Missing Lateral Implant Replacement

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Missing Lateral Implant Replacement


Do you or your child have congenitally missing lateral incisors? Usually, an adult person’s mouth has eight incisors: four on the upper and four on the lower. The lateral incisors erupt near the front two teeth and the canines grow right next to them. If lateral incisors fail to erupt, mostly due to genetic reasons, unattractive gaps form in between teeth. Fortunately, there are ways to solve a problem like this, including a single-tooth dental implant placement.


If there are no other ways of closing the space of the missing lateral teeth, your orthodontist will recommend a dental implant. Once placed, it can close the gap and enhance your smile. An implant will rebuild the structure of the missing teeth and establish a proportionate row of front teeth. Due to modern technology, implants can be placed easily and perfectly. The single-tooth implants look extremely natural and can be taken care of just the way you do your natural teeth.

Prior to placement, your orthodontist needs to make the space balanced and proportional so that the implant fits and look perfectly. Short treatment of braces is to be expected. After that, you will undergo at least one oral surgery to insert the implant post into the lower or upper jaw. An implant needs a properly embedded post to be successful, and there should be adequate space between it and the teeth. An implant requires adequate bone density and gum tissue to stay reinforced.

If a younger person requires an implant, their facial bones should have stopped growing as it doesn’t require facial growth adjustments. So, girls between ages eighteen and nineteen years and boys ages nineteen and twenty-one years can be treated.  If your child is younger, it means that their facial growth is still ongoing. Let them wait until they are old enough to have an implant placed to replace the missing lateral incisor teeth.


An orthodontist must examine the mouth to ensure that there is enough space between the roots and crowns.  Implant placement should only be considered if the alveolar bone has good quality and enough size. Ten millimeters of inciso-gingival bone is needed when placing a standard implant. Six millimeters of facial-lingual bone is necessary too.  Sometimes the alveolar bone is not enough, causing the dentist to carry out a ridge augmentation procedure and repositioning of adjacent teeth.

As the average dental implant fixture is 3.75 millimeters wide, one to two millimeters of space is needed between the fixture and the neighboring roots. If there are six to eight millimeters of bone amid the central incisor and canine roots, the dental implant procedure will be possible.  Space creation by moving the roots further apart is achieved through further pre-prosthetic orthodontic treatment. At least six millimeters of space for the lateral crown is necessary.


Most people with congenitally missing lateral incisors choose dental implants. That’s because an implant preserves both the alveolar bone and tooth structure. As long as the space requirements are fully met, and the dental doctor knows their job well, you will get better aesthetics and functionality. So, if you or a loved one has congenitally missing lateral incisors, the best treatment will be implant placement.

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