Congenitally Missing Teeth: Why It Happens and How to Treat It

Congenitally Missing Teeth: Why It Happens and How to Treat It

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Congenitally Missing Teeth
©Racorn/Shutterstock.com

Most people have thirty two permanent teeth that develop in their mouths.  Failure of any these teeth to fully develop is called congenitally missing teeth or, in scientific terms, hypodontia.

Congenitally missing teeth is actually one of the most common dental developmental abnormalities, even more common than double teeth and having an extra tooth.

In fact, about 20% of all adults are congenitally missing at least one tooth!

What Are the Most Common Congenitally Missing Teeth?

Congenitally Missing TeethThe most common permanent teeth to be congenitally missing are:

1 – Wisdom Teeth – The teeth all the way in the back of your mouth.  Wisdom teeth account for so many congenitally missing teeth that when you take them out of the equation, the percentage of adults with missing teeth drops from 20% to around 5%.
2 – Second Premolars – The teeth right in front of your molars.  If you only have one instead of two, you could either have a congenitally missing tooth or it’s possible that one of your premolars was taken out when you had braces.
3 – Upper Lateral Incisors – These are the two teeth to the side of your two front teeth.
4 – Lower Central Incisors – These are the two front teeth in the lower jaw. I’ve seen several adults in their 40’s who still have their lower front baby teeth because the permanent ones were congenitally missing!

Congenitally missing teeth are much more common in permanent teeth.  Only about 0.5 to 0.9% of kids have a congenitally missing baby tooth. If a child has a congenitally missing baby tooth, it is likely that there isn’t a permanent tooth developing under the gums of the congenitally missing tooth.

When people are missing a tooth, it is most common to only see one or two teeth missing rather than many teeth.  Neville and Damm’s oral pathology textbook states, “In whites with missing teeth, approximately 80% will demonstrate loss of only one or two teeth.”

Why Would a Tooth Be Congenitally Missing?

Forming a tooth is a complex process.  There are a lot of genetic signals that must be processed for everything to go correctly.  Most cases of hypodontia result from a lack of a little band of tissue, known as the dental lamina, underneath the gums to form.  Since the tooth forms from this band of tissue, the tooth will not form if the dental lamina does not form.

That band of tissue doesn’t form due to a variety of different genetic factors.  Scientists have pinpointed three main genes that play a big role in tooth development (AXIN2, PAX9, and MSX1.)  If there is a mutation on any one of these three genes, it could mean that a tooth will not form.

Congenitally missing teeth are often associated with various syndromes, one of which is Down’s syndrome.  Congenitally missing teeth can also be genetic.

Some dental experts believe that we are currently in the intermediate stage of an evolutionary change in the number of teeth that humans have and that future members of the human race will only have somewhere around 20 teeth instead of 32.

Treatments for Congenitally Missing Teeth

If you are congenitally missing your wisdom teeth, then no treatment is really necessary since most people have their wisdom teeth extracted.

Learn why dentists often recommend getting your wisdom teeth removed.

If you are missing your lateral incisors, your second premolars, or any other teeth, then there are a few treatment options.

Getting an implant to replace your missing tooth is probably the treatment of choice.  An implant has a root that integrates with your jaw bone and a crown to make it look like your natural tooth.

The next best option would be to get a bridge.  A bridge is like three crowns connected together.  The two teeth adjacent to the missing tooth are cut for dental crowns.  The bridge is then placed onto those two adjacent teeth.  The bridge has a fake tooth that connects to two crowned teeth and fills in the empty space from the congenitally missing tooth.

Another option for replacing a congenitally missing tooth would be to get a removable partial denture.  This is an appliance that you can put in and take out of your mouth.  It rests on your natural teeth and your gums and has teeth on it that replace the congenitally missing teeth.

Conclusion

Congenitally missing teeth is not as rare as you may have guessed.  The causes of this phenomenon vary and there are also multiple treatments available if you are missing one or more of your teeth.

Do you have any questions about congenitally missing teeth?  Did you have congenitally missing teeth?  If so, did you do anything to fill in the empty space?  I’d love to hear your questions, comments, and stories in the comments section below.

Thanks for reading!

146 COMMENTS

  1. My son (7.5 years old) lost his upper lateral deciduous incisors more than 6 months ago. However, his permanent teeth to replace these have yet to erupt. Is this something that we should be concerned about?

    I should mention that my mother and a sister are each missing some of their permanent lateral incisors, but they did not lose the corresponding deciduous teeth until well past 40 years of age.

    Of course, an xray could help solve the question, but my wife and I would like to know if this tooth growth behavior is relatively normal or likely indicates that he is missing his permanent teeth.

    • Hi Paul – I did some research and was unable to come up with an average amount of time that it takes for the permanent tooth to come in after the baby tooth is lost. Since the baby teeth came out on their own, I’m willing to bet that there are permanent teeth under the gums working their way out. The roots of the baby teeth are usually dissolved as the permanent tooth works its way to the surface, and this causes the baby teeth to fall out.

      When there aren’t any permanent teeth, the baby teeth usually can stay in the mouth for several years as you mentioned. One possibility (I’m just speculating) is that there isn’t room for the permanent lateral incisors to come in due to crowding in your son’s jaw. As you mentioned, an x-ray will be able to tell you what’s going on. Since the baby teeth did fall out on their own, I’m fairly certain that there are permanent teeth under there somewhere waiting to come out.

      I hope that helps – Thanks for your comment, Paul. Let me know if you have any other questions.

      • Hi, I just wanted to add a little of my personal experience. I’m congenitally missing both of my upper lateral incisors, and my baby teeth fell out on their own. This was because as my lateral incisors were not there, my central incisors grew with a large gap between them, thus pushing out all four front baby teeth at the same time. I might be a rare case, but it is definitely possible for the baby teeth to fall out on their own and still be missing the corresponding adult teeth. As someone who didn’t get the problem corrected until late middle school, my advice to you is to get it checked as soon as possible. It was a very stressful and traumatic situation, the older I got, to be missing teeth.

          • Tom, I have this problem as well. I am missing my upper right lateral incisor. My left incisor, luckily was not pointed. I got braces and eventually had all the teeth on the right side moved forward to close in the gap. It took a while, but I think it was the best solution. All of the teeth in my mouth are in fact real, and I won’t have to worry about maintenance later on in life on a tooth implant or bridge.

            • I have the same problem like that. And I’m totally worried because I’m a tourism student and I wanted to be a flight attendant someday. How long will it take to fix it?? My braces was put just last month

        • My 10yr old daughter has the same problem, and lost her baby teeth late then discovered the problem…we are now seeing an orthodontist to work toward options of correcting this, she is missing many teeth with no reason behind it. I myself and my mother are missing 4 molars, still have our baby teeth and my mother is close to 60 still with 4 baby molars. We also did not have wisdom teeth, making us missing about 8 teeth if you count those. My daughter however is a different case, missing her incisors, and several other teeth. I agree it can be a very worrisome and stressful situation and also cost a lot of money to fix! We also live in a rural area with an orthodontist without much experience in this type of case.

          • Amanda,
            I have a ten year old daughter who is missing multiple teeth as well. She is so self conscious already. It breaks my heart knowing what she will need to go through to replace these teeth.

            • Hi Jen, I just came back to this site to refresh some info in dealing with my daughters situation. Have you started anything for your daughter yet? We are hoping the next ortho (2hours away) may have more experience in this as I’de like the orthodondist to know more about it than the little I do! Instead of asking questions like if she’s been checked for some disease or other which is ridiculous and had extreme symptoms to match which she doesn’t have. I really feel so bad that she has to deal with this, we are getting new xrays next week and im still hoping at least her incisors will be hiding up somewhere…I had one up by my nasal cavity! I am currently dealing with having to extract my 2 upper baby molars for implants as well and did not take care of my teeth growing up at all. I am so thankful my daughter who is now 11 has yet to get a single cavity! Best of luck to your daughter and please keep me updated on your solutions :)

        • I am missing an upper front tooth because it never came down. It was too far up in my gums and was crowded out by all of my other teeth. It spawned a supernumerary (I think that’s the term), an extra tooth but a deformed tooth which was even further up in my gums. An oral surgeon removed both when I was 19. He said the supernumerary was nearly into my eye socket. My other teeth have moved close together and people usually can’t tell I am missing any teeth. Some have said they knew something wasn’t quite right but can’t figure it out unless I tell them. On the lighter side, my mother always used to tell me that when my older brother and I were just little kids, I knocked my brother down the stairs and he lost a baby tooth. Dentist said the permanent tooth would never come down because it had been pushed way too far up. In later years, Brother had all of his teeth and I was the one missing a tooth. Mom said that it must have been God’s way of punishing me for knocking my brother down the stairs. I thought she was serious until I was old enough to realize she was only joking.

        • The same thing happened to me, I also have a gap between my central incisors, and I would agree with Danielle to get it corrected as soon as possible as I’m 20 and I haven’t gotten it fixed yet and it definitely gets worse as you get older.

      • I might add that my ex husband still has a baby tooth – upper lateral incisor. Never got the permanent tooth. So my son couldn’t win, right? He has 2 teeth – one upper lateral incisor and one canine, side by side, that never came down. We tried everything. Finally the oral surgeon removed them. The roots were hooked and there was no way those teeth were ever going to come in. A shame, too, because they were beautiful teeth. He wears a partial now. My grandson’s permanent uppers didn’t come in at the same time and I worried that he, too, would be missing teeth. Then one day I saw a bit of white peeking through the gums and was never so happy to see a tooth. He seems to be getting all of his now and the gap between his front teeth is closing.

