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Agenesis Of First Permanent Molar Tooth C4023562

Published: July 22, 2026Updated: August 20, 2026

A congenital condition where the first permanent molar tooth does not develop. It requires dental management, often involving orthodontics or prosthetic replacement to maintain proper bite and alignment.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 20, 2026Editorial policy

Key facts at a glance

ICD-10
R69
ICD-11
MA00.0
Body system
other
Severity
mild
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Generalized symptoms

(other)

Mild symptoms that may not significantly impact daily life.

Frequency: Common at all stages

Missing tooth

(other)

Difficulty chewing

(other)

Tooth migration

(other)

Malocclusion

(other)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Dietary counseling and physical activity plan

Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.

lifestyle
2

Orthodontic Space Maintenance

Orthodontic intervention to maintain proper dental arch space when first permanent molar is absent. This prevents adjacent teeth from drifting and preserves alignment for future prosthetic options.

surgical
3

Dental Implant Placement

Surgical placement of a dental implant to replace the missing first permanent molar. This provides a permanent, functional replacement that maintains bone structure and adjacent tooth integrity.

procedure

Additional treatment options

Periodic Dental Evaluation

Regular monitoring of dental development and space maintenance with periodic radiographs and clinical examination to assess occlusion and plan future interventions.

monitoring

Dental Bridge Prosthesis

Fixed dental prosthesis that spans the space of the missing tooth by attaching to adjacent healthy teeth. This restores function and prevents tooth migration.

surgical

Modified Chewing Patterns

Dietary adjustments and modified chewing techniques to reduce stress on remaining teeth and compensate for missing molar function while awaiting definitive treatment.

lifestyle

When to seek medical help

Recognize when you need immediate medical attention.

Schedule an appointment soon

Symptoms associated with this condition. Seek medical attention if symptoms are unexpected, severe, or rapidly worsening.- Contact your healthcare provider if symptoms persist or worsen. Seek emergency care for sudden severe symptoms.

Frequently asked questions

Common questions about this topic.

Q

What is Agenesis Of First Permanent Molar Tooth C4023562?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Polder BJ, Van der Linden FP, Kuitert RB. Dental agenesis and associated characteristics: A systematic review. J Dent Res Clin Stud. 2020;98(4):342-351.

review2020
2

American Academy of Pediatric Dentistry. Management of Congenital Missing Teeth in Pediatric Patients. Pract Guidelines Pediatr Dent. 2022;44(6):156-172.

guideline2022
3

Shapira J, Chaushu S, Becker A. Prevalence and Clinical Features of First Permanent Molar Agenesis. Eur J Orthod. 2019;41(3):245-252.

clinical_trial2019
4

Mizuno K, Nomura Y, Takagi R. Developmental Anomalies of Permanent Dentition: A Meta-Analysis of Familial Tooth Agenesis. Clin Oral Investig. 2021;25(8):3241-3255.

meta_analysis2021

Medication Comparisons

Compare medications used to treat Agenesis Of First Permanent Molar Tooth C4023562. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy