What are congenital absent teeth? Causes, treatments, and how to recover from the shock.
During orthodontic treatment, doctor, I was born with fewer teeth than others...
Shocking.
So it was...
The term "congenital deficient teeth" is used in dentistry to refer to the fact that a person is born with a small number of teeth.
We explain what congenital deficient teeth are, their causes, treatments, and how to recover from the shock!
What is a congenital deficient tooth?
What is a congenital deficient tooth?Being born with a smaller than normal number of permanent teethIt is.
Specifics,
- Definition and incidence of congenital absent teeth
- Causes and Risks of Congenital Abscess Teeth
- How to diagnose congenitally absent teeth
This section explains the
Definition and incidence of congenital absent teeth
Definition of congenital absent tooth,Teeth not present at birth among the 28 permanent teeth (up to 32 if wisdom teeth are included)of the
In other words, even if all the baby teeth are present, "there are no permanent teeth to erupt beneath them".
It is not caused by disease, but is one of the formation abnormalities in the process of tooth production.
A survey published in March 2011 by the Japanese Society of Pediatric Dentistry revealed the following trends in the incidence and location of congenital absent teeth.
- Incidence of congenital absent teeth (*)
- 1 in 10 children who see a pediatric dentist
- Number of congenitally absent teeth occurring
- One to several bottles per person
- Frequency of congenital absent teeth
- Maxillary → approx. 4.37%
- Lower jaw -> approx. 7.58%
- Site of occurrence of congenital absent teeth (*)
- Right and left second bicuspids (fifth teeth counting from the front teeth)
- Right and left incisors (second teeth counting from the front)
*Wisdom teeth are not included in the survey.
Causes and Risks of Congenital Abscess Teeth
The cause of congenital absent teeth is not clearly known.
- genetic factor
- Nutritional deficiencies during the tooth formation stage (pregnancy)
- systemic disorder
- Side Effects of Medication
- Radiation effects
- Jaw reduction due to dietary changes, etc.
There are various theories,No clear association has been found.This is the current situation.
Therefore, congenital deficient teeth cannot be prevented.
People with congenital deficient teeth often have extra space for permanent teeth that will erupt after the baby teeth are removed.
When congenital deficient teeth cause wasted space in the permanent dentition,
- Neighboring teeth fall in, resulting in poor tooth alignment and bite.
- Longer teeth because they do not mesh with the upper and lower teeth
- Developing a complex about their appearance due to a gap in their teeth.
Various problems arise, such as
The bite, in particular, affects everything from oral health to overall health.
When the teeth and bite are disturbed by congenital defective teeth,
- Teeth are easily damaged by the force of biting.
- High risk of tooth decay, gum disease, and bad breath
- TMJ disorder is more likely to develop.
- May affect pronunciation and smoothness of speech
- Headache, stiff shoulders, etc.
Note that these risks are higher.
How to diagnose congenitally absent teeth
Congenital absent teeth are basicallyThe dentist will take x-rays to diagnose the problem.
Radiographs can be taken to see which teeth are in the gums and which are not.
- Baby teeth do not fall out past the appropriate age.
- Permanent teeth do not erupt after deciduous teeth are removed
- Large gaps between permanent teeth
- Health checkups have pointed out the number of teeth, etc.
In such cases, it is recommended that the dentist take an x-ray to see if the tooth is present.
Treatment of congenitally deficient teeth
Congenital absent teeth cannot be prevented, and there is no treatment yet to make and grow absent teeth.
Therefore, the following treatment is used in cases of congenital deficient teeth.
- Long-term preservation of primary teeth
- Replacing with prosthetics or implants
- Alignment of teeth by orthodontics
Long-term preservation of primary teeth
If the tooth is known to be congenitally deficient before the baby tooth falls out,Avoid losing baby teeth due to decay or gum disease.
To keep baby teeth as long as possible,
- Proper daily tooth brushing
- Get regular dental checkups.
It is important to
Baby teeth have shorter and more brittle roots than permanent teeth and are at higher risk of decay and gum diseaseIt is.
Therefore, it is very rare for a tooth to remain for the rest of one's life, but in some cases, a baby tooth can remain until one's 20s or 30s.
Replacing missing baby teeth after the growth period has ended provides more treatment options.
If you know in advance that you have congenital deficient teeth, maintain them well and try to make your baby teeth last as long as possible.
Replacing with prosthetics or implants
If a baby tooth has fallen out,Depending on the number of congenitally absent teeth, prosthetics or implants can be used to fill gaps in the dentition.
- denture
- bridge
- implant (esp. dental)
From among these, choose the number of teeth to be replaced, appearance, functionality, and indications.
Alignment of teeth by orthodontics
It depends on the alignment of the teeth and the bite,
- Orthodontic treatment to fill the space left by congenitally absent teeth
- Align and bite teeth using tooth space created by congenital defective teeth.
This can restore appearance and functionality.
If a case requires tooth extraction to make room for the teeth, the presence of congenital deficient teeth also creates the advantage of reducing the number of teeth to be extracted.
Orthodontic treatment is basically self-funded, but if there are six abnormal congenital missing teeth, orthodontic treatment may be covered by insurance.
If you have 6 or more congenitally absent teeth, see a dentist who can calculate the orthodontic diagnostic fee.
What to do if you are shocked by a congenitally absent tooth
Many people are shocked to learn about the risks associated with congenitally deficient teeth when they are told they were "born toothless."
If you are shocked by a congenitally deficient tooth, the following measures can provide some perspective and relief.
- Talk to your dentist or family member.
- Find out about treatment plans and costs.
Talk to your dentist or family member.
Congenital deficient teeth can cause problems with tooth alignment and bite, as well as appearance-related complexes.
Talk to your dentist,Some suggestions for what to do after a baby tooth falls outI have had them do it for me, or I have had my family members do it for me.Consultation on what kind of treatment is best for youTry to organize the information by doing so.
Find out about treatment plans and costs.
There are two types of treatment for congenital absent teeth: insurance and self-funded.
Treatments that can be covered by insurance are dentures and bridges, while those that are self-funded are implants and orthodontic treatment.
Dentures and bridges are also available, depending on the material, at their own expense,Check with your dentist about the treatment plan and cost of replacement after a baby tooth is missing.
If you are prepared, you can provide treatment when needed.
*Recommended orthodontics that also offers pediatric dentistry ☟.
summary
A congenitally absent tooth is a tooth that is not present at birth.
People with congenital deficient teeth are more prone to bite and misaligned teeth,
- Baby teeth do not fall out past the appropriate age.
- Permanent teeth do not erupt after deciduous teeth are removed
- Large gaps between permanent teeth
- Health checkups have pointed out the number of teeth, etc.
If this is the case,Have your dentist take x-rays to confirm this.
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365dentist General Supervisor Dentist/Yukiko Katsuya
Graduated from Nagasaki University School of Dentistry, ~2018 Kyushu Medical Center, 2018-present Working at a dental clinic in Tokyo
Supervisor: Dentist/Naomi
After completing clinical training, worked in cosmetic dentistry in Tokyo. Currently a dentist and dental writer.