Case Study | How To Address Congenitally Missing Teeth
Jacob’s missing two permanent teeth. Now what?
I regularly receive calls from orthodontists and pedodontists regarding their early teen patients because of hypodontia, a condition in which a person is missing one or more teeth. While congenitally missing incisors only occur in approximately two percent of the population, it is a condition that can be easily addressed with early identification, proper planning, and collaboration between the patient’s primary care dentist, oral surgeon and orthodontist.
Here’s a quick look at “Jacob’s” case, a straightforward example of how to address congenitally missing teeth.
Jacob wanted to start college with a full set of teeth.
Jacob’s pedodontist identified that he was missing two lower central incisors.
After Dr. Kur conferred with Jacob’s parents, he recommended that Jacob consult with an orthodontist. Jacob began a two-year course of orthodontics at age 15, at which time I was called in to be part of the treatment team. Jacob’s orthodontist devised a plan to move existing teeth while making space for the missing lower incisors. Our intent was to place implants when Jacob was fully grown. While this was underway, natural-looking artificial teeth were “built in” to his braces and retainers. As part of his dental treatment, before placing implants, Jacob wore “Maryland” bridges—a false tooth with metal wings–for a significant time. I saw him when he was 16, and 3D images were taken to evaluate if there was enough bone in his jaw for an implant. There was. A few months ago, Jacob came to me to have his two implants placed. The procedure took 30 minutes with Jacob under light sedation. Immediately following, he went to the dentist (zero waiting period) for the restoration.
Jacob is going off to college next month with now another reason to smile.
Every patient with congenitally missing teeth is different. Total teamwork between oral health experts ensures the right treatment plan for the each patient. In other words, while Jacob’s case was fairly routine, every situation is unique.
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I just wanted to say thank you for giving for my daughter the upmost care and made it an easy procedure for her. I greatly appreciate the kindness and gentleness that you and staff showed 🙂
I recently had all 4 of my wisdom teeth extracted here by Dr. Guglielmi and I have to say, I haven’t had a more pleasant and comfortable experience in any doctors office in my whole life. Dr. G was so considerate and personable. I was so genuinely surprised by just how kind he was, a characteristic that has been lost to many doctors nowadays. After my surgery, he also called me multiple times to check up on how I was feeling. I would highly recommend this place to anyone. The staff is also very nice and they’re very efficient in scheduling appointments. Thank you so much for such a wonderful experience!
I had an amazing experience here. Dr. Guglielmi and the ENTIRE staff were very polite and helpful! I came in with severe pain and needing all wisdom teeth removed. The procedure was quick and easy! Before finding Dr. G I was searching and reviewing, and I was terrified, but I promise you will love your experience here!
The initial consult went well. I was very impressed with the presentation of the office and office workers. Everyone is well put together, the office and exam room were clean, smelled clean, because presentation can either make or break a professional setting. Additionally, the doctors are welcoming and had a good sense of humor when I told him about my dental fears. He explained the procedure that would be done, and why it would be a good idea for the surgical procedure. Overall, great first impression. A week later, I went for my wisdom teeth extraction and everything was a success! I was truly frightened about “going under”. And honestly, I would do it again. The follow up went smoothly, the doctor was very personable and his staff was still working hard to make all the small details count. I really believe it’s a great office. I would recommend this doctor to others.
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Would highly recommend Dr. Kurs for any kind of dental surgery. I had a tooth implant done and the process was seamless. Very modern equipment and efficient staff, which i also feel is very important. Dr. Kurs is very confident of what he is doing and now I can confidently say that I would go by his recommendation for any procedures as well as follow up.
Great doctor. By far the best oral surgery experience I’ve had. I had all 4 wisdom teeth removed and didn’t even need painkillers.
Awesome practice, Dr. Kur, and the support staff are true professionals. It is so refreshing to be cared for in such a manner. Dr. Kur is extremely knowledgeable. He identified my problem and provided relief to an ongoing problem that I had been dealing with for almost two years. He is truly expert in his field. For the first time, I felt I got my money’s worth. Relief at last. I would recommend and will do so to anyone who needs an oral surgeon. FIVE STARS ARE NOT ENOUGH. Thank you, Dr. Kur and Staff.
I got two extractions and a post put in a couple months ago and it was so painless and the recovery was super fast and I didn’t need the pain meds at all! Even my regular dentist couldn’t believe I just got it done a week ago. Dr. Kur is fast friendly and to the point. I like that. He put me at ease on my concerns and even better he was right. Some say he’s a little pricey but he’s worth every penny. I believe in you get what you pay for and when I went to a cheaper place I ended up in a horror show and my recovery took forever. The place is clean. All the staff from the front desk to the back are friendly and professional and don’t make you feel like a number. Whoever you deal with there is great. Dr. Kur is awesome. If he runs for president I’m voting for him. If I wasn’t broke I’d mess up more of my teeth so he could fix them. Honestly, can’t say enough good things about him or his staff. Just go there, you won’t be sorry!!!!
