
Roughly 75% of American adults are missing at least one tooth, mostly from disease, trauma or extraction for other dental reasons. A few missing teeth, though, never erupted in the first place.
It’s a rare occurrence, but sometimes people are born without certain teeth, usually back molars or premolars that may not be as visible. Occasionally, though, it’s the more visible upper lateral incisors positioned on either side of the central incisors (the two front teeth on either side of the midline of the face).
Missing incisors can lead to poor bites and create difficulties for speech development and nutrition. But these highly visible (or in this case, “invisible”) teeth can also detract from an otherwise attractive smile.
There are ways, however to correct a smile with missing lateral incisors. Here are 3 of those ways.
Canine substitution. We can fill the vacancy created by the missing incisors by orthodontically moving the canines (the “eyeteeth,” normally next to them) into the space. Braces can close the gap in a conservative way, while possibly correcting any existing bite problems. Because canines are larger than incisors, its often necessary to re-contour them and restore them with a crown, veneer or bonding material to look more natural.
Fixed bridge. A second way to fill the space is with a dental bridge. A bridge consists of a series of crowns fused together in a row. The middle crowns replace the missing teeth; the end crowns cap the natural teeth on either end of the gap, which establishes support for the bridge. Another variation is a cantilever bridge in which only one natural tooth is capped for support. With either type, though, the capped teeth will be permanently reduced in size to accommodate the crowns.
Dental implants. This popular restoration is also a favorite for correcting missing incisors. Implants provide a life-like and durable replacement for missing teeth, while not requiring any alterations to existing teeth as with a bridge. But they are more expensive than the other options, and they require adequate space between the adjacent teeth for insertion, as well as healthy bone for proper placement and anchorage. This is also an option that must wait until the jaw has fully matured in early adulthood.
If you would like more information on treating congenitally missing teeth, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “When Permanent Teeth Don't Grow: Treatment Options for Congenitally Missing Lateral Incisors.”
Comments:
Find Us
American Dental Professionals
2675 N Mayfair Rd, # 650
Wauwatosa, WI 53226
(414) 257 - 1230
Request Appointment
Our office has flexible hours to fit your busy schedule
Patient Eductation

Archive:
- 2022
- 2021
- 2020
- 2019
- 2018
- 2017
- 2016
- 2015
- 2014
- 2013
Tags
- Welcome (1)
- oral health (29)
- celebrity smiles (90)
- oral hygiene (32)
- blood pressure medication (1)
- cosmetic dentistry (14)
- orthodontics (10)
- tads (1)
- crown (2)
- dental injuries (3)
- dental implants (9)
- periodontal plastic surgery (1)
- bonding (2)
- clear aligners (3)
- braces (10)
- dental injury (9)
- mouthguards (5)
- bad breath (3)
- gum surgery (1)
- dental hygiene (1)
- financing (1)
- root canal (4)
- geographic tongue (2)
- bridge (1)
- orthodontic treatment (20)
- adult orthodontics (1)
- osteoporosis (1)
- oral surgery (4)
- headgear (1)
- wisdom teeth (4)
- cosmetic gum surgery (1)
- dental exam (1)
- nutrition (5)
- diabetes (4)
- periodontal (gum) disease (2)
- air abrasion (1)
- pregnancy (3)
- cleft lip (2)
- cleft palate (2)
- sealants (1)
- tooth decay (8)
- chipped teeth (2)
- sensitive teeth (1)
- abscessed tooth (1)
- teeth whitening (3)
- teeth wear (1)
- gum disease (15)
- athletic mouthguards (1)
- dentures (4)
- pediatric care (1)
- infection control (1)
- frenectomy (1)
- root canal treatment (4)
- crowns (7)
- thumb sucking (3)
- porcelain veneers (6)
- removable dentures (1)
- periodontal disease (2)
- dentistry (1)
- seniors (1)
- tooth grinding (1)
- mouth rash (1)
- retainers (3)
- pediatric dentistry (11)
- mouth sores (1)
- teething (2)
- dental emergency (1)
- dental implant bridge (1)
- mouthguard (1)
- teeth grinding (4)
- bruxism (1)
- oral cancer (4)
- tooth pain (4)
- bone grafting (1)
- chipped tooth (5)
- retainer (4)
- dental care (2)
- gum recession (2)
- artificial sweeteners (1)
- laser dentistry (1)
- dental anxiety (1)
- x-rays (2)
- lingual braces (2)
- crown lengthening (1)
- bonded retainer (1)
- gummy smile (1)
- toothache (1)
- extraction (2)
- sedation dentistry (2)
- tooth replacement (1)
- tmj disorders (2)
- jaw pain (1)
- topical fluoride (1)
- vitamins (1)
- dental implant (6)
- vaping (2)
- smile makeover (2)
- dry mouth (1)
- missing teeth (1)
- veneers (1)
- fluoride (1)
- loose teeth (1)
- implant overdenture (1)