    • I am a 25 year old woman who never grew her bottom laterals, I was told as a baby my teeth did not grow until I was over a year old. I would like to know is this something that may affect my future children or does it stop at me?

  2. I found I was missing several of my permanent teeth when I was 11yrs. I’m now 43 and have 7 permanent uppers ( no wisdoms, 5 molars, 2 front incisors) and on lower, 4 molars and one canine lying on its side at front of jaw. When I was about 11 a brace was fitted to bring my front teeth together, then the milk molars were removed and a removable plate fitted with false teeth, my lower milk molars were built up and the lower milk incisors had crowns and a bridge using the crooked canine as an anchor, which I still have today. 3 years ago I had to have a full bridge fitted on the upper jaw as wearing a false plate for so many years had caused the roof of my mouth to greatly thicken and reduce the bone density, which explained why every time I had a new plate fitted it was becoming a shallower arch. I had to pay for the work myself and will soon have to find the money for work on my lower jaw as an xray showed the built up lower molars are gradually losing their roots. I have 2 boys age nearly 9 and 11 in october, who are showing signs of the same problem although my eldest luckily has all 8 incisors! My youngest is severely autistic, non-verbal, so any work he needs would need to be done under general anaesthetic, the only advantage he has is that he isn’t bothered about his appearance unlike his brother who is more selfconscious, I think we’re in for a hugely expensive future, I would like them to have implants, but this can only be done when they’ve finished growing which is about 21, the question is what to do in the meantime, i really dont want them to have false plates as it ruined my palette.

    • Hi Paula – Your palatal problem occurred over a few decades of wearing the plate. I don’t believe too much bone would be lost if they wore a plate until they were 17-20 years old and could then get implants. I would ask their dentist to make sure, but if they need more bone, they could most likely have a bone graft done to replace any bone where it has been lost.

      I hope that helps, let me know if you have any other questions.

  3. My daughter is 3 years old and had her first dental appointment. She lacks the lower canine baby teeth– they just never came in. She has the 4 incisors and the molars, but not the canines (she has them on the top). As a result her lower teeth are rather gappy. It seems like these are rather unusual teeth to be congenitally missing. What is the frequency of kids who lack the mandibular canines? Does this mean she will not get adult lower canine teeth either? What can be done for this condition now; in the next 10 years; and as an adolescent/adult? I am concerned that it will be traumatic for her to not have those teeth, and to have teeth spaced out, as she reaches 6,9,10,11, 12 or 13 years of age– ages where appearance gradually becomes increasingly important. I am having trouble finding any information on this problem– thanks in advance for any/all advice or comments.

    • Hi Ben

      Have you had any feedback from any web links or professionally?
      I have a similar concern for my son who is nearly three. He has three out of four baby incisors.
      It would be great to hear if you have received any advice on whether to take action or otherwise.

      Thanks
      Michelle

      • Hi Michelle and Ben, I’m experiencing the same problem with my 4 yr old son. He is missing his two lower front baby teeth. We took him to the dentist for X-rays and discovered he is missing the same permanent teeth. Please let me know if you discover anything more.

  4. My daughter has a problem slightly different than the one in the article but I couldn’t find anything about what she’s specifically going through in any of your other articles. My daughter had a molar that wasn’t erupting but could be seen in xrays. The dentist performed a procedure that he said would be no big deal but was extremely scary to my daughter, where he cut the gum (with a laser) that was covering the tooth and then proceeded to “wiggle” it to give it the idea that it needed to move. We waited a few months and saw no change. He removed a tooth that he thought may be in the way…a few more months wait, still no change. We were sent to an orthodontist to have a chain put on to pull just the one tooth down into position, but the ortho will only do it with full braces, which we can’t afford. Right now all that can be seen is a tiny bit of the biting surface of the tooth through the hole cut in her gum. I am concerned that the tooth won’t be able to be cleaned properly. What is the problem with this tooth and should we continue to keep trying to get it to come in? Thanks in advance.

    • Hi Shelly – How old is your daughter? Have any of her other permanent teeth come in? Let me know.

      The best thing to do at this point for that tooth is to make sure that you are brushing back there and keeping it extremely clean. I am not certain what the problem is, but there are a variety of things that can cause a tooth to come in later than it normally would.

      • Hi, Tom. Thanks for your reply. My daughter is 12 and the tooth in question is, I believe, called a six year molar. It has not moved AT ALL in over a year. She has all the other teeth she should for her age. I am concerned that we are putting her through a lot of procedures, causing new issues, and spending money on something that we should have just left alone. I hope the new info I provided helps to narrow down the possibilities.

  5. We just had a visit with our dentist and learned that our daughter is missing 20 permanent teeth. She has 12 permanent teeth in total, and we were told to try to save 10-20 thousand dollars in the next ten years (she is now six). The orthodontist mentioned that if we could find out if she has a medical syndrome/disease that has caused this we may be able to get insurance coverage for some of the costs, but I don’t even know where to begin trying to find that sort of information. I am also not sure why insurance would not cover this amount of missing teeth. It’s not like she only has a few missing- without treatment she will have real difficulty with eating…

    I am missing eight teeth and my mother is missing 11. One of my teeth is a bit misformed but the dentist fixed it by sanding it down. My mother and I needed no further treatment besides braces- although I do have several baby teeth that might have issues as I get older (I’m 35). I am not sure why my daughter has such an extreme case of missing teeth. It obviously runs in my family but 20 missing teeth just seems severe.

    • Hi Hailey,

      My son only has 10 permanent teeth so he’s missing 22. I know what you’re going through. My son is now 17 and we have maintained his appearance with temporary bridges, bonding, etc. We are seeing a prosthodontist, orthodontist, and oral surgeon but the three of them have yet to come up with a real “plan.” Some of my son’s permanent teeth have grown in extremely crooked due to the fact that there’s nothing there to force them to come in the right positions. Also, with so few teeth to work with, braces can’t be used to fix the crooked permanent teeth in order to keep them because there’s just not enough teeth to cause the push/pull effect needed for braces. He only has 2 permanent teeth on the bottom so he’s going to have to have some implants put in which will be used to hold a bridge. The financial burden is extreme and I have been back and forth with both my medical and dental insurance with no success. The $2,000/year maximum on my dental insurance doesn’t go very far for my son’s issues. I always say that if he was born without an arm, medical insurance would pay for a prosthetic but apparently, the medical and dental world does not believe that teeth are essential to a healthy, happy life. Obviously, they don’t know what it’s like to be a teenager without teeth while all of your peers have beautiful smiles because all they needed were braces. I feel for you and your family and would be happy to talk if you’d like to share information.

      • Hi there, We are in the exact same boat as you! My son who is now almost 19 found out at age 5 that he only had 10 adult teeth! Talk about a shock. We have been desperately trying to get insurance coverage for all of his dental work but to this date we have had no luck and it has hit our family very hard finacially. For the last 10 years we have done certain things to maintain a decent smile for him up until this past year when his baby teeth just got too bad. We see a Prothiodontist, Oral Surgeon and Othodontist regularly. This past January, my son had his unsavable baby teeth removed and fitted with temporary denture and flipper. Then in September he had 6 implants placed in his upper jaw to create a new smile and a bridge placed for his bottom front teeth. They will begin the reconstructive process in late december after implants have interrgrated. This has cost us so far over $12,000 and In December the reconstruction will cost a total of $29,000.I just cannot believe the dental insurance companies will not cover any other this and Medical insurance says they would expect dentures to be the answer…just terrrible! My son is now a full time college student and has really been through alot with this issue, but we will do anything to help him feel confident. It’s just what parents do…Damn the insurance companies!

    • Can U please tell me what is happening with this process for your daughter at present?Your story sounds almost identical to my son, now 19. This congenital missing teeth issue has greatly reduced what the quality of life should be for a young person of this age. The lack of teeth have caused not only financial struggles but psychological because of poor self image and lack of confidence in himself. This lack of confidence has negatively effected his school work and believe in himself for higher education. The out of pocket expenses have been catastrophic for us to plan for with college ahead for three kids,etc. Insurance keeps offering us almost “a slap in the face” as the amount they’ll cover. Have U found anything to make this condition manageable for a family. We want to do all we can for our son. Thank you.

      • I am only missing 18 teeth (compared to you guys that seems like nothing) I am 17 and I only found out when I was 16. Due to the amount of teeth I am missing it was classified as a cleft palate (I do not have a cleft palate nor any holes in my mouth) Because it was classified as a cleft palate the government offered to subsidized most of my treatment. Maybe something you could look into ?

    • what did you end up doing? My daughter is 11 with 9 missing teeth , one orthodontist wants to put space maintainers in and wait to see how her jaw develops before making any reccomendations wince he is worried about affecting her skeletal jawbone structure, and the other orthodontist is sure he can fix the problem by braces for the top and what he called temporary dental implants for the bottom that he would anchor braces to and thus push all the teeth forward and together so she won’t need implants later. I’m unsure how to proceed?

  6. I am missing my upper lateral incisors. My dad is also missing his. I grew up always thinking that my parents let me pull out my adult teeth in that spot thinking that they were lose. My son is almost 7 years old and we just recently went to the dentist. I was looking at his xray’s with the technician. It was showing he only has 4 adult teeth going to come in the xray instead of six up top. I asked the dentist is it was a possibility that he was going to get my teeth. She tried saying that it looks like his incisors may be sideways, to me it looks as if there are no incisors but his canines. I will find out in 2 months at our next dental visit when they do a full smile xray exactly what’s wrong, but it was interesting. Now I believe I never had adult incisors and after looking it up obviously it’s possible. I never thought to look it up before. I never did anything to change my teeth. When I was 16 the dentist said I could get braces and put in a partial or they could file and mold my canines. I didn’t want fake teeth in my mouth nor to get rid of my canines. My canines actually take up both their space and where the incisors should be. My dad got a partial because there was more room in his mouth. It will be interesting to see if my son has the same thing.

