Dental Implants to Replace Baby Teeth

after initial ortho (4)

If you are reading this post you are probably one of a small percentage of adults that has a baby tooth without a permanent tooth below.  As an adult with a baby tooth, often the tooth is lost between the ages of 20 and 45 and must be replaced with a dental implant.

A baby tooth may become fused to the jaw bone and look submerged compared to the other teeth.  Those baby teeth may be difficult to extract if they are fused (ankylosis).

 
The most common tooth to be missing is the upper front tooth called the lateral incisor. Those teeth are just next to the two big upper front teeth.  Dental implants are used very commonly to replace those teeth.  Many times, I replace these front baby teeth before the age of 18 because of cosmetic concerns of not having one or both front teeth.

The other common tooth is the lower second bicuspid or “premolar.”  This very common missing tooth replaced with dental implants is located in the middle of your bottom teeth.  The bicuspid tooth is usually sitting atop of a nerve in your jaw.  Extreme care must be used to avoid this nerve during placement of a lower second bicuspid implant.  A shorter implant is usually used in this area.  A special curve of the nerve referred to as the “mental loop” should also be assessed.


 

 

 

 

Also, the size of the implant and the size of baby teeth are different.  The real bicuspid tooth that should have been there, is smaller than the baby tooth.  This makes the dental implant look more like a molar. In the front of the mouth, it is the opposite, so more space is needed to prevent the tooth from looking too small.

Often times, I will extract a baby tooth and replace it with a dental implant, abutment and crown on the same day.  Bone grafting may be needed to fill the voids between the two.

If you are missing just one permanent tooth, often times your smile midline will shift to one side or the other making your smile appear crooked.  I have my orthodontist work closely with me so that we can get the spacing just right so that the dental implant looks great.  Planning is the most important when it comes to replacing baby teeth with dental implants.

In summary, your baby tooth or teeth can be replaced with dental implants.  Just make sure that all the details about the treatment plan and diagnosis are made well in advance of starting treatment.  This will make for a very smooth process for you.

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry
Burbank, California
Voted Best Dentist in Burbank -2006, 2008, 2010, 2011
www.burbankdentalimplants.com


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31 thoughts on “Dental Implants to Replace Baby Teeth

  1. Mary

    I am 19 $ I have the same problem. I have 2 baby tooths in lower front area. These baby tooth sometimes give me little pain but i can toleratw. And also one tooth is missing on the left corner. Should i do implants or braces or crown? I am so confuse. Would you please provide me some more information.

    Reply
    1. RamseyAminDDS Post author

      You will need to see an orthodontist to determine what is the best course of action for your particular situation. Sometimes the lower incisors can be squished together with orthodontics alleviating the need to ever have a dental implant or bridge.

      Reply
  2. fiona

    this is exactly what is going on with me right now. Im 25 years still have one baby teeth to the front of my mouth on my upper jaw

    Reply
  3. Stacy Shields

    Hello!

    I am a 20 year old female, and I just had a lesion removed off of my tongue as well as an akylosed decaying baby tooth surgically removed a week ago. It’s healing fairly nicely.

    First thing is, I wasn’t sure if the pain should hurt as much as it does? I mean, it’s not terrible. It just throbs a lot, especially at night, or after talking for a bit! I’ve just heard stories about how people having their wisdom teeth cut out heal up so quick with no pain, and I know this is no where near the same surgical procedure. I’m just worried.

    Secondly, since I’ve had this removed, how long should I wait till I try to get an implant in place? The oral surgeon told me I needed to wait till the healing process had run its process since it was so deep and decaying. It was GROSS!! I just want to know how quickly I should follow through with that due to my teeth falling or the gap closing.

    One positive, at least I have that tooth finally out of my mouth!
    Please get back as soon as possible.

    Thank you.

    Reply
  4. Stacy Shields

    Hello!

    I am a 20 year old female and, I just had a lesion removed off of my tongue as well as an akylosed decaying baby tooth surgically removed a week ago. It’s healing fairly nicely.

