In this rare case, in a 20year old Youngman, the lower front permanent tooth is missing. The small tooth that you see in the lower front portion of the lower jaw is the milk tooth — milk incisor—which should have fallen at the age of 6years and immediately that space is occupied by the permanent incisor which is developing underneath in the jaw bone.
This milk tooth is shaky and the youngman has started feeling embarrassed about this as it is affecting his looks. Now, his problem is that he had to attend a marriage party and he wanted some “quick-fix” solution to this problem.
In most of cases, when the deciduous teeth (“milk teeth”) don’t fall off as per normal shedding schedule, it indicates that the permanent teeth which had to take their place are missing. In this case also, it was confirmed by getting a dental radiograph done that the permanent tooth is missing. This is a rare case of missing “lower incisor” (front tooth).
As the young boy insisted for some temporary cosmetic solution, I yielded to his request …. In this picture you can see I did some restoration (“build-up”) just to make that small milk tooth appear big. It is not a ideal treatment –it was just a crude, quick-fix solution to enable him to party hard. He was reasonably satisfied and wished that “filling” was to stay there for ever.
No, it won’t stay —he was told that since the tooth is already shaky, it would fall off after some time. And then what ? — some artificial replacement has to be provided. And the results are quite promising!