Do Kids Need Dental Implants?

When parents hear the term dental implants, they often think of adults who’ve lost teeth due to injury, decay, or age. But what happens when a child loses a tooth early? Is a dental implant an option? Is it safe for children? These are common questions many parents ask when faced with the unexpected loss of a permanent tooth in their child.


What Are Dental Implants?

Dental implants are artificial tooth roots, usually made of titanium, that are surgically placed into the jawbone to hold a replacement tooth or bridge. They look, feel, and function like real teeth and are often recommended for adults with missing teeth.

But children are not just "small adults"—especially when it comes to dental development. Their jaws are still growing, and this factor plays a big role in whether or not an implant is appropriate.


Can Children Get Dental Implants?

The short answer is: not usually, at least not right away.

Most dentists and oral surgeons do not recommend placing dental implants in children until their jaw growth is complete. Why? Because placing an implant in a growing jaw can lead to misalignment, functional issues, and cosmetic problems as the jaw continues to develop around the implant, which remains fixed.

So, when is jaw growth complete?

  • For girls: Typically between 16 and 18 years old
  • For boys: Usually between 18 and 21 years old

Each child is different, and dentists often use X-rays or growth evaluations to determine when it’s safe to place an implant.


When Might a Child Need a Dental Implant?

While implants may not be placed right away, there are situations where they may eventually become necessary:

1. Congenitally Missing Teeth

Some children are born missing permanent teeth (a condition called hypodontia or agenesis). Commonly missing are lateral incisors or second premolars. Once the child finishes growing, a dental implant can be a long-term solution.

2. Tooth Loss Due to Trauma

If a child loses a permanent tooth due to an accident or sports injury, the dentist may consider placing a temporary tooth and later replacing it with an implant when the jaw is fully developed.

3. Severe Decay or Disease

In rare cases, a permanent tooth might need to be extracted at a young age due to extensive decay or infection. Again, implants are not an immediate option but may be part of the future treatment plan.


What Are the Alternatives to Implants for Kids?

If a dental implant isn’t an option yet, don’t worry—there are effective and safe temporary solutions to replace missing teeth in children and teens.

Space Maintainers

If a primary (baby) tooth is lost too early, a space maintainer can be used to keep the gap open so the permanent tooth can erupt properly.

Removable Partial Dentures (Flippers)

These are similar to retainers and have a prosthetic tooth attached. They are temporary and removable, offering a cosmetic fix while the child’s jaw continues to grow.

Bridges

In some cases, a fixed bridge can replace a missing tooth using the adjacent teeth as support. This is more common in teens and young adults and still requires careful planning.

Orthodontic Solutions

Sometimes braces can help close or manage the gap left by a missing tooth, especially if more teeth are involved. Orthodontists often work closely with pediatric dentists and oral surgeons to plan a long-term solution.


Why Timing Matters

Placing an implant too early can lead to complications, such as:

  • The implant not aligning with adjacent natural teeth as they move or grow
  • An uneven gumline as surrounding tissues develop
  • The need to remove and replace the implant later

That's why dental professionals typically recommend waiting until jaw growth is complete, and they may monitor your child’s development with X-rays and periodic exams.


The Role of a Multidisciplinary Dental Team

If your child has lost a tooth or was born without one, it’s best to work with a team of dental specialists, including:

  • Pediatric Dentist
  • Oral Surgeon
  • Orthodontist
  • Prosthodontist

This team will help map out a plan that:

  1. Addresses the child’s immediate cosmetic and functional needs
  2. Maintains proper space and alignment
  3. Prepares for a future dental implant if needed


How to Care for a Child With a Missing Tooth

While waiting for the appropriate time for an implant, there are steps you can take to protect your child’s oral health and confidence:

  • Maintain excellent brushing and flossing habits
  • Avoid sugary snacks and drinks that can lead to decay
  • Keep up with regular dental visits and X-rays
  • Use mouthguards for sports if applicable
  • Talk to your child openly about their treatment to reduce anxiety

Missing a tooth can be an emotional experience, especially for teenagers. Reassure them that solutions are available, and that their smile will be restored when the time is right.