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FAQ: Congenital Missing Teeth

Tooth Replacement Choices

Missing Teeth Ask The Dentist Richard Winter

Question:
Missing teeth - Ectodermal Dysplasia: My 10 year old daughter is missing most of her permanent teeth.

She has 6 upper teeth in the front but no upper molars. One orthodontist wants to put her in a palate expander but our dentist says this is not a good idea since it could compromise the deciduous molars she currently has.

He also says expanders are old technology and are not being used as much and that there can be problems with the bone developing after expansion and problems with the nerve in the upper palate.

Can you address the concerns about complications and indicate whether or not you think it is okay to go with an expander in this type of situation? ...Visitor from CT

Answer:
I am sorry for what you and your daughter face. It will be a life long committment to keep and maintain teeth for your daughter. As far as expansion is concerned, I use it with my orthodontist daily.

It is not old technology and is a conservative, non-surgical approach to achieving true arch developement without sectioning the palate!

As I am not an expert on ectodermal dysplasia, though I have treated 4 or 5 in my career, I would suggest you go to a University based dental clinic for follow up and care.

They will be able to guide you through the orthodontics, establish a long term treatment plan and follow up with implants when your daughter is able to have these procedures done.

As well, they can create removable prostheses so she will have teeth and an improved self-esteem while she is growing!

Wisconsin Reconstructive Implant Dentistry
Richard Winter, DDS MAGD
Winter Dental Associates
5323 W. Hampton Avenue
Milwaukee Wisconsin WI 53218
(414) 464-9021

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