Single Anterior Tooth

Guide to Anterior Implants

• Consequences of Missing Anterior Teeth
• Preferred Method of Tooth Replacement
• Anterior Tooth Replacement Procedures

The information in the Guide to Anterior Implants provides a comprehensive explanation of the consequences of missing teeth, a comparison of dental implants and bridges, and a detailed description of  anterior implant procedures.  We encourage you to review all of the pages to help you make an informed decision about your treatment options.

Bone Resorption

When a tooth is lost or removed in the front of the mouth, where the bone is very thin, the bone will usually melt away rather quickly, giving the appearance that the bone and gums are caving in, or collapsing. In fact, in the first year after tooth loss there is a 25% decrease in width of the bone. Very often, this defect is visible when smiling, as seen in the photo on the right

If a front tooth is replaced with a tooth supported bridge, eventually the replacement tooth looks like a false tooth as the gums and bone above the bridge begin to collapse, leaving the false tooth suspended without support.

Compromise to Adjacent Teeth

In the past, the most common method of tooth replacement has been the tooth-supported bridge, but this requires compromising the long-term health of the adjacent teeth. When the teeth on either side of the gap are cut down into pegs for bridges, the tooth structure that has been removed can never be replaced. This undermines the health of the teeth and what ensues is typically structural failure from decay, failed endodontic therapy, or fracture, increasing their risk of loss or the need for additional treatment over time, which can be extensive and costly.

In addition, these teeth now bear the forces that would normally be placed on three teeth, which further weakens the structure of these teeth and it is often necessary to cut down additional teeth to provide the necessary support when the teeth supporting the bridge fail.