Failing to replace a missing tooth promptly may lead to significant dental issues, such as tooth misalignment, periodontal disease, or an improper bite. In an episode of the “She Health” program, Chia Chun Lee, a specialist from the Taiwan Alliance of Dental Implant Associations, discussed various tooth restoration methods.
Tooth Restoration Across Different Age Groups
Whether a missing tooth should be replaced depends on several factors, Lee said, with age being one of the most significant.Children Under 18
Lee does not recommend dental implants for children who have lost a permanent tooth, as their jawbones are still developing, and implants may interfere with the growth of surrounding teeth and bone. Instead, dentists may explore alternatives, including:- Orthodontic treatment to shift existing teeth into the gap
- Autologous transplantation of wisdom teeth
- A removable denture to preserve the space until the child reaches adulthood and becomes eligible for implants
Adults
For adults, neglecting to replace a missing tooth can cause adjacent teeth to tilt into the empty space. If the missing tooth is in the lower jaw, the opposing upper tooth may gradually shift downward, resulting in an uneven bite. This can lead to tooth fractures, excessive wear, and the formation of hard-to-clean areas that increase the risk of periodontal disease.Though these effects may develop slowly, they worsen over time.
