My Blog
Archive:
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
- 2013
- 2012
Tags
- fluoride (1)
- celebrity smiles (70)
- floss (1)
- periodontal (gum) disease (1)
- common symptoms (1)
- oral health (18)
- oral hygiene (24)
- diabetes (1)
- smile makeover (7)
- cosmetic dentistry (19)
- veneers (5)
- invisalign (1)
- clear aligners (4)
- orthodontics (5)
- dental implants (19)
- chipped tooth (3)
- bonding (2)
- pediatric dentistry (5)
- teething (1)
- thumb sucking (2)
- oral cancer (4)
- orthodontic treatment (7)
- braces (8)
- dentures (5)
- pediatric care (2)
- pregnancy (2)
- gum disease (6)
- periodontal disease (3)
- tooth decay (8)
- crowns (7)
- local anesthesia (2)
- dental crowns (2)
- missing tooth (2)
- replacing teeth (1)
- dental implant (1)
- porcelain veneers (2)
- bleeding gums (1)
- bridgework (1)
- tooth pain (3)
- root canal treatment (1)
- plastic surgery (1)
- gum recession (1)
- wisdom teeth (3)
- x-rays (2)
- tooth grinding (1)
- athletic mouthguards (2)
- dental injury (6)
- mouthguards (2)
- tooth extraction (1)
- toothache (1)
- abscessed tooth (1)
- tmd (3)
- tmj disorders (5)
- tmj (3)
- tooth wear (1)
- cancer (1)
- root canal (2)
- smoking (1)
- mouthguard (1)
- root resorption (1)
- canker sores (1)
- dental emergency (2)
- teeth wear (1)
- bad breath (1)
- teeth grinding (1)
- nutrition (2)
- sugar (2)
- sensitive teeth (1)
- dry mouth (2)
- missing teeth (2)
- implant dentistry (1)
- toothpaste (1)
- restorative dentistry (1)
- teeth whitening (1)
- Family Dentist (1)
- dental care (1)
- flossing (1)
- chipped teeth (1)
- snoring (1)
- sleep apnea (1)
- dental injuries (1)
- removable partial denture (1)
- Damaged Teeth (1)
- tooth replacement (1)
- sports drinks (1)
- dentistry (1)
- x-ray (1)
- Family Dentistry (1)
- osteoporosis (1)
- bone grafting (1)
- CAT scans (1)
Categories:
There are good reasons, for both health and appearance, to replace a missing tooth with a dental implant or similar restoration as soon as is practical. The bone around a tooth socket diminishes the longer it remains empty, up to 25% the first year. And, of course, your smile is less attractive, especially with a highly visible tooth.
If it’s your teenager, though, you may need to wait on a permanent restoration because their jaws are still developing. An implant placed before completion of jaw development could eventually appear out of alignment with neighboring teeth.
Our biggest concern is protecting bone health at the site of the missing tooth. We can do this and encourage growth by placing bone grafts (processed minerals from another donor) that serve as scaffolds on which surrounding bone can grow. Grafts usually dissolve (resorb) over time, but the rate of resorption can be slowed for a younger patient in need of long-term bone growth.
Planned orthodontic treatment can usually go on as scheduled. The orthodontist may accommodate the tooth loss by adding a temporary tooth within the braces or other device that matches the color and shape of the patient’s natural teeth. The orthodontist will also take care to maintain the empty space for a future implant or other restoration.
A dental implant is considered the best option for a missing tooth, not only for its life-like appearance and durability, but also its ability to encourage bone maintenance. Timing, though, is essential for teenagers. As it grows, the upper jaw will tend to move forward and down. Natural teeth move with this growth; implants, though, are attached differently and won’t move with the jawbone. While the other teeth around them move, the implants can appear to shrink back resulting in an unattractive smile appearance. So waiting until the jaw has finished growing is important.
For most people, jaw growth finishes by age twenty-one for men, women usually faster, but each person is different. The dentist’s expertise and experience, coupled with comparisons of adult family members’ facial appearances, will help determine the right time to undertake a permanent restoration for the best outcome both for health and a permanent, attractive smile.
If you would like more information on treating teenagers with missing teeth, please contact us to schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Dental Implants for Teenagers.”