    • Can u please tell me what the outcome has been for your son? Any suggestions, etc. My 19 yr old son is almost identical case and we keep running up against such a wall getting any decent coverage from insurance to help our son. Thank you.

  7. My brother was born missing 18 of his adult teeth. He has had braces, retainers, ect. since he was 12. Insurance would not cover any of his tx, however every dentist he has seen has deemed it necessary to have either dentures or implants. He is now 27 and in the navy. They (the navy recruiters.) told him the military would pay to have the work done. He has been in the military since he was 18 and has started the process. They need to remove and shift some teeth around and break his jaw before he is ready for implants. The problem is that every time he get shore duty (which lasts 3 years) He is set to be deployed for 5 years. The military will not give an extension. My question is: is there any way he can somehow speed up this process while he is on shore duty still or is he stuck waiting another 5 years to be able to have a “normal” life. If he were to get dentures could he later on get the implants? Any suggestions? I am so tired of seeing him go through this I couldn’t imagine missing over half my teeth. I have seen him eat and it is such a task for him it sound stupid but its a fact. Any suggestions would be great. Thank you

  8. Hi Doc

    I am 29 years old and have right permanent canine missing. The baby canine fell 7 years back and I never cared to get the replacement done.

    However now I am contemplating getting replacement done. Could you pls suggest what would be the best treatment. I would also like to add that when baby tooth fell, I could feel root of the other teeth however my doctor told that it is horizontally placed.

    Pls advise

  9. I am 27 years old and I have know since I was about 5 that I had several congenital missing teeth. 14 to be exact. I am losing bone and it is causing me to start losing the good permanet teeth I do have. I can’t get medical insurance to help with the cost of implants and I can’t afford them on my own. Any suggestions?

  10. I’m 19 years old and my front 5 teeth on the top row are missing permanent teeth behind them, so they are still baby teeth. Eating drinking can be very painful, as they are extremely sensitive. I have been bullied almost my whole about them also.
    I’m British, living in the UK, but been told the NHS will not pay for implants, and I will have to go to a private clinic, which I cannot afford.
    Is it worth asking them about a bridge or a removable partition denture? Would the NHS be able to cover it for me?
    Many thanks!

  11. Hi I have a 26 month old. she is missing her lower right incisor and top two outside incisors. I cant find out any information about this. I really hope her permanent teeth aren’t missing. She has a small bump like chip under her chin -is it possible for the tooth to grow down as if coming out her chin.

  12. I’am 22 year old female missing my lower right secondary premolar and recently found out the root it has cracked with in the last year. Its a baby tooth with out an adult tooth under it. I hope I can get invisalign soon as it falls or gets pulled.

  13. Hi I am 22 now and when my teeth first started to come in I only had one front upper incisors. And there is no gap,my other teeth just filled in around it. When It fell out and my permanent tooth came back still just one. I have been to countless Dentists and Orthodontists and they have no idea what to do without costing a fortune. Its who I am, it’s a part of me but I want it fixed for me. Have you ever heard of this or know what the best solution would be?

    • Hi Jessica – This can be a difficult situation to deal with. Many times when patients are missing their lateral incisors (the ones right next to your front upper middle incisor), dentists can re-shape the canines to look more like lateral incisors. This can help a great deal. With only one missing tooth, it is hard to get a symmetrical smile because you only have three incisors. The cheapest option I can think of would be to re-shape your front teeth to appear more similar to each other, but this may not be what you want since you would still have the three incisors.

      The best solution may be what’s already been recommended to you by orthodontists and dentists of creating space for another central incisor and getting an implant. I hope that helps, Jessica. Thanks for your comment!

  14. When I was younger, maybe 6 or 7, the dentist explained to my mom that I was missing one of my permanent teeth – one of the lower central incisors. He suggested pulling the baby tooth and allowing the other teeth to grow together. He pulled the tooth, the other teeth naturally grew together, and I have a pretty decent smile. I like having a missing tooth. It’s a nice little nugget of hidden information about me.

  15. Hi Tom

    I have a son aged 8.5 years and have just discovered that he is missing his adult front lateral incisors. His baby teeth are still present. I originally took him to the dentist to check him out because one of his front top teeth is growing at an inwards angle. Is this in any way connected to the issue of missing teeth and is this likely to straighten do you think? Also – the dentist advised that he may retain his milk upper lateral incisors way into adult life – it is a gamble as to what to do – whether to start orthodontic treatment early or to leave him and see if the teeth naturally sort themesleves out. He has a small mouth and the dentist also mentioned that it could be that he physically cannot fit that many teeth into one mouth ! Full xrays are to be done next month – meanwhile I am trying to seek professional advice on options available – scary stuff for a parent although I gather now that it is more common than I thought. Thank you Tom – any advice is much appreciated

    • I’m just wrote a blog post right now about early orthodontic treatment. I have three kids and early orthodontic intervention was recommended for each of them. If you’re interested, you can read about my adventures here. I am not a dental/orthodontic professional, but I have had my share of real life experience with treatments.

  16. My husband is missing his wisdom teeth and his last set of upper molars.
    The dentist thought my oldest was missing her upper lateral incisors, showed us the xrays to “prove” it. She really did have the teeth.
    We’re being told that my middle child doesn’t have upper lateral incisors. I’m not worried. If, at 15, they still aren’t there, then we’ll get implants. But only after several really good sets of xrays.

  17. Hello, I am missing both of my lateral incisors. There is no gap where they should be. The canines take the place where they should be so there are no gaps at all. I know an adult has 32 teeth in all. I don’t have my wisdom teeth yet so I should have about 28 teeth right…but since I am missing my lateral incisors I should have 26 teeth in all. I have counted multiple times and so have other people and I have 28 teeth. So my question is if I could have a duplicate set of teeth or maybe my canines and lateral incisors switched places which i don’t think is possible. I also would like to know what my options are to correct the problem and if it is something I should worry about and can be corrected.

  18. Hi, I’m congenitally missing a lower lateral incisor. I never had it as a baby tooth either. There isn’t a gap, I just have always had three on the bottom front as opposed to four. I also am missing one of my wisdom teeth. It never formed either. I’m in the process of braces and my orthodontist says I don’t need an implant. I’m worried that once everything else is where it should be, I won’t be lined up. I’m 29 yrs old, so I’m going about it late, but I don’t want all this effort and money to be wasted. Should I push the issue about an implant, or just go on without the tooth?

  19. My daughter is 3 years old and had her first dental appointment. She lacks the lower left canine baby tooth– it just never came in. She has the 4 incisors and the molars and the canine on the other side. She has all other teeth, but this one, but not the canine (she has them on the top). It seems like this one is rather unusual to be congenitally missing. What is the frequency of kids who lack the mandibular canines? An xray showed that she may be missing this permananet tooth as well as possibly the molar next to it. THey want to wait until she is 4 and do a 360 degree radiograph to be sure. What can be done for this condition now; in the next 10 years; and as an adolescent/adult? I am concerned that it will be traumatic for her to not have those teeth, and to have teeth spaced out, as she reaches 6,9,10,11, 12 or 13 years of age– ages where appearance gradually becomes increasingly important. I am having trouble finding any information on this problem– thanks in advance for any/all advice or comments

    • I also have the same problem in my childhood. But after the milk teeth was gone I got a new teeth in that place and that is a twin teeth. so instead of 3 I got 5

  20. No, it is not tramatic, I have been missing one since I was 18 and now the other one is just starting to get loose and needs to be pulled out and I am 43. I have had no replacement teeth put in yet, I have been waiting for the last one to fall out before doing this. I have had absolutely no issues except the periodic biting down on something that pokes my gum. I will have replacements put in after this one comes out and heals, which I am finally having pulled out because of the receding & pain it is causing. It’s just time for it to come out finally. Mine are the lower central incisors.

  21. I have 5 children, 3 of which have missing adult teeth… A very large number at that. My eldest is missing 14 my middle is missing 13 and my forth is missing 18.. They are all being treated for this at our local hospital in western Australia. My eldest has just had all baby teeth removed and implants put in. His treatment is in progress at this very moment as for my other 2 children with that same problem. This will also be the treatment for them once their jaws have developed enough to have it done..

  22. I have two equally spaced incisors instead of four in the lower jaw. So there are three big gaps between lower canines. Please suggest suitable treatment.

  23. Hi,
    my son is 8 yrs old. he is missing his two laterals. His central inscissors pushed out all four baby teeth aswell and has a large space with 2 big teeth in the middle, all very spaced out.
    the orthodontist we went to suggested waiting at least 2 years until beginning treatment. does this make sense?
    also, we received two different opinions as to treatments, one is implants and the other is to move the canines forward. i’m stuck which way to go. do i get a 3rd opinion? also, in the meantime, my son is complaining already that kids make fun of him for his teeth a bit,. is there anything to do in hte meantime, asthetically?
    thanks for you advice.
    ally

  24. My daughter is 19 months old and just doesn’t have a tooth it of the incisor on the to right she had had the other one got a good 8 months and has all of her other teeth but that one and there is nothing pushing through put anything… Could this be what she has? Her dad doesn’t have canines on the top and never did… Did she get out from him?

