Tooth Loss in Teens: What to Know About Molars - Dentistry

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Tooth loss during adolescence?


I am currently 15 years old, but my upper molar (I'm not sure if it's the second or third molar) suddenly disappeared.
I don't know if it fell out because I didn't extract that tooth.
Is it possible to lose a tooth at my age? Or could it be a primary tooth? Do people still have primary teeth at this age?

Chen, 10~19 year old female. Ask Date: 2015/07/22

Dr. Zhang Xiangyuan reply Dentistry


Dear online user, based on your description, you are currently 15 years old and have not yet seen the eruption of your maxillary second molars.
Generally, the maxillary second molars erupt around the age of 12 (average age).
It is recommended that you visit a dental clinic for an examination by a dentist.
The maxillary second molars are located at the back of the mouth and erupt directly without the loss of any primary teeth in their original position.
Thank you for your inquiry.

Reply Date: 2015/07/22

More Info


Tooth loss in teenagers can be a concerning issue, especially when it occurs unexpectedly. At the age of 15, most individuals have transitioned from primary (baby) teeth to permanent teeth, but there are still some nuances to consider regarding molars and tooth loss.

Firstly, it's important to clarify the types of molars you might be referring to. In the human dentition, there are typically three sets of molars: the first molars, second molars, and third molars (often referred to as wisdom teeth). By the age of 15, most teenagers have their first and second molars fully developed and in place. The third molars usually begin to erupt in late adolescence or early adulthood, often between the ages of 17 and 25.

If you have lost a second molar, it is less likely to be a primary tooth, as primary molars are usually lost by the age of 12. However, if you are referring to a first molar, it is possible that it could be a primary tooth that has not yet been replaced by a permanent one. In some cases, a permanent tooth may also be lost due to various reasons, including dental decay, trauma, or periodontal disease.

Here are some potential reasons for tooth loss in teenagers:
1. Dental Decay: Cavities can lead to the loss of teeth if they are not treated promptly. If a tooth has significant decay, it may become loose and eventually fall out.

2. Trauma: Accidents or injuries can cause teeth to become dislodged or lost. This is particularly common in active teenagers who participate in sports or physical activities.

3. Periodontal Disease: While more common in adults, teenagers can also experience gum disease, which can lead to tooth mobility and loss if not addressed.

4. Impaction: In some cases, the eruption of wisdom teeth can cause pressure on adjacent molars, leading to discomfort or even loss of those teeth.

5. Genetics: Some individuals may have a genetic predisposition to dental issues that can affect the stability of their teeth.

If you are experiencing tooth loss or have noticed that a tooth is missing, it is crucial to consult with a dentist as soon as possible. They can perform a thorough examination, possibly including X-rays, to determine the cause of the tooth loss and recommend appropriate treatment. Treatment options may include dental restoration, such as crowns or bridges, or in some cases, orthodontic intervention if there are alignment issues.

In summary, while it is less common for a 15-year-old to lose a tooth, it can happen due to various factors. It is essential to seek professional dental advice to understand the situation better and to prevent further dental issues in the future. Maintaining good oral hygiene, regular dental check-ups, and being mindful of any changes in your mouth can help ensure your dental health remains optimal as you transition into adulthood.

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