permanent Front Teeth, Resolved with Implant Treatment for a Missing-Tooth Condition

| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information, in compliance with Article 56, Paragraph 1 of the Medical Service Act. The information provided is for reference only, and we recommend visiting a medical institution to receive guidance from medical professionals for symptom assessment and accurate management methods. All procedures / surgeries performed at the dental clinic may involve possible complications depending on the individual (such as inflammation, bleeding, swelling, etc.). Please make decisions only after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under identical conditions. |