  25. My daughter is 7 now and one of her upper lateral incisors fell out about a year ago and no permanent tooth has appeared. The other lateral incisor is now very wobbly and about to fall out so we will see if a new one comes through. Her front central teeth have spread out on the side where there is a gap and there is now a gap between her front teeth. The dentist advised to come back in a few months.

    I have all of my permanent teeth but my mother is missing both her lateral incisors so my guess is that it’s genetic and that my daughter will be missing both herself. My daughter is a spitting image of my mum so maybe she got lots of her genes!

    My question is in the uk for a 7 year old, what can be done about this, what is the best option? I have a severe fear of the dentist and don’t want to pass this on to my daughter so I don’t want her to experience any pain where she can’t be put to sleep during the process…she is currently quite happy gng to the dentist t she has never needed any work at all. I do think it is very important for her to have a full set of teeth and no gaps..

  26. I am 9 years old.I had an infection in my first molar and got it pulled.My gums under that have been kind of squishy ever since I got the infection.I am wondering if the infection could of caused my molar not to come in because it hurt that or that I was born without the permanant molar?
    Thanks,
    Grace

  27. My daughter, now age 25, was missing 8 adult teeth around age 11. (4 wisdom, upper lateral incisors, 2 lower molars) . Because the missing teeth were balanced (4 upper/4 lower) it was possible to use orthodontics to pull all her remaining teeth forward to fill the spaces . Unless you notice that her canines are adjacent to her two front teeth, you would never know she was missing so many teeth.

  28. My 7yo daughter just had xrays of her teeth – she already has 6 erupted permanent teeth, unfortunately though it showed that she only has 11 of other permanent teeth that haven’t erupted (four of which are wisdom teeth / third molars). She also has a major over jet – Needless to say I am feeling quite confronted and apprehensive about future treatment.

  29. MY GRANDSON WHO IS 3 YRS OLD NOW IS MISSING HIS LATERAL BOTTOM INCISORS. WILL HE HAVE THE PERMANENT TEETH? HE ALSO HAS A PROBLEM WITH DROOLING. IS THIS RELATED? THANKS FOR YOUR REPLY.

  30. my 15yrs old daughter has 2 bottom milk molar one each side in exelent condition but in lower alignment they like sunk in the gum and no permenet molar , the dentist adviced us to pull them out and do implant to keep the jaw bone in level but am not convinced.please advice

  31. Hey man i have a tooth that never came in and ended up getting a fake tooth to go in it’s place, but i feel something coming in it seems like a tooth. I tried flossing whatever was in there but nothing is coming out. Is it possible that a tooth could have came in something like 5 years later?

  32. Hi I was wondering are there any programs that help people without dental insurance or any type of credit? My two top lateral incisors are congentally missing and I had bridges placed when I was 16 of course with the help of my parents. I’m 27 now and one has broken off so im missing a tooth and have two shaved down teeth next to that and I have also chipped my other side. This has cause much self consciousness especially in the workforce. Anywho just curiouser if there is any help out there for people like me. Thanks

  33. I am 27 and recently lost my upper lateral incisors. I see something white where it fell out, does this means it’s my adult tooth coming in? Or is it broken?

  34. Hello, I had a congenitally missing lower incisor as a kid and still do now as an adult but no gap, teeth are perfect except I have 3 lower incisors between canines not 4. Is there some way to tell which one I am missing or would it most likley be that I only have one central on the bottom?

  35. Hello, I am 15 and my lower central incisors are milk teeth. Xrays show that my adult teeth roots are conjenitally missing. What is the best way of treatment to go by?
    Bridging or permanent implants? And do you recommend a specific age as one of my dentists thinks I should get it done by the age of 19 when my jaw is fully devolped while another I consulted wants to do it right away and give me braces cause he thinks my jaw line is curved? Please answer my questions, much appreciated.

    • Hi Seb – When and if to do something depends on a lot of factors. I recently saw a man in his 40’s with his two lower baby front teeth still in. If there is nothing wrong with the two adjacent teeth, you should consider if you really want to cut down two perfectly healthy teeth to create a bridge. Implants are usually the best option if you dentist believes that you are a good candidate for them.

      One thing to consider with implants is that they will NOT move with braces, so it’s a good idea to have crooked teeth straightened before getting implants if the curved jaw-line is bothersome. I hope that helps!

  36. Hello,
    growing up i didnt see a dentst as often as i should have. i take good care of my teeth and im lucky to enjoy a healthy smile (for the most part). when i was 15 i had the first dentist visit i can remember My dentist noticed that i was missing several teeth, for a total of 27. my teeth still look normal except for 1 baby tooth in the front lower area .that i had until i was 25, i found your site because i wondered why my teeth were this way.

  37. My 12 yr old son is missing the bottom front tooth and a set of molars.Ortho recommends just moving the teeth over to fill in the space when the baby tooth falls out.Is this a good idea?Should we just go with a bridge till he can get a implant?

  38. Hi
    So I’m 16 right now , and currently my upper lateral incisors is really big and won’t come out.
    It is hitting my central incisors which is making it crooked. Two months ago , the tip d the tooth finally showed , but it has been like that for two months and haven’t continued to slide down. With that being said , my central incisor also became a little more crooked .

    I believe that my upper lateral incisor is hitting my central incisors , causing it to be a bit more crooning , and it is being crooked towered the left ( which means if it continues doing so it will slighty block my lateral incisor)

    What options do I have ?

  39. My 13yr old daughter has a baby molar ( third one forward from the back) that has no permanent tooth behind it. It now needs to be pulled because it is decaying. I am so confused as to what to do for her, or if anything needs to be done at all. The dentist keeps telling me that if she doesn’t have braces or an implant that her bite will get messed up which will affect her ability to chew? She has all of her permanent teeth except for the wisdom teeth(haven’t come in yet), so this one molar is the only one we are looking at that is a problem. I really don’t want to invest a lot of money in this. What do you suggest the most practical solution is to this situation? Is a spacer a possible permanent solution for her situation? Thank you for any wisdom you can shed on this!

  40. Hello,
    My son has three things wrong with his teeth. First of all, the mid line is off. Second, his bottom teeth suffer overcrowding. And finally, he is missing his left upper lateral incisor. Can I please get any information on how these problems can be solved. He is feeling so self-conscious and complains that he would never get a girlfriend with his teeth. I need a calculation of how much all these repairs would cost (We live in the Northeastern Area of the U.S.). And give him some advice before he starts turning his anger on everyone. Thank you!

  41. After reading the comments and treatments plans suggested, I’d like to add in my two cents. I am 17 and I am congenitally missing my left upper lateral incisor. However, my baby tooth for the upper later incisor fell out when I was about 13 even though there was nothing pushing it out. My left canine slowly moved into the empty space, however, I still had a large gap between my front teeth and space between the upper front 6.
    I would highly suggests you explore many of the available modern options before making a decision if one of your (our your child’s) upper later incisors are missing. In my case, my teeth are fairly small, including my canines so it was not extremely obvious that my tooth was missing other than extra space and shape of the tooth. Also, often when one lateral incisor is missing the one that is there is often either too small or peg shaped. For me, my right lateral incisor was small but not extremely.
    After talking to a few cosmetic dentists and an orthodontist, I decided to go for a more conservative option instead of making space and getting an implant. I got invisalign to close the extra space in the front and fix my overbite so that my left canine would take the place of the missing incisor and left molar replace the canine. However, they still were not the correct shape exactly so after almost a year of invisalign (and getting my wisdom teeth removed, ug) I got bonding to make all of them symmetric.
    I have been extremely happy with the results and the entire process took not even 2 years (including quite a few months of letting my teeth settle after invisalign and heal after wisdom teeth). Now, my teeth look perfectly normal and the only difference is that the gum height on my real right canine is a little higher than that of the molar disguised as a canine.
    So overall, definitely explore all options and talk to your dentist/orthodontist about the treatment plan in your specific case.

  42. I am now nearly 56 years old. I have visited a dentist for the first time in my life a couple of months ago with a complain of sensitivity in the lower central incisors. He surprised me by saying that my lower central incisors are still baby teeth and have not fallen off. One of of the tooth is quite ok but the other is shaking and both are of smaller size not really visible when i smile .. As such I have no serious problems except for one of the lower central incisors shaking when I hold and shake it. Is there any simple remedy to fix the existing shaking tooth firmly for as along as possible . I am unable to bite any fruit etc with with lower incisors now.

    • I am also 56 years old and have 2 baby teeth on the top, plus I’m missing 1 in the front in the bottom. They usually bother me if I am getting a sinus infection. The one baby tooth on the top as been getting loose for about 3-4 months and will not tighten back up. I will be getting the tooth removed next week.

      How did you make out with your problem.

  43. Hi

    My 13 year old identical twin daughters have many teeth missing! Scarlett has 17 adult teeth missing (was missing 10 baby teeth) Sinead is missing 16 adult teeth (was missing 9 baby teeth), they only found out this morning and are besides themselves, they get a lot of grief at school for being gappy! and emotionally it really gets them down, unfortunately waiting list is really long here and they have to wait another 6 months for next appointment and are unsure what they are going to do. (I m cross it took my dentist so long to refer to maxifacial unit) but at least we on the long road now… If anyone has been through similar and has any idea of the road ahead ..especially positive things I can tell 2 hormonal self conscious teenagers I be very grateful :) .

    • I am 17 and have the same issue (18 teeth missing). I never got teased for being gappy or anything but I did feel self conscious. I will be completely honest with you when I say it is going to be hard.

      When I got my braces on (maybe 7 months ago) I had to have 2 baby teeth removed to make treatment easier. My braces looked a little different and I was so self conscious about them. Honestly a few people commented nasty things but that was it. The rest didn’t even notice that they were different.

