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Missing Adult Teeth

User Level:
Patient
Posted by: superpeter  (2 years ago)
Hi,

I am already 23 years old and I am still missing my two upper front teeth. I do not have adult teeth to replace them. They're not in my jaw either. I am also missing a few of my adult teeth at the back. My baby teeth on those areas were really small and looked terrible. My smile is kinda bad because of the gaps I have in between my teeth. The dentist suggested I should have the baby teeth extracted and put implants in. I declined because I can't afford it for now. He said they could cause some problems later if left in. Three weeks ago, my first and second baby molars on the bottom left side started aching really bad. The gum underneath the first molar has turned dark. Is the tooth dying? I was wondering what you would suggest to replace them besides implants. My chewing ability will be affected once I lost these teeth. My friend said not to have the teeth pulled until they get so worn down. Her dad had several teeth that didn't have adult teeth behind them but was able to keep them until his 50's. I am really hoping I can keep mine that long so I won't have to get implants. How long will baby teeth last? What can cause adult teeth not to develop?

Thanks, Airon
User Level:
Student
Posted by: ghnane  (2 years ago)
Hello Airon,
The problem with baby teeth are that the enamel is thinner and more prone to decay that can advance faster than in permanent teeth. When permanent teeth never erupt the baby teeth tend to become lose over time and fall out if they do not become decayed.

The spacing on your anterior teeth is natural for baby teeth since the permanent teeth are larger in size and would normally take up all the space.
Implants are costly but they are the best long term solution for missing teeth especially teeth that are visible like your front teeth. It is very likely that you have an acute infection r bad tooth decay going on in your molars and the signs your described are not good outcome predictors. You should visit your dentist to see how extensive the problem is with those teeth and if they can be saved. An alternative to implants would be fixed partial bridges, however sound teeth must be used for the bridge.
To keep your teeth longer and healthier you must follow good oral hygiene, such as using fluoride toothpaste, floss, fluoride containing mouth rinse.
User Level:
Dentist
Hi,

I am already 23 years old and I am still missing my two upper front teeth. I do not have adult teeth to replace them. They're not in my jaw either. I am also missing a few of my adult teeth at the back. My baby teeth on those areas were really small and looked terrible. My smile is kinda bad because of the gaps I have in between my teeth. The dentist suggested I should have the baby teeth extracted and put implants in. I declined because I can't afford it for now. He said they could cause some problems later if left in. Three weeks ago, my first and second baby molars on the bottom left side started aching really bad. The gum underneath the first molar has turned dark. Is the tooth dying? I was wondering what you would suggest to replace them besides implants. My chewing ability will be affected once I lost these teeth. My friend said not to have the teeth pulled until they get so worn down. Her dad had several teeth that didn't have adult teeth behind them but was able to keep them until his 50's. I am really hoping I can keep mine that long so I won't have to get implants. How long will baby teeth last? What can cause adult teeth not to develop?

Thanks, Airon


Have a 90+ year old patient with a baby tooth, but this is really rare.
Would never do a bridge on virgin teeth. Guess partial dentures could be used until you can afford implants.

The sequence would be:

Align teeth orthodontically to open up appropriate spaces for implants.
Retain, and then place implants.
Continue retention until implant crowns are in place.
Posted 2 years ago
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