I recommend Dr. Kur without reservation. Everyone on his team is highly professional and responsive. Every time I had a question or needed to make an appointment, my concerns were addressed immediately. Dr. Kur was very forthcoming about the procedure, leaving no questions or concerns unanswered. I never thought I would be describing dental surgery as a great experience.
I had an excellent experience with Dr. Kur, and all of his staff. Very friendly, very professional, and very clean facility! I was recommended by my dentist to have some of my wisdom teeth removed, and they made it a priority to make sure I felt welcomed and was comfortable with every step of the procedure. I had some back and forth issues with my insurance company regarding my initial appointment, and they went the extra mile to work around those issues and explore alternative solutions. The go-to place for dental surgery, especially for first timers!
I had all four of my teeth extracted by doctor G. He was amazing!! It was very easy and I am a very anxious patient; he and his staff made me feel at ease and comfortable. He called me to check up on me and was very kind. 10/10!!!! Thank you!!!
About a month ago, I had all four of my wisdom teeth extracted along with an extra tooth. From start to finish the process was seamless! Every single person that works at the office was kind and answered all of my questions. Dr. Guglielmi did my surgery and I had no issues afterward. He’s very kind and thorough. I have already recommended them to people!
I had a tooth that imploded under the gum line. I had been told to just leave it alone by another dentist. I knew something was wrong, and my primary care physician referred me to Dr. Kur for a second opinion. Dr. Kur advised removal of the tooth and an implant. Everything was done in three appointments. I have had no problems. I completely trust Dr. Kur and would not hesitate to contact him in the future.
My husband had minor oral surgery about 2 months ago. There are no adequate words to describe our experience that was very positive. This office is the best Dr.s office we have been in our 63 years of life. The doctor was absolutely outstanding throughout the process. His office runs like a clock…just perfect. Every single person we dealt there was very professional and very efficient. We are very grateful for the outstanding service that we were provided with!
Dr. Kur is an amazing oral surgeon. He pulled one tooth and put in 2 implants. Mindful of my pain and my comfort, he reminded me of an artist enjoying his craft. As for his staff, nothing short of top notch. Professional and courteous. This is my oral surgeon forever!! As a matter of fact I am scheduled for more work in the near future. I would refer anyone who needs work done.
Dr. Kur removed all four of my daughters wisdom teeth. The entire process was stress free. Dr. Kur and his staff were wonderful.
Dr. Kur is a gentle, kind and thoughtful oral surgeon. I had 2 implants put in and he went the extra mile to prepare my mouth well for them, with a really good bone graft. And when he pulls a tooth, there is no pain in taking it out. I would highly recommend him to anyone.
When you’re not feeling well, (your tooth is throbbing in pain) and unexpectedly need surgery, this is the place to go to. From the caring office team, and staff, Dr.Kur’s expertise and care for his patients in insurmountable. Dr. Kur did everything possible and succeeded in saving my tooth from being extracted.
I had a very complex oral surgery performed by Dr. Kur. I was very anxious about having the work done, but quickly relieved after speaking with Dr. Kur and his staff. I could not be more pleased with Dr. Kur. He took the time to explain everything to me in detail before performing the many steps of my treatment. Along the way, he and his staff assisted me with all my questions and concerns. I am very happy with the outcome. Dr. Kur is extremely proficient and professional and I strongly recommend him as he is “the best of the best!”
Dr. Kur was nice, comforting, and made my extractions & implants as painless as possible. The office staff was equally as pleasant, making the paperwork as effortless as possible and were very welcoming. There is also a good payment plan available if you need it.
Dr. Kur and his staff are fantastic. Unfortunately, my son, age 6, had to have one of his molars removed. Not only did this procedure go extremely well, (and very quick) but there was no complaining of pain afterwards. I would highly recommend Dr. Kur to anyone looking for an Oral Surgeon. Great experience!
Dr. Kur is an amazing oral surgeon. I had implant surgery performed & I did not experience any discomfort at all. The surgery and healing process was painless. He made sure I was totally comfortable throughout the surgery. His staff was equally compassionate. Dr. Kur followed up with a phone call in the evening to make sure I was doing well. He is an excellent doctor and I would highly recommend him to anyone who is in need of oral surgery.
Dr. Kur and his staff made my experience truly wonderful. I was in such excruciating pain until I couldn’t function. They performed an emergency extraction on my wisdom tooth. I felt much better after my surgery. The office is clean and very comfortable. Obviously no one wants to have a tooth removed, however, if you need to have this procedure done, then I would definitely recommend this practice.
Dr. Kur extracted my 4 wisdom teeth, and also gave me four implants. Not once did I have any pain after both procedures. He did an amazing job! He and his staff were extremely friendly and very informative the entire time. If you need oral surgery this is the place to go.