      I think if I was a bit younger I would have been way more self conscious. Just remind them that they have teacher other, I think that will really help.

      On the other front this will most likely be a very long process they will most likely be getting implants but you can’t get them till you have stopped growing. Just remind them in around 10 years they will have perfect amazing teeth.

  44. Hi,

    I am 30 years old, had gap & had baby teeth until a year ago, (I had my two baby teeth pulled out due to various reasons. They came in where your K9s would go, but they were the two teeth that were supposed to go NEXT to your two front teeth & my K9s grew there next to my front teeth). I took matters in my own hands & had the baby teeth pulled due to their condition. I’ve had braces for about 2.5 years & now looking for consultations for implants. After $6600 in braces, now I am looking into a lot more money. And I need TWO implants. Right now I have 2 pontics on the outer part of my two front teeth & my K9s are almost in their correct position. I just wish insurance would pay for at least HALF of what it’s going to cost me for 2 implants since my 2 teeth have never grown in, aren’t in my gums, etc. My praying one day I can feel ‘normal’ & smile like there’s no tomorrow without feeling conscience. 2-3 more years to go & financially…..we’ll see.

    • Hi Anamaria – Thanks for sharing your story. It sounds like you’re headed in the right direction. Hang in there – thanks for providing hope to others who read your words!

  45. Cool stuff! I’m 18 and I still have 2 baby teeth. I only found out a year and a half ago that it was because I’m congenitally missing adult teeth. I’ll probably get implants sometime in the next 10 years (although it seems some people were able to keep their baby teeth to their 40s, so we’ll just see how long they last)

    Do you know more about the associated genes? Like what chromosome they’re on or if there’s any associated SNPs with the mutations?

    • Hi Jamie – Luckily Google Docs still had our Dental Genetics presentation that we gave as our final project in my dental genetics class. From what we discovered, congenitally missing teeth are often associated another syndrome. When they aren’t we really don’t know too much.

      Most research has focused on the following genes: MSX1, PAX9, and AXIN2. From what I’ve read, experts believe that it is in a locus on chromosome 10 where most teeth development problems occur. I remember our professor (a widely respected, published dental genetics researcher) stated that there’s simply not much money to research congenitally missing teeth, so we still don’t know very much.

      I hope that helps! Thanks for your question.

  46. Hi my name is Jacqueline and my lateral incisor teeth never grew in. I was embarrassed all through middle school until I got braces at the age of 11. My teeth shifted to there right place and when they were taken off o received a retainer with two fake teeth on them
    After that I eventually received partials which is what I have in today. I always thought I was different and weird but since this is in 20% percent of adults today I feel a relief. Im in college and thinking about changing my major because I want yo study more about genetics and underdevelopment especially in why some teeth do not grow.

    • Thanks for sharing Jackie – I’m sure you’ll love genetics, it was one of my favorite subjects – it’s always good to study something that you find interesting, it will make your job a lot more fun when you’re out working!

  47. I’m glad to learn that absence of premolar teeth is rather common than excessive teeth. My daughter is 6 y.o. and two weeks ago her dentist just realized that both upper premolar teeth are missing. She suggest we wait until she’s 18 and take an implant surgery (as you also mentioned in this article). My concern is her health until she reaches 18, I mean, would she get headache because upper and lower jaw do not align? Would it cause her lower jaw grows longer than her upper jaw? I notice that she need extra long time to chew food.
    Is there something I can do?

  48. I came across this whilst googling and whilst usually I am more of an observer on these threads, felt compelled to post something especially for Karli and her story regarding her daughters. I am female, was born without my upper right lateral tooth (right next to my main teeth, hard to hide!) and lost my baby tooth just before coming into high school. I was given braces, the orthodontist advised against bringing the next tooth over to replace the missing as it would not have looked right (something I am now very grateful for!) and instead used a spring-like brace to keep the space apart to be ready for an implant in the future. Kids can be very cruel, I was subjected to many taunts about being “gappy” and it affected me deeply at the time, I was lucky to have a loving and supportive family to remind that words are just that. I was an angry teenager because of it, I won’t lie, the many painful operations for preparations with the implant, along with the taunting at school; i couldnt understand why they were making me go through it all. In saying that, I will never forget the first day I turned up to school with my braces off and temporary plate with prothstetic tooth, nobody could tell it was fake, they just commented on how amazing it looked. The pain was worth it, my self esteem soared. I, now as an adult of 25, have deeply apologised to both my parents and the wonderful prothodontist I have had, for the horrible words and outbursts I subjected them to. The interim before the prothstetic implant, I got into martial arts, kick boxing actually, it helped a lot. Tell your daughters to keep their face towards the sun and they will see no shadows! A beautiful smile can do wonders but ultimately it’s what is inside that matters most :-)

    • Hi Amy, I would be really interested in how you found the implant process?
      Also what surgeries you had to have? (I understand everyone is different but I am interested to know what you have been through)
      Have you had any issues since the implant was placed?
      Was there a time when you couldn’t wear your prosthetic tooth due to surgery pain ect?
      And lastly how much time went by between the end of your braces and the implant?

      THANKYOU

  49. I have a concern for my 26 month old toddler. He has 4 teeth on the front top and three on the bottom front – then has none until one on the left and right upper gums and one tooth on the left and right lower gums – way back in the back. Should I be concerned? What should I do?

  50. Hi Thank you so much for your input, the Twins are hanging in there although Scarlett bless has lost 2 more baby front teeth and is now finding it very hard to eat. :(. They have 4 months until next appointment and that is only for photos and measurements! be beginning of next year before any work starts by the looks of it. Would really be interested in what work people have had and what it involved especially those missing many (Scarlett has 17 missing!) would help me from being so shocked if had some sort of idea,.

  51. Hi,
    I have a three year old son who has never gotten his lower central incisors. Wondering if anyone knows if there’s any chance of him ever getting his adult teeth. He’s seen the dentist and they wont do ex rays (understandably so) so I have no way of knowing at this point. Also, at what age is it safe to get a plate? How much damage will this do to the surrounding healthy teeth?
    I am worried about this for a few reasons, first it its rather difficult for him to eat many things, second I am very worried about his self-esteem, thirdly the impart on his speech, but mostly I am worried about the injuries this is causing his lips. His teeth have gone through both of his lips several times and will, I’m sure make sports and other things difficult for him to do safely.
    Thank you :)

  52. hello,
    I am missing both bottom wisdom teeth and both my upper laterial incisors…I had my second one pulled in 8th grade…wore braces and ended up doing a retainer behind my 2 front teeth and then i had the incisors implanted…I had no clue how common this was.

    I have 2 children ages 4 and 5 and they have a lot of dental issues, i was already told they will both be brace cases..we found out today that my 5 year old is missing 6 possibly 7 teeth…his 2 upper incisors, 1 bottom insisor, and the rest molars… he has the premolars…it is the ones after that he is missing…is it really that common for a child to be missing that many teeth??

    we will find out about my 4 year old when he does his xray.
    thanks lori

    • I am 24 now and have a similar situation, except I am missing 9 teeth total completely and have primarily baby teeth for the rest with only a couple adult teeth. My father, uncle and grandfather all had the same problem so I was hoping it was a Y-linked abnormality. Unfortunately it seems it is not. I now have two implants on my two upper canines with a fixed bridge to fill the gap. My two front teeth were filed down to fit the bridge. I am also missing three lower incisors and have a fixed bridge running from each of my lower canines across the front. I have heard from my dentist, orthodontist and prosthodontist all, that it is common for a child to be missing 1-2 adult teeth but so far no one has seemed to have seen as many missing as I have. It is very discouraging and there is very little available research that I have found. I would be very interested in any genetic testing or therapies that anyone might know of.

  53. My nine year old daughter is missing 12 adult teeth and we’ve been told that in a year she should start orthodontia treatment to make sure the existing teeth grow in properly, allowing room for implants to be done later.

    Here’s my question, who do we need to petition, who do we need to start a letter writing campaign to, in order to change the insurance companies policies toward congenitally missing teeth?

    My heart is so sad to think of what my daughter will have to deal with over the next 10-20 years, and paying for it will be a huge burden to our family.

    • Hi Gigi. i would love to know if you’ve found anything out. I just hung up the phone with my insurance, medical and dental, and I am shocked to learn that my insurance will only pay $1500 total for the four separate implants my daughter needs. I cannot believe this. It’s congenital! Her orthodontist has stated that it is medically necessary that these implants be done. I cannot understand how my insurance can deny this. I guess calling and complaining to the insurance commissioner would be a waste of time.

  54. My boyfriends son is 3 years old and has no permenant teeth at all just about seven babyteeth which aren’t even all out yet.he is healthy and till this day don’t know of any syndromes or medical conditions.why do u think this happened.his mother had gum disease.

  55. Hello ! I have congenitally missing upper lateral incisors teeth. I have no idea if i had baby lateral incisors, but who cares anyway.
    I currently have braces that i got 4 months ago. But, 3 years ago, i had braces for 3 years, but they were useless because my ” stupid ” orthodontist put the braces on my baby teeth. But now i changed the orthodontist. Anyway, my canines are right next to my central incisors, and what my orthodontist wants to do is close all the spaces ( i have spaces between my central incisors, between my canines and front teeth, and between my canines and first premolars ) and when my bite will be corrected and I will get my braces off, he will shape my canines to look like lateral incisors. He will also cut the half of my premolar ( you know when you look from the inside of your mouth, your premolars have 2 pointy sides, well he will cut the one that’s inside ) because he said when my premolars will be in the place of my canines, I will have speech difficulties and they will annoy me.
    Anyway, that’s all :D

  56. My oldest and my youngest of four daughters are both missing multiple teeth. The oldest is missing a total of 14 adult teeth and the youngest has only 1 adult tooth. We just went to the dentist today to find out about the youngest. It is heart breaking to me.

