By Gerard J. Lemongello Jr., DMD
In today’s world, the dental professional is exposed to a myriad of complex esthetic, restorative, and functional challenges. There also an equal number of dental procedures and materials available to accomplish treatment of these complex challenges. Many treatment alternatives are considered traditional and nontraditional. To the dental professional who is dedicated to providing state-of-the-art solutions to these complex situations, treatment outside what is considered “traditional” must sometimes be considered. Traditional treatment modalities may have proven track records, but at what cost to tooth conservation and esthetic outcomes? Many traditional modalities are also burdensome in time commitment and trauma to the patient.
Replacement of congenitally missing maxillary lateral incisors is one of the most challenging esthetic restorations. When presented with replacement of congenitally missing maxillary lateral incisors, the clinician must consider the choices available along with possible outcomes. Traditional treatment options include orthodontics, traditional 3-unit bridge, single tooth implant, or Maryland bridge.
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