    First thing is, I wasn’t sure if the pain should hurt as much as it does? I mean, it’s not terrible. It just throbs a lots especially at night, or after talking for a bit! I’ve just heard stories about how people having their wisdom teeth cut out heal up so quick with no pain, and I know this is no where near the same surge rival procedure. I’m just worried.

    Secondly, since I’ve had this removed, how long should I wait till I try to get an implant in place? The oral surgeon told me I needed to wait till the healing process had taken place since it was so deep and decaying. It was GROSS!! I just want to know how quickly I should follow through with that due to my teeth falling or the gap closing.

    One positive, at least I have that tooth finally out of my mouth!
    Please get back as soon as possible.

    Thank you.

    Reply
    1. RamseyAminDDS Post author

      hello Stacy,

      Pain can be extremely variable depending on patient and the surgical technique that was utilized. Without seeing you before and after there is no way for me to tell you whether this is normal or not. Fortunately, time heals all things. Usually pain is the worst for the first 2 or 3 days then gets better. This must have been a really bad extraction. I am hoping you had some type of socket preservation bone graft at the time of extraction. Timeline would ideally be 4-6 months after the removal and graft to have the dental implant. For sure, have a 3-D scan done beforehand. I’m guessing this is one of your lower premolar teeth that happens to run very close to an important nerve in the jaw. Good luck and happy Thanksgiving

      Ramsey Amin DDS

      Reply
  5. Aakash

    Hi,

    I am 33 yr old man from India and I had a baby tooth till yesterday. It’s on the upper right, after the front 8 teeth. It became loose and the dentist removed it. X-Ray shows there is a hidden permanent tooth below it.

    The dentist told me there are two options with me now –
    1. Dental Bridge – this would require the two surrounding teeth to be chipped away.
    2. Implant – but this would require the permanent hidden tooth to be surgically removed first. Also, there is a chance that implant might not be possible – she said it depends on the healing and bone density after the surgery.

    What should I do?
    What if I leave this tooth like this itself i.e. empty space between teeth?
    Is there any other option apart from the above two mentioned?

    Thanks.

    Reply
    1. RamseyAminDDS Post author

      I don’t have enough information such as a clinical exam and detailed x-rays to answer your unique situation. Every person and situation is different. My only suggestion is the you see somebody who is very skilled in both options and weigh each one carefully. These are permanent decisions.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
  6. Gina

    Hello!
    I am a 31 year old female that is missing her adult lateral incisors (both up top). My canines are where those teeth should be and the baby baby teeth are where the canines should be. I went to an orthodontist recently and they said they would like the baby teeth removed and then they’ll place the braces and move the canines where they should be. After the braces are off they said I could have implants placed where my lateral incisors should be. Sounds easy enough! I had my wisdom teeth removed a week ago by an amazing oral surgeon and mentioned my plans about orthodontics and then having implants placed. His only concern was that we make sure there’s enough space for the implant. That there has to be at least 7mm. Does that sound correct?Cant the orthodontist shift my teeth enough to make sure there’s space? She (the Ortho) seemed pretty confident. I asked her since and she didn’t seem to think there would be an issue. Last question.. When I asked the surgeon how much the implants would cost he quoted around $3,500 for both. Does that normally INCLUDE the crown? I didn’t think to ask him at the time and since I came across this site I figured I’d ask. 🙂 After YEARS of waiting to not be embarrassed to talk or smile around people I’m very anxious to have my braces placed and then implants put in. Very excited!! Thank you for your time!!

    Reply
    1. RamseyAminDDS Post author

      Yes, 7 mm is about average width of a lateral incisor on the upper jaw. Of course there are variable and every patient and should be made in proportion to your canine and your central incisor. It should not be just a random measurement but rather made in a proportion to the other teeth. The person who is making a final tooth, not the surgeon should be making the decision on how much space you should have for the tooth to look good. These cases are best treated by an excellent team or by a single surgeon/restorative dentist.