    • Sorry to hear of your sad news. How old is you youngest? What have they suggested? Which adult tooth does she have?

  57. Hello. I have one congenitally missing tooth. It’s the lower first molar. I am 27 but so far my dentist never told me that I risk losing that baby tooth. I thought it would stay forever in my mouth! But an X ray showed that apparently ‘there isn’t much root left’ and the tooth might fall/break in 2-3 years. I have to add that my winsdom tooth is trying to come out on that side and doesn’t have any space. I have just come back from a visit to the orthodentist who gave me too options:1) remove the baby tooth and wear braces on the upper and lower teeth for one and half years to push the other three teeth(the other molars + the wisdom tooth which will slowly come out when the other two are pushed towards the front), or option 2) remove the wisdom tooth, the baby tooth, and have an implant placed. I’m in a real dilemma here. Braces are expensive, not really beautiful on a 27 year old, not comfortable but they are a natural choice. A surgery to remove my wisdom tooth and to insert an implant scares me, especially since I read that there’s a risk of nerve damage. I was also told I’m too young to put an implant. I don’t know what to do! I feel betrayed by my child dentist who didn’t tell me I would have to face this decision earlier.

  58. I have 2 baby teeth one on each side of my jaw, they are the first molars, i also have tmj and my upper teeth directly above the baby teeth are lowering or falling to meet them . I hope you are getting the jist here. It is difficult to explain. I did have braces when i was younger, 14-17 years old, i am now 47. My dentist is suggesting extracting the baby teeth and doing implants. My question is why bother and will i need orthodontics for the tmj combined with everything else.? thank you Karen

  59. Hi Tom,

    Can you help me please? My two incisors (I think that’s what they are called) at the bottom have crowded my front tooth so that it pushed out and is loose. My dental options are few as my dental plan are extremely limited and I am now unemployed. I can probably get it extracted for little or nothing through the plan, but should I? It will likely be at least November before I can get complete dental work. Is there anything I can do in the interim? I had one of my impacted molars removed about five years ago and the other is still impacted. Could this be contributing to the problem? If it is should I have the other molar removed, too? I am in my mid-fifties.

  60. I’m a caucasion female, 21 and I have 10 congenitally missing teeth. # 5, 7, 10, 12, 20, 23, 24, 25, 26, 29. What procedure would you recommend? I’m also missing my wisdom teeth.

  61. My upper lateral incisors were missing and this was discovered when I was 10. I was given was is now referred to as a Maryland Bridge to replace the missing teeth. I was treated like a freak at school though now you would not know anything like that happened to me.

    The notion of my being further evolved than the other kids does appeal I’ve got to say. Always thought this anyhow.

    Gill

    • Hello Gill

      I was interested in your comment because I have a son who is missing his upper lateral incisors and is being recommended maryland bridges. Could I ask how they have worked for you? Have you had any problems with them coming out and how long did they last? My dentist seems to think they can be a long term solution and implants aren’t always necesssary.

      Thanks

      Lynn

  62. Hi, I currently have braces to make space for missing upper lateral incisors but I’m not yet old enough for implants. I was wondering what the next steps for me are and how many years it will take till i can go back to every 6 month check ups. It is a long process that can try your patience especially dealing with school. The orthodontist hasn’t been very clear so in non-dentist lingo what will happen?
    Thank you

  63. I have four kids. My oldest 2 (boys) are 14 and 13. They both have missing teeth: 11 and 16 respectively. We don’t know about the last two children. They are too young to tell. My husband is missing 13 teeth. I am very worried since I do not want them to be made fun of by other kids. It’s already starting. The oldest had all his baby teeth, but 11 of them do not have any permanent ones behind them. The 13 year old never had his top lateral incisors as baby teeth and is missing 14 more on top of that. They’ve already lost all the baby teeth that had permanent teeth behind them and all their permanent teeth grew in. Now what? The orthodontist said we should wait until they are 16 or so to get braces so if they loose some of the baby teeth in the process they will not loose bone mass and they could get implants later. I just don’t want them to go through most of their teenage years looking like that. Honestly, it looks like no one cares to fix their teeth. WE DO! We just can’t seem to find immediate options to better the situation.

  64. Cristina ….. we have exactly same problem I have 5 children but only my twin girls have teeth missing….17 adult teeth missing (scarlett) 16 (sinead), they are 13yrs old 14 in December. Scarlett has lost 3 front bottom baby ones already and has huge gap, 2 top teeth are adult but 7mm gap between them as missing either side she struggles to eat and it is painful sometimes, Sinead still has her baby front teeth all 4 but they only just poke above the gum line as so warn down and same gap in the top. they are so self concious .. they beautiful but its heart breaking for them as they wont smile and I watch as tears roll down their cheeks when they stand in front the mirror brushing there teeth! we seen an orthodontist who says we have to see a restorative orthodontist for him to decide what to do but they wont consider implants till 18 here! We on the waiting list be about 4-6 months I been told! they eat in a separate room at school lunchtimes as they hate being stared at as they have to break food up! I feel so helpless as a Mum I should make everything ok, The logistics of what has to be done I understand but the emotional pain my girls go through breaks my heart!

    • Karli,
      Tears were rolling as I read your reply. That breaks my heart about your little girls. I was depressed for days when I found out about the boys’ condition. Ever since I’ve had my daughter I’ve been praying that at least she will have all her teeth. My husband’s sister has 12 missing teeth and has always been self conscious. As an adult she had her teeth work redone, and she’s happier now. Of course more is available now then 20 years ago. I didn’t know my husbands condition until about a year after we married. His sister told me. I guess it wasn’t that big of a deal to him and honestly I couldn’t tell. He has all but his top laterals in the front. What they did to his teeth was push them together and filled down the canines and made them look like laterals. It makes his mouth smaller and he hates to smile. To me it didn’t look that different. I guess love is blind. Haha.
      Just like you, I want to fix it for my kids. I don’t want them to have to suffer because of their teeth. So far it hasn’t been bad. Again, their boys and I don’t think boys care as much. But as they enter high school and start dating I want them to feel normal. I teach high school, so I know how cruel teenagers can be.
      I will keep posting on our progress and please do the same. I wish you the best. I hope your little princesses will realize they are beautiful still and this can be fixed with time. I keep telling myself it could be worse. At least is not something that is terminal.

      • Hi. I have the same problem but I got given a plate (retainer) with fake teeth on it so it looked normal when I smiled. I had to take it out when I ate but still it was better than nothing. Since your daughters braces are a few years off this could be an option for you. But you will have to cover the cost and it is up to you whether or not you think it is worth it.

  65. Hello! I’m a 19 year old with congenitally missing lower central incisors. The baby teeth are still there, strong as ever, but I’m interested in getting them replaced for cosmetic purposes. When I smile naturally, you can see that the gumline does not match up with the rest of my teeth, and that the baby teeth dont quite come up to the same height as the rest of my teeth. I was wondering if this could be fixed with a crown lengthening procedure and dental caps, versus getting the two teeth replaced? I’m concerned that the roots would not go deep enough for a crown lengthening procedure.
    Another concern of mine is that my baby teeth are really, really small, and there definitely isn’t room for two normal-sized incisors. Last time I spoke to a dentist, about five years ago, they suggested getting braces, but I can tell you now I would rather keep these babies for the rest of my life than get braces.
    And overall, how much could the procedure cost?

  66. This has been very interesting reading for me. We have been trying to figure out a solution for several years. Most dentists and orthodontists think we are interesting, but they do not really know what to do. My daughter is 23 and is missing 14 teeth and the ones she has are very small. At one point the recommendation was that she get some shaved down and get a bridge. My gut told me that this was stupid to ruin some of the few teeth that she had. It is difficult to trust these guys and I worried about what the long term solution should be while we have battled the self-esteem issues. She is on her second set of braces trying to make space for 6 implants. She is old enough now for the implants. She has been wearing a flipper with teeth on it for about 6 years. This has been a long road that has cost us thousands of dollars and the final solution is still not clear. It sounds like this isn’t as rare as we thought, but the dentists don’t really know what to do. In terms of paying for it, my favorite response we got was “If she had her teeth knocked out in an accident the insurance would pay for it.” So, Tom, how can I be sure that the dentist and orthodontist really know what to do before I let them remove this set of braces? Do you recommend I get a second opinion before they remove the braces?

    • Hi Mary – You may want to ask the dentist for before/after photos of cases he has restored with implants. Prosthodontists are specialists at replacing missing teeth, and due to the complexity of the case, it may be a good idea to have a specialist take a look. As a parent, you want to be assured of what the final outcome will be before you have your daughter undergo surgery.

      That is a tough response to hear from the insurance companies. It seems like that’s what most people with congenitally missing teeth have to deal with. Good luck with her treatment! Let me know if you have any other questions.

  67. Hi Tom!

    I am missing of an adult or permanent tooth under my current baby tooth. It happen to be the Second Premolar. The baby tooth unfortunately is badly decayed and has already damage the nerve hence I don’t feel anything currently but dentist recommend me to pluck it out and put braces to close the gap since I have a bit of overcrowding teeth. However braces is not cheap in my country hence I was thinking of plucking out the baby tooth first in case any virus spread and affect my other teeth. My concern here is whether will my teeth that is behind the second premolar be affected, like shift out of place or crooked if there an empty slot in front?

