This patient was referred to us by her Orthodontist and General Dentist, when she was fifteen years old, for a smile makeover, using implants to replace her congenitally missing permanent teeth. Even though she was in the middle of orthodontic therapy, we were called upon to provide guidance on the tooth positionings so that there would be adequate spacing for the future implant placement. Implants should not be placed in children until they have stopped growing (at least 18 yo).
In order to provide the right arch form and bony architecture, we assembled a team of the Orthodontist and an Oral Surgeon to reset the jaws into the ideal occlusion (bite), a Periodontist for bone grafting the “missing tooth” sites, and an endodontist for necessary root canal therapy. We assembled this precision team of practitioners to assure that we obtained the ideal results before we placed the implants, their abutments, and the final crowns.
Once the implants had fused to the bone (please see the red arrows), we inserted custom abutments and final crowns over them. She now has a complete dentition and a great look. She is so thrilled, she is considering going to dental school.