      That cost will likely not include the crown….. That would be a very low fee and I would caution you that there are possible issues.

      Missing lateral incisors is often one of the most difficult cosmetic restorations to do. You will generally need custom abutments, some type of bone or gum grafting but it will really depend on your unique situation. Making these teeth look good is easy making them look great can be complex.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
  7. Heather Collins

    Hello,
    I am desperately seeking help and advice….implants gone wrong. Implants appear longer then other teeth after temporary crowns.
    My son was missing his right and left lateral incisor on the top. At age 18 he started orthodontic treatment to move his canine teeth back to make room for dental implants for the missing incisors. The orthodontists and dental surgeon worked together to schedule when to start implants.
    Braces started Sept 2012, my son would be 18 in Nov 2012
    Consultation with dental surgeon Feb 2014.
    June 23, 2014 implants placed by oral/maxillofacial surgery office, while still having braces on, which were to be complete by November.
    Implants where done by splitting upper jaw and hammering in the implant. (so I understand)
    Temp crowns 12/22 where installed Sept 22/14 by prosthodontist, while braces still on, and looked at by oral surgeon at his request.

    I was noticing what appeared that his implants looked longer than his real teeth, and the orthodontist also noticed this during Jan 18, 2015 appointment.
    We sent pictures to the orthodontist, surgeon, and prosthodontist for their review and explanation to why this was happening.
    Appointment was made with prosthodontist which said he could do nothing to correct this as crowns where firm and implants where firm, and the implant was to far out of gum line to correct in change of crown.
    Same day went to orthodontist office, and they examined, checked the firmness of the implants/crowns and had no explanations to the cause of the lowering implants.
    Same day went to oral surgeon that also looked at implants and xrays with no reasoning for what has happened.

    Have you ever heard of anything like this?

    My sons birth date is Nov 1994, he is 5’6” tall, 130 lbs. size 9 shoes.

    So, now the surgeon is recommending removing the implants while my son is awake without antibiotics after care, and when braces come off, put new implants in. The braces should be done within a month, so we are told. I do not know why this happened, and if this is the best way to proceed. To remove and leave for short period without bone graph to fill holes. To remove and install same day, to use antibiotics etc.

    Please, please help ASAP, as I am at a loss as what went wrong, way and best way to correct this unfortunate outcome so that my son can have best possible treatment for lasting results. Your help would be greatly appreciated. Hello,
    I am desperately seeking help and advice….implants gone wrong. Implants appear longer then other teeth after temporary crowns.
    My son was missing his right and left lateral incisor on the top. At age 18 he started orthodontic treatment to move his canine teeth back to make room for dental implants for the missing incisors. The orthodontists and dental surgeon worked together to schedule when to start implants.
    Braces started Sept 2012, my son would be 18 in Nov 2012
    Consultation with dental surgeon Feb 2014.
    June 23, 2014 implants placed by oral/maxillofacial surgery office, while still having braces on, which were to be complete by November.
    Implants where done by splitting upper jaw and hammering in the implant. (so I understand)
    Temp crowns 12/22 where installed Sept 22/14 by prosthodontist, while braces still on, and looked at by oral surgeon at his request.

    I was noticing what appeared that his implants looked longer than his real teeth, and the orthodontist also noticed this during Jan 18, 2015 appointment.
    We sent pictures to the orthodontist, surgeon, and prosthodontist for their review and explanation to why this was happening.
    Appointment was made with prosthodontist which said he could do nothing to correct this as crowns where firm and implants where firm, and the implant was to far out of gum line to correct in change of crown.
    Same day went to orthodontist office, and they examined, checked the firmness of the implants/crowns and had no explanations to the cause of the lowering implants.
    Same day went to oral surgeon that also looked at implants and xrays with no reasoning for what has happened.

    Have you ever heard of anything like this?

    My sons birth date is Nov 1994, he is 5’6” tall, 130 lbs. size 9 shoes.

