Missing a front tooth is the thing of nightmares! A study done by Yu in 2012 showed that 39% of the population have had a dream about losing a tooth or teeth which is huge considering losing a front tooth is not a particularly common dental issue. However, accidents happen and in our case study our patient lost his front tooth whilst at school in a playground accident.
 

Our case of the month for August involves a dental implant to replace a front tooth that's missing. It is well known that dental implants provide the very best method of replacing missing teeth, with extensive research over many years placing dental implants at the very top of the success stories in dentistry. Missing front teeth is not only an aesthetic issue (nobody wants a gappy smile!) but also a functional issue. The front teeth are designed to incise and tear food, with the chewing at the back. It is extremely important to have a full set of teeth to enable full function and also look great! Thankfully, dental implants can solve the problem in most cases. Just have a look at our case below:
 

Dental implants are the best way to replace missing teeth. Fact. So if you have missing teeth, your first choice should be a dental implant. The most common scenario we encounter is to replace a single missing tooth. Why replace the tooth? There are a number of reasons:
 

1. For aesthetics especially if it is a front tooth! 
 

2. To restore function.
 

3. To prevent any further bone loss. 
 

4. To prevent drifting of the adjacent and opposing teeth- yes they can move! 
 

5. To maintain the bite. 
 

6. For psychological well being.

In the case of a missing single tooth, there are a number of simple steps that have to be taken to end up with a new tooth:

1. Careful planning. 
 

2. CT scans may be required if the tooth was lost many years ago.
 

3. Careful placement of the dental implant. 
 

4. Often a waiting period of 6-12 weeks is required for healing. This is called 'osseointegration'. 
 

5. Impressions are then required. 
 

6. Final placement of the crown or a provisional restoration is placed.
 

7. If a provisional restoration was placed, a waiting period of 3-12 weeks may be required prior to the final crown.

For example, just look at our case below to see how a dental implant should look:
 

Missing a tooth is bad enough but a missing front tooth is just about the worse scenario. There can be a number of reasons why teeth are lost from trauma, infection, decay, pain and expired crowns or posts to name a few. However, with modern day implant dentistry, missing teeth can be replaced with predictability and minimal fuss, with a completely natural result. Our case study highlights a missing front tooth replaced with a dental implant and a porcelain crown. In fact, the new tooth looks even better than the previous one!