Is It O.K. to Do a Dental Implant on a 17 Year Old Boy?

It is important to be sure the patient is completely done growing, otherwise some very expensive and complicated surgery will be needed when they are older.  Girls usually finish growing before boys, so 17 might work for them but 17 is likely pushing it on a boy.  Consider an extraction, graft and something to hold the space until he is done growing.

This is a topic that has seen a bit of controversy.  The key to this discussion is the implant should be placed when the growth of the patients jaw has completed.  This age is different fo everyone and to set an age as a rule is not the answer.  The upper and lower jaw complete their growth at different times and males and females complete there growth at different times.  The upper jaw stops its growth prior to the lower jaw, so tooth # 8 falls into this catagory. I have placed several implants in 17 and 18 year old males and 16 year old females with excellent long term results, the key is that the growth has almost ceased.  This can be determined with serial cephalometric radiographs over time or hand and wrist films.  Every individual is different.  Seek the advice of a Board Certified Oral and Maxillofacial Surgeon for this issue.  They are the qualified individuals for this specific issue, no other doctors perform surgery for jaw growth issue more.

The question is has your son completed his growth?  Teeth undergo transition until growth is complete.  In addition there is and passive eruption that occurs throughout life.  What does this mean?  If your child gets an implant to soon and the jaw and teeth are transitioning the implant might be placed in the wrong position.  Over time as the teeth undergo there natural movement into the adult bite the implant tooth will remain in the same spot and resulting in a poorly aligned implant tooth which may or may not be able to be corrected.   As passive eruption occurs the gum slips up the teeth creating longer teeth in life if the implant is not placed deep enough then over time a black shadow can developed at the gum line and or the abutment can become exposed to the oral cavity. 

Teeth undergoing external resorption can go on to fracture and or become ankalosed making the tooth difficult to remove and hence make for a more complex replacement. 

I would wait to place the implant if possible.

Dr. Tamara Rojas D.M.D., P.A.