    So, now the surgeon is recommending removing the implants while my son is awake without antibiotics after care, and when braces come off, put new implants in. The braces should be done within a month, so we are told. I do not know why this happened, and if this is the best way to proceed. To remove and leave for short period without bone graph to fill holes. To remove and install same day, to use antibiotics etc.

    Please, please help ASAP, as I am at a loss as what went wrong, way and best way to correct this unfortunate outcome so that my son can have best possible treatment for lasting results. Your help would be greatly appreciated.

    Reply
    1. Heather Collins

      could it be that the teeth relapsed from orthodontic treatment. Wearing elastics from top to bottom teeth to make bite more open. Should we see if orthodontist can move his real teeth again down beside the implant or is this a waste of time. Should implants be removed and replaced and what are the complications associated with this in this region and 10 months after they have been installed. Opinions are that the implants where placed well and have not moved, but his real teeth and gum line are 1/4 higher then implants on both sides.

      Reply
      1. Ramsey Amin DDS

        Is this a continuation from another post? Your name sounds familiar. Are you in the UK?

        If this is an 18 year old male, he could very well be still growing and may be out growing the position of the implants. This would make the implant teeth look shorter than the real teeth.

        If he is still growing, you might want to wait another 3-5 years.

        Respectfully,

        Dr. Amin

        Reply
    2. Ramsey Amin DDS

      Hello Heather,

      The most likely scenario for your son is that the implants are placed slightly too far to the outside of his bone at an angle. Even if the implants are in a precise position but slightly angulated towards the front, the implants will appear longer than the other natural teeth. Precise angulation is key.

      precise angulation

      Oftentimes at the young age that your son is, he has extra gum to begin with and the front teeth or remaining upper teeth gumline can be lengthened to match the implant teeth. Oftentimes this results in a better cosmetic results because the teeth are taller than they are wide.

      This only works if your son has excessive gum tissue on his other teeth and/or a gummy smile.

      http://www.burbankdentalimplants.com/crown-lengthening/

      I hope this helps you and your son.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
  8. yogendra

    sir ,i am a 22 year male candidate,i have 2 baby tooth in the lower jaw in middle position. l felt ashamed to talk casually to in front of people..sir please tell me the solution to create an impressive smile…please reply fast !!!!

    Reply
  9. Diane

    Hello Dr.,

    I am 20 years old and have a baby tooth in front of my permanent tooth. The baby tooth is now shaky and I would rather fix it or have a solution before it falls off. I am wondering, if that does happen, how long will it take for the permanent tooth to move forward? Or what is my best option.

    Thank you.

    Reply
    1. Ramsey Amin DDS

      if you have a permanent tooth already, all you need is a good orthodontist for some good luck on your side. We do not need a dental implant!!!!!!!!!

      That is the best is ever!!

      Dr. Amin

      Reply
  10. Mary

    I’m 22 yrs old, I still have my baby tooth (letter O) but I think it’s getting close on needing to get extracted. I have seen two dentists and they said the space is really small for an implant. So they said maybe braces or a bridge. I don’t really want braces and have an open gap, and after reading the process for a bridge(filling down the side teeth) that doesn’t sound the best. What should I do?

    Reply
    1. Ramsey Amin DDS

      Hello Mary,

      A baby lower central incisor is very difficult to replace without having braces to increase the space. I know it sounds like a lot of money, time and effort but it is totally worth it. A bridge is an irreversible procedure.

      The teeth on either side will be permanently ground down into pegs. If they are healthy, you are sacrificing them for no good reason. A Maryland bridge is more conservative, but they tend to un bond commonly.

      I would highly suggest opening up the space and fixing your teeth the right way, the first time.

      Braces, Orthodontics and Front Teeth Missing From Birth…What You Need To Know Before Having A Dental Implant

      Dental Implants…Why not have a bridge instead?

      Very respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
  11. reena

    Hi Dr.
    I am 34 years Old and i have two baby tooth which are lateral incisor. and its shaky now . i am so worried what should i do. please advice me . can i get you no. so i can talk to you.
    Regards
    Reena

    Reply
    1. Ramsey Amin DDS

      Hello Reena,

      Fortunately it is a tooth and not a kidney… It is easily replaced.