    Thank you so much for your help in advance!

    Best Regards
    Ben

  68. Hello Tom

    My son (15) has missing upper lateral incisors which were noticed when he went for an xray to determine why he had a space between his upper front teeth when he was 9. At that time the orthodontist’s advice was to have the baby lateral incisors removed to allow the canines to take their place. I wish I had never agreed to have this done as from reading other comments he might have held on to these baby upper lateral incisors for a long time, when they came out the roots were very long. What has happed now is that because the adult canines have taken the place of the lateral incisors there have been no teeth to push out the baby canines and he has retained these. The original plan had been to try space closure and reshaping but now the orthodontist and my dentist both feel the best way forward would be to open up the spaces and replace the upper lateral incisors with a bonded bridge. I would much prefer him to have his own teeth, but because I agreed to have his baby teeth taken out it doesnt seem to be an option any more. The orthodontist feels his baby canines would come out within the next 5 years anyway, but I’m not sure how that would be as he has no teeth to push them out. My concern with prosthesis is that they are not as strong as natural teeth.

    Have you any thoughts? Thanks

  69. My 9 year old daughter was told she has congenitally missing teeth she is very upset over this she has alot of bad teeth as well it’s some kind of dental condition we are very upset for her and guess my question is once at an age for implants why shouldn’t her medical coverage be liable to cover this procedure seeing how she was born with these issues?We are stressed and trying to stay calm for her but yet have no solutions for her at this point.It is hard for her to eat because she has no top side teeth.I did have a subcalavien central line the whole 9 months of her pregnancy could this of cause this defect?

  70. Hello..My now 6 year old only grew 18 baby teeth she is missing 2 of her upper front teeth..one on each side of her 2 front teeth..now she has huge gaps where her 2 missing teeth and her 2 front teeth are..should I be concern since she hasn’t started losing her baby teeth and is there a chance that her adult teeth will grow in where the baby teeth didn’t????

  71. My 14 year old daughter is missing 11 adult teeth, this includes 4 wisdom teeth. I have taken her to an Orthodontist and he would like to have 4 baby teeth pulled as part of her treatment plan. Her dentist disagrees. She thinks the Orthodontist should bring up the baby teeth and put braces on them. She said the baby teeth are healthy and the roots strong. If they are pulled, then a bone graft would be necessary for a dental implant at some point in the future. I am not sure what to do. Do you have an opinion on removing the healthy baby teeth? I do not know what is the best course of treatment for her.

  72. Hello Tom,

    I’m 26 and I’m missing many of my permanent teeth. In fact I only ever developed 7 of my adult teeth and some of them are in the wrong place, or are not a “typical” tooth. They are the wrong shape according to my dentist. I have many baby teeth still hanging in there, but they are starting to get worn out, I’d guess that they simply weren’t made to last all these years. I’ve lost a few of the baby teeth as I’ve gotten older and am left with a few gaps. I’d never had insurance before so I’ve not been able to do much beyond a bonding that was done when I was about 12yrs old. I’m visiting my new dentist next week and am excited to hear what plan has been developed to fix my extensive issues! Also I’d like to mention that my mother is missing 2 of her permanents and had an Aunt on her Mother’s side that never developed any of her adult teeth. I’m just glad that I have had something to work with over the years.

  73. Hello Dr. Tom:
    I have been in a 2-1/2 yr process for full mouth reconstruction due to years of damage caused by bruxism, 6 missing adult teeth and TMJ. I am in my 50s. I have had the following procedures – surgically assisted rapid palate expansion (SARPE) on the upper palate, followed by 18 mos of Ortho, followed by bone grafting in areas of the missing teeth to prep for implants, followed by the placement of four dental implants, followed by the current and final phase of crowning every tooth in my mouth to repair the decades of damage. I am working with a General Dentist, an Orthodontist, a Maxillofacial Surgeon, I have consulted with a Periodontist and I am currently working with a Prosthodontist for the final phase of crown placement. The Prosthodontist is performing the final crown work in3 phases. Front upper and lowers first. He will then move to the left side/back upper/lower and finish on the right side/back upper/lower. I am currently in temps for the front upper 6, lower front 7. I have had four iterations of fittings for the permanent crowns to evaluate color, shape, feel, bite, etc. Since my teeth have been so small from the damge caused by grinding, the appearance of the final crowns is overwhelming for me. The teeth appear large and I do not care for their shape/size, but mostly size. I am not sure how the shape/size is determined. A multitude of impressions were taken, including impressions with my temps (which do look aesthetically pleasing), but the permanent crowns do not look like the temps. Of course, I have had these discussions with the Prosthedontist, but I leave these appointments feeling like I am never going to like the outcome. The Dr. and the staff are assuring me that these permanent crowns look great, but I was expecting to look in the mirror and be overwhelmed with joy at my new smile. I am scheduled for an appt next week where the Dr. is anticipating cementing these front crowns as my permanent crowns so we can move on to the next phases. I feel I am in too deep to get other opinions. This Dr. comes very highly recommended and has a great reputation – I am not challenging his competency. I am just concerned that I have come this far and the cost will be close the $60,000 by the time I am done. I thought I would feeling elation at this point and not confusion. Is it normal to not feel like they look good when it is only one segment of the mouth? I am thinking when the rest of the teeth are completed and I see my full smile I may feel better? I am at the finish line and I don’t want to cross it – your thoughts would be appreciated. PS – this Dr. says I must be happy, but if he cements these crowns into my mouth and I am not happy, what is the recourse? What financial loss would he incur if we had to start over? How difficult is it to remove a permanently cemented crown? Do I risk damage to the ground down tooth if this has to occur?

  74. I have been missing both of my lateral incisors for my entire life (20) and I’ve never known why, I just learned today that it’s a congenial malformation, I haven’t done anything about it, but I’ve been self conscious about it and I would love to get implants or something, but my central incisors and my canines are spaced out so I would probably need braces or something first. I do have a question, would dental plans cover any of the cost because it’s a genetic thing? or not because it’s cosmetic?

    • Hi Jenna – You would have to check with your insurance plan to be sure. The plans vary so widely that it’s really hard to tell. I would lean towards telling you that they probably won’t cover the braces or implants, but they may since it is congenital. I hope that help!

  75. What are the genetic chances of passing this condition on to children? If you were pregnant is this something that you should consider?

  76. I am still a teen and my mouth is still developing. Just today me, my family, and my new dentist discovered I have no teeth underneath both of the bottom second molars I guess. I was already extremely nervous for my braces coming soon since there is a gap in between my two front teeth but now I have to wait for my perfect teeth until I’m about 20 years old! We haven’t discovered anyone is my close family that has had this same problem. So, I guess what I’m asking is, when or if I get the implants, how often will I have to go to the dentist then? Will it be a lot more often than usual? I’m actually very nervous for my upcoming dentist appointments so I just wanted to be prepared.

  77. Hi Tom,
    My 12 yr old daughter has a congenital missing lateral incisor. The corresponding one on the other side is smaller than the other teeth. Her orthodontist wants to remove the small incisor and then use braces to push the teeth together. He believes it is better than an implant. What do you think.? I am worried about removing a healthy, even though small front tooth on such a young person.

  78. My daughter is missing one of her baby teeth also. The thing that caught my attention is that this is linked to a syndrome, one being Down’s. When my daughter was pregnant with her first child she had a test done to check if the child had Down’s syndrome & she had to have it re done because it came back positive. The next came back negative and that baby is in second grade now & had been tested for early registration because her birthday is in Sept & she just seemed ready. The tests showed her to be above the above average for that age. She started school early, and does work that is above the class level. I thought it was notable considering the test results when she was being formed inside her mom. The test read “something” unusual related to Down’s syndrome, the Mom has a tooth missing which is related to a syndrome…? Is there a connection?

  79. I am missing tooth # 26. I have no empty space where this tooth should be. I have no one else in my biological family that is missing this or any tooth. Nor do I have any known syndromes. I am 43 years old and only recently found out that it is not normal to have three teeth between my bottom incisors. So, a total of five on the bottom..not counting any molars of course. I wonder how common this is???

    • Hi Christine – The lower lateral incisor is a pretty uncommon tooth to be missing. So uncommon that I’m not sure of any statistics on it. My dad had crowding in his teeth over 50 years ago, and the dentist ended up taking out one of his lower incisors so he only had five front teeth on the bottom. Other than that, I don’t recall ever seeing a congenitally missing lower lateral incisor in my four years of seeing patients – just the lateral incisor on the top, and the central incisor on the bottom. Thanks for your comment!

      • I’m a 26 year old woman who’s lower lateral incisors never grew in, from what I’ve researched this particular dental problem falls in the less than three percentile. Living with this has been extremely hard and overwhelming. Between difficulty with eating, the teasing growing up, and the looks I get as an adult; life hasn’t been easy. Due to the high cost of correction and my economical situation I believe I’ll live out my life like this. I was hoping for wisdom teeth to maybe close some space but I have found out that I have no wisdom teeth forming under my gums.

  80. I was born missing one of my lower central incisors. Strangely enough, there was never a gap or empty space. My teeth grew normally, and we only noticed that I had three bottom incisors instead of four at the second dentist I went to. My little cousin has the same thing, though no one else (that I know of) in my family has that.

    How common is that, and especially how common is it for it to affect several people in a family? Also, how common is it for congenitally missing teeth to not leave a gap?

