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What treatments are available for a congenitally missing pre-molar?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have a 13-year-old daughter who learned that she is congenitally missing a top premolar. She is starting braces and I am being asked whether we want to save the tooth or space for a future implant when she is older, or whether we would like to remove the tooth now and shift the molars over.

What are the pros and cons of each?

How do you choose the best result?

Thank you.

Answered by Dr. Mallikarthiga B

Education:

BDS

Professional Bio:

Dr. Mallikarthiga B is a General Dentist skilled in providing comprehensive dental care to patients of all ages. She is experienced in diagnosing and managing a wide range of dental conditions, with expertise in preventive care, restorative treatments, and root canal procedures. Her approach focuses on patient comfort, personalized treatment planning, and promoting long-term oral health through gentle, effective, and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I would suggest you go for extraction. And fill up the same by moving the molars over.

By creating space there would be much space for us to align the upper teeth perfectly.

There are no cons as such. I can see only the pros like space for aligning the whole of the upper teeth and retaining it.

Thank you.

Medically reviewed by iCliniq medical review team
Published At April 3, 2023
Reviewed At April 3, 2023

Education:

BDS

Professional Bio:

Dr. Mallikarthiga B is a General Dentist skilled in providing comprehensive dental care to patients of all ages. She is experienced in diagnosing and managing a wide range of dental conditions, with expertise in preventive care, restorative treatments, and root canal procedures. Her approach focuses on patient comfort, personalized treatment planning, and promoting long-term oral health through gentle, effective, and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BDS

Professional Bio:

Dr. Mallikarthiga B is a General Dentist skilled in providing comprehensive dental care to patients of all ages. She is experienced in diagnosing and managing a wide range of dental conditions, with expertise in preventive care, restorative treatments, and root canal procedures. Her approach focuses on patient comfort, personalized treatment planning, and promoting long-term oral health through gentle, effective, and evidence-based dental care.

This doctor is not available for online consultations on the platform anymore.

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