      My best advice would be for you to see a very skilled implant dentist. Ideally you can have an extraction and an immediate dental implant with same day temporary placed. You should walk in and walk out of the office within 2 hours with a great looking tooth that will be stable and aesthetic.

      I would have to see you personally in order to answer your questions properly.

      Front Teeth Dental Implant Samples

      Immediate Front Tooth Dental Implant Example -(Difficult Case)

      Very Respectfully,

      Ramsey Amin DDS
      Diplomate of the American Board of Oral Implantology/Implant Dentistry
      Fellow of the American Academy of Implant Dentistry
      Burbank, California

      Reply
      1. reena

        thank you so much for you reply… can i send you my smile pic and x ray as i stay in Singapore. can i get your no. so i can talk to you on my case .
        Best regard
        Reena

        Reply
        1. Ramsey Amin DDS

          An examination is needed in addition to dental x-rays. One does not replace the other. You need to find a great dentist in your area.

          very respectfully,

          Ramsey Amin DDS

          Reply
  12. rasha .st

    I am 29 years old.i have a milk tooth which is the lower right canine and there is a permenant one below it but my dentist told me it is too large to replace rhe milk one and at the same time implant is impossible and the only option is a bridge between the lateral lower incisor and 1st premolar which seems ugly for my mind.what should i do

    Reply
    1. Ramsey Amin DDS

      hi Rasha,

      Consider another opinion. But sometimes the canine tooth is so badly impacted that its removal is extremely risky and a dental bridge is the only option.

      Here is a case with an impacted tooth that we could not remove:

      Complex Case Example–Tilted Dental Implant Used To Bypass Impacted Tooth and Bone Expansion for Missing Front Teeth

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

      Reply
  13. Christiana

    Dr. Amin,

    I have a total of three pimary teeth and two of them are bicuspids on the top jaw. I just paid my dentist a little over five thousand dollars after saving a whole year. He put in one implant and a bridge which came out looking very unnatural because my mid line is off. My bicuspid teeth are starting to feel submerged and I will eventually like to get them removed and replaced with implants. The implants will balance out the funny looking bridge im hoping. My dentist told me it wasn’t the aesthetic, that it was because my mid line was off and to fix it I would have to get braces put back on. I had braces on for a total of six years. I really can’t afford to keep back stepping like this. I have no idea what to do and would appreciate any advice. All these dental problems really affect my self esteem!

    Reply
    1. Ramsey Amin DDS

      Hi Christiana,

      If the two center teeth on the bridge are false pontics then the midline is easy to correct. If you have even one root in the center that is not in alignment, your midline will be off with out braces.

      It sounds like you need to get in the hands of a very skilled implant dentist teamed up with an excellent lab!

      Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
  14. Georgette Mason

    My granddaughter just turned 18. Last year she had a baby tooth removed under which there was no adult tooth, just like her father has. Both have the situation with the identical tooth, the one next to the “canine” on the upper right. My granddaughter wore braces for several years, just having had them removed last year, then the tooth extraction. Since the extraction she has been wearing a clear retainer with a false tooth in it in preparation for her implant. At last exam the dentist is now telling her that there is now not enough room for an implant, that she will need a “bridge”. What happened? Why all of a sudden is there no room. Isn’t that something that should have been determined prior to the tooth extraction? She is now sorry she had it extracted at all. Also, bridge between what? How? Am I wrong or isn’t a bridge a false tooth that is wired on both sides to the adjacent teeth? How would that look in the front of her mouth, wires on her front tooth? And why is there suddenly not enough room for an implant when we’ve been talking about getting the implant for several years?

    Thanks. G

    Reply
  15. Erin Kay

    Hi Dr. Amin — Nice website! I moved to TN about 2 years ago. The implants you did for me back in 2002 are doing great! My new dentist really admired your work! Thank you..your work really lasts!!

    Reply