  81. Hi Tom,

    I’m 26 years old and just found out that I am missing two of molars on the bottom. I don’t have any gaps or spaces between my teeth. I actually want to get braces because my two front teeth pert rude and twist a little. My orthodontist recommended removing two teeth at the top to have a perfect alignment. I’ve had all 4 of my wisdom teeth removed and I’m not sure how I feel about having 2 more teeth removed. My orthodontist was also very surprised to see that my bottom teeth were perfectly straight. I’m truly torn between having perfectly aligned teeth and just having them straightened and realigned accordingly. Please give me some advice.

  82. My 5 yo never received one of her upper frontal insissors and the other frontal just grew right in the middle so its evenly spaced out.so just looking at her you wont really notice.in the xrays theres no pernament frontal either.the dentist say its genetic but I neither my husband know anyone in our family with the same thing.She’s loosing baby teeth and the dentist says the only upper frontal she has is wiggly so its a matter of time.would she have to have one big tooth smack in the middle the rest of her life? Or at least her adolescent?I guess im just looking for some answers

  83. Hello

    When I was 12 the dentist noticed that I had all of my adult teeth apart from my upper lateral incisors and upper canines which were still milk teeth. At the time I had never even noticed! I had x rays done and it was discovered that my lateral incisors never formed an my upper canines had formed but had gone off course and were heading towards my two front teeth so were severely crooked inside the gum. Age 13 I had an op to fit chains to my canines and then braces fitted to have the chains attached to pull the teeth through. I got my braces off at 19 and I still have my baby lateral incisors (my brace was not fitted to the baby teeth it just had those springy things to save the space). My orthodontist explained he had let me keep my baby teeth for cosmetic reasons. My teeth have all been straightened up by the braces but now I’m worried my milk teeth will fall out soon as they are obviously not as strong as my adult teeth. I can’t afford dentist and as I work and I’m now 22 I’m thinking of going to a university dentist (it’s free). I’m not keen on the idea of bridges because they would ruin my precious canines I waited 6 years for! Implants seem very invasive and I’m guessing I’d have to be gappy while preparing for them?
    However for now I’m ok and my teeth look alright. Reading through this thread has made me feel very normal and my heart goes out to everyone suffering from many missing teeth.
    My siblings and parents have no missing teeth but I think my grandad does! My siblings are lucky and have naturally straight and pretty teeth!
    It is a strange thing. When I see the university dentist i will be so scared but hopefully they can help.
    Thanks for reading.

    • Thanks for sharing, Sophy. If you did decide on implants, you could have a “flipper” made, which is a temporary denture that would have two teeth to fill in your missing lateral incisors on each side. Good luck!

  84. At the age of 3 my daughter had 3 teeth pulled, 6 capped and about 9sealed. After doing X-rays, we found out she has no adult teeth on her entire upper left side. I know missing teeth is more common but never have I read, seen or heard of a whole side. We are still looking a solution since she will be 5 next month and starting school. Any help is appreciated!!!

    • I agree with Deborah. Once I found out I was missing teeth I was contacted by a professor and discovered my Orthodontic and Prosthodontic (implants) work would be free. I think all up I have had to pay a total of $300 which isn’t bad at all. I have had braces on for nearly 2 years and I will be getting around 10 implants (I am missing 18 teeth) Although unlike your daughter my mouth is symmetrical. I still have a large amount of my baby teeth even though I am 19 but with braces it isn’t too noticeable and their isn’t too many gaps. I had taken good care of my teeth to ensure I held on to them for as long as possible.

      As your daughter is only young does she still have her baby teeth? Because this can be a solution for the time being just let them be, normally children have gaps and spaces in their teeth because they are growing. However I understand you want to be prepared for the time when she has no teeth left on one side as it will effect her daily life. Many children with missing teeth have dentures or removable bridges but when worn for extended periods of time this can damage the surrounding adult teeth. I would highly suggest getting a number of profession opinions.

      • Unfortunately the teeth that were pulled were all on the side with the missing teeth. What was pulled was more of a shell of a tooth, they were rotting away and hurting her. She had two teeth capped with a space maintainer in between for the last two years, but in the last couple months she has lost the space maintainer and one of the capped teeth.

        I will definitely look into talking to the university’s dental program. We live by the University of Minnesota and I know they have a great medical center so pray they have dental too. Thank you for your input!!!!!

  85. Omg! My only advice to you would be to go to an academic center your state university’s dental school as they might have access to orthodontic case histories such as yours or maybe she can be part if a study and whatever orthodontic work needs to be done might get covered or greatly reduced.

  86. I was missing some teeth ,i also have a condition where my milk teeth did not want to fall out on their own,they needed extractions .During this process the dentist decided to leave in two pre molar milk teeth to leave the gap filled.this was about 13 years ago im 26 now and still have those two baby teeth and neither have needed fillings or have shown signs of being weaker then adult teeth.

  87. Wow, am I ever glad in found this forum- I thought I was the only one. I am 23 now but when I was starting orthodontic treatment (about age 10) I learnt that I was missing two upper teeth, both on the left side, all wisdom teeth and it was clear that my upper front 6 teeth were grossly undersized. First I started with braces to evenly space out my smaller teeth (Purposely create equally spaced gaps) and leave space for a fake tooth later on (only 1 needed, the even gaps filled the space of the second missing tooth). When the braces came off I got Lumoners (not sure of the spelling, but basically less invasive veneers) and a Marilyn bridge for one missing tooth. Just last week I finished the process by getting a dental implant where the Marilyn bridge was.
    I am very happy with the results. The implant wasn’t painful at all (lots of freezing, then 1 day of pain pills) and the Lumoners fill the spaces/ gaps in and look completely natural (biggest complaint about Lumoners is that it makes the teeth look to big- not a problem for me). I actually get complements on my teeth! Though, not a cheap or easy way of achieving this.

  88. My daughter is now 14 and she has 5 missing upper teeth. 3 on the right and 2 on the left of the two permanent front teeth. She has has the 5 baby teeth though, i hope these baby teeth will last many years into adulthood. problem now is the baby teeth have lower gum line than the gum line of the two front teeth so they look like kinda small and short ( like half the height of the front teeth). What can do be done? I am so worried about the treatments she has to undergo to correct this problem. She is quite conscious and is afraid to smile.

    • Hi Susan – Many times these baby teeth can be built up with tooth-colored filling material to look like adult teeth. The goal is to get them to last into adulthood, then if needed, implants can be done.

  89. Hi. My daughter is now 14 and she has 5 missing upper teeth. 3 on the right and 2 on the left of the two permanent front teeth. She has has the 5 baby teeth though, i hope these baby teeth will last many years into adulthood. problem now is the baby teeth have lower gum line than the gum line of the two front teeth so they look like kinda small and short ( like half the height of the front teeth). What can do be done? I am so worried about the treatments she has to undergo to correct this problem. She is quite conscious and is afraid to smile. It breaks my heart that she has to go through this.

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  91. Hi

    I am 38 years old and during childhood I lost the upper lateral incisors, the same as my brother did when he was a similar age. Apparently my Dad had small upper lateral incisors. I had bridges put in and I assumed that was that.
    Then, when I was in my early 30’s one of my bottom molars became loose (4th tooth away from the 2 at the front), I had an x-ray and there was no adult tooth to come through. Recently the mirror opposite of that tooth has now become loose so I guess only a matter of time before that comes out. So my teeth aren’t exactly great now. Implants are so costly at £1500 a tooth, I live in England and I just wish that implants could be subsidised through the NHS as although I want to improve my teeth for cosmetic reasons, it was through genetics that I didn’t get them in the first place!

  92. Hi
    I am 25 years old and in my child hood I have 3 tooth in lower including lateral and central incisors. But after the milk tooth gone in left of lower lateral incisor a twin teeth is developed along with central incisors and right lower lateral incisor. That is in the place of 3 there developed 5 including one twin. The problem is that this tooth are pushing my upper lateral incisors out wards. I want to know that can I correct the position of upper lateral incisors . And also I want to know whether it is hereditary because I am carrying and what precautions need I take if my baby will develop such kind of teeth.

  93. Hi, I am 16 years old and up until four years ago I was a very happy, confident and outgoing person! I had perfect teeth. I hadn’t realised that both my teeth on each side of my front had not fallen out and adult teeth had not grown until I was 12 when they fell out and no teeth grew down. When I was 13 I got braces, I got them off when i was 14 and a half. The braces were to make room for implants and bridges. After I got my braces off I got two bridges in my mouth which I still have now. The bridges do not look natural, they are small in size they do not fit in well with my teeth. Ever since this happened to me I lost all my confidence, my personality, I can’t laugh with my mouth open, I can’t smile it has ruined my teenage years. I would never wish this on anyone. Over the past 4 years I have seen some very dark days, I just want to end and want to be happy again, when can I get implants, what is the next step? please help!!

    • I was told when your face stopped shifting- so around18 but that they can be done younger, around 16 if you check to make sure that your growth plates have closed.
      Keep fighting, soon you will have implants and a beautiful smile.

  94. My daughter is 31 months and is missing both upper laterals within this last week we can see white under the gum where the lateral should be. Could this men she may get it?

  95. Hi, I’m a 31 year old woman who until the age of 23 had my baby lower central incisors, When the 1st of the 2 fell out I didn’t even have a back up plan so I just went to the dentist and he fitted me with a denture and while on doing the impressions for that denture the 2nd tooth fell out in the mould, the nerve was dead in them after all those years
    The teeth on the denture are so tiny as my permanent teeth had grown so close beside them and the only good thing was now that all my teeth are level, I had never heard of this condition before now as my dentist had not even mentioned it at the time and he just said that he had never met anyone that didn’t have their lower central incisors and took pictures for his records, over all though my teeth a pretty good and straight and strong

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