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Maxillary central incisor teeth are aesthetically the most challenging teeth to replace.
Historically, the lost central incisor has been replaced with a range of dental treatments, including the removable denture, as well as fixed full-crown bridges, or by use of Maryland bridge work.
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Traditional forms of dental bridge work by way of full crowns (left side) and Maryland (right side) to replace lost lateral incisor teeth. Note the significant tooth preparation that is required of the adjacent natural teeth to accommodate the dental prostheses. Whilst the appearance of the bridge work can be very aesthetic, dental bridge work has on average a mean 5 year survival rate. |
Never ideal, dentures and bridges often place unproportional biological burdens on the adjacent natural teeth, and often... Lead to loss of more teeth.
Titanium dental implants, utilising zirconia abutments, and blended porcelain enamel hues, are the closest that dentistry has come to replicating natural teeth. With careful consideration as to implant sizes and surgical emergence profiles, titanium implants offer the best chance to replace teeth that are about to become, or which have long since been lost.
Dental implants are not for everyone, and for some complex surgical planning may be required before implant surgery can proceed. For more information on the results that can be obtained with maxillary central incisor implants, click on the following links for individual case histories...
This 23 year old lady had a darkening upper left incisor tooth. Root canal treatment had failed to control a growing peri-apical cyst, and the tooth crown had significantly darkened. Surgical apicectomy was still not guaranteed to cure her condition, and she... Read more
This 30 year old lady knocked her front tooth as a 13 year old in a swimming pool.The tooth had been reimplanted, but over the last 15 years, the tooth root had been slowly eaten away in a process called "external root resorption". Eventually it became so loose... Read more
This 55 year old mother was biting into a biscuit at home, when her front crown first fell onto the dinner plate. She then started a series of multiple trips to the dentist to recement the crown, but nothing seemed permanent. The tooth had been treated many years previously... Read more
This 50 year old lady was overseas when she felt a sharp crack in her front tooth. She had had a root canal filling many years previously following a fall, and the artificial crown was now loose. Over the next few days swelling developed in the gum overlying... Read more
This 32 year old lady had darkening upper front teeth, and deteriorating gums in the lower jaw. Coming from the country, she required overall definitive care that maximised the efficiency of a 4 hour one-way drive... Read more
This 19 year old farrier was kicked in the face by a horse, and shattered both central incisor teeth. Immediate removal of the teeth, with implant placement, allowed for fractured bone and torn gums to heal in an optimised way, and allowed for placement of ideal artificial crowns some 4 months later... Read more
This 45 year old gentleman's central incisor's root had severe external resorption and the root canal treatment had failed. Root canal treatment had failed to control a growing peri-apical abscess. Ongoing dental treatment was leading to further loss of bone and gum tissue... Read more
This 20 year old female presented with an abscessed anterior central incisor. She had previously had root canal therapy which had failed and was suffering from bone loss. The tooth began to discolour and needed to be removed. This young woman was soon to be married, so instead of getting a denture she decided to get the more natural looking, and long lasting option of an implant before the big day... Read more
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