You guys seem very well informed. I'd love for you to weigh in on this situation:
I've known for years that my daughter was born MISSING three teeth. She had baby teeth, but there were no adult teeth above them. When she got her braces on, two of them were pulled, and those spaces have closed in . . . but she's still missing one -- that tooth is an upper biscuspid.
When we began her braces two years ago, both the orthodontist and the dentist agreed on the best course of action: We kept the baby tooth in place, straightened it along with the other teeth, and HOPED that it'd stay in for years. The dentist said that one of his dental partners had a baby tooth that stayed in 'til he was 40-something. Fortunately, this is a LARGE baby tooth and it doesn't stand out visually.
Two weeks ago her braces came off -- teeth look GREAT -- and I took her in for a dental appointment. The dentist says that we didn't hit that "keep it 'til you're 40 jackpot". He anticipates that the baby tooth will be lost within 6-12 months. Okay, nothing we can do about that. Time to formulate a plan.
In my mind, it seems that an implant is the best option. It'll look more natural and be the least trouble for her in the long run, right?
Here's the rub: She's turning 16 in a few weeks, and the dentist says that he doesn't want to do an implant until she's at least 17. He says that her teeth are still growing (why didn't anyone mention that when they were saying, "You're very late putting braces on her at 13?") until 17-18, and they don't think they can size an implant correctly 'til then.
They say that when the inevitable happens and the baby tooth is lost, they want to put a "fake tooth" into her (clear plastic) retainer. That will "hold the spot" and prevent her teeth from closing in . . . and then when she's 17 we can do an implant. But that means that she has to wear the retainer all the time OR she goes around missing a tooth.
For the time being, I've told her to chew on the opposite side of her mouth; hopefully that'll maintain the baby tooth for as long as possible. IF she could hold onto it 'til she's 17 -- that would be May of 2011 -- then she could go straight to the implant.
I have absolutely perfect teeth and know NOTHING beyond cleanings and check-ups. Any advice?
And a related question: Her younger sister is ALSO missing teeth; they simply don't exist -- weird, I know. We were planning to start her braces this summer (she'll be 13), but now I'm thinking that we'll delay her treatment a year (or two?) just in case something similar happens to her.