If congenital missing permanent teeth cause occlusal asymmetry or malocclusion, orthodontic treatment is needed. If the occlusion has no effect on the aesthetics of the teeth, it can be temporarily observed and not dealt with. 1. Temporary observation: congenital missing permanent teeth are often left and right symmetrical missing, after checking if the teeth are aligned, upper and lower occlusion symmetry, can be temporarily observed without treatment. 2. Orthodontic or denture repair: congenital missing permanent teeth may cause malocclusion and misalignment of teeth, which requires orthodontic treatment. Congenital missing permanent teeth, it is recommended to go to the hospital in time for examination to determine the specific situation, according to the doctor’s recommendations for treatment.