Front Teeth Dental Implant Samples

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These are all real patients of mine.  I performed the surgery and made the final teeth. These pictures are a mixture of many different cases.  In some cases, the patient has all the ideal parameters to make the teeth near perfect.  In other cases, the patient is informed in advance should there be an aesthetic compromise.

None of these pictures have been altered.

Please comment and tell me which tooth or teeth you think is the implant(s)!

This post is relevant if you are considering a dental implant for a front tooth. I suggest you look it over.


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After initial ortho (3)
Finals on seat day (7)
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61 thoughts on “Front Teeth Dental Implant Samples”

  1. Hi Dr. Amin,

    I am also interested to know what are the best options when one is missing multiple front teeth. If I already have an implant on #7 and need to extract #8, what is the best option?

    Thanks,
    Lusine

    Reply
    • That combination of missing teeth (7,8 or 9,10) is considered to be the most difficult implant replacement in all of dentistry! It really comes down to the prognosis of keeping the gum line the right shape and preventing open black triangles. This is done by grooming the gum either with 2 implants or a single-tooth with a cantilever. Two implants are great as long as they are far enough apart or have significant design properties such as platform switching to make sure that bone in gum will maintain in between the teeth. The implants have to be kept further inwards to prevent the gumline from becoming uneven. Maybe it is possible to use your #7 cantilever #8 with a socket bone graft?

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

      Reply
      • Hi Dr. Amin,

        I appreciate your response.
        The implant I have on #7 is Straumann SLActive Bone Level NC 3.3 x14 mm. The dentist said it is not a big enough implant to be able to hold 2 crowns and also it will not look nice. Do you agree with that?

        Reply
          • If it’s small for cantilever then what would be your recommendation? Place another implant on #8 and have 2 separate crowns on #7 and #8 implants? Or place an implant on #8, put cantilever on #8 and not use #7 implant at all? Which one would look more natural?

            Also after seeing the patient for consultation, are you able to predict what will be the aesthetic outcome for that particular patient?

            Thanks a lot for your help Dr. Amin.

          • YES. This comes with experience and judgement. ( Also after seeing the patient for consultation, are you able to predict what will be the aesthetic outcome for that particular patient?)

  2. Hi Dr. Amin,

    Recently I had an accident. As a result tooth #7 was broken below the gum line and teeth #8 and #9 moved inwards into the mouth. Teeth #8 and #9 were pushed to normal position and splinted for 8 weeks. Now the splint is removed and the teeth seem to be stable within the bone (seems like I also had alveolar bone fracture which seems has already healed according to CT scan).
    A week ago tooth #7 was extracted and immediate implant was placed with temporary tooth (bone graft was also done to fill the void as well as gum graft was done above #7). Teeth #8 and #9 have been root canaled but they are still very sensitive to touch/bite. Although CT scan does not show any issues with #8 and #9, the doctor is telling that maybe there is some vertical fracture that we cannot visualize and if the pain does not go away we will need to extract tooth #8 or tooth #9 or both (depending on the pain).

    I will appreciate very much if you could help me with below questions.
    1. Other than CT scan, is there some other way to identify whether tooth #8 and #9 have vertical fracture? I don’t want to extract those teeth without having valid evidence.
    2. In case if I have to extract only #8, what is the best way to achieve best aesthetic? Is it better to just place 2 unit bridge on implant on tooth #7 which will hold crowns for #7 and #8? Or is it better to place the second implant on tooth #8 and have 2 separate implants?
    3. In case if I have to extract both #8 and #9, what is the best way to achieve best aesthetic? Is it better to place implant on #9 and have 3 unit bridge from #7 till #9? Or is there some other option which is better?

    I will greatly appreciate your advise.

    Reply
  3. Hello, I m 36 years old and I have veneers on 2 of my front teeth and one of them is cracked. I’ve had them for 15 years. I have spacing between my 4 front teeth from having braces as a child. Should I opt for veneers and invisible braces or implants on the 4 front teeth to repair the spacing/gaps between my teeth? Thanks!

    Reply
  4. Hi,
    I’m 40 years old and right now my Dental Midline is above tooth# 9, but I had a root canal on that tooth 8 months ago and since then I’ve been feeling some pain. After so many x-rays they cannot see a fracture; which is common they say. I always wanted to get my Midline where it’s supposed to be, but they said it was not possible because I was born missing my two lateral incisor, and because my mom couldn’t afford braces at the time nothing was ever done to correct this. I was told if I get that tooth extracted and do an implant they can position that tooth where it would give me a midline. Is this true?
    Thanks

    Reply
    • It sounds like you have some type of a spacing problem that doesn’t allow the midline of your teeth to be coincident with the midline of your face. Fortunately that does not change your lip support. Without seeing you and your x-rays I can give you an exact advice but without the lateral incisors it is difficult to achieve center.

      Reply
  5. Hello there i am towards the last step of my implant procedure on tooth #8 they are going to do a pfm crown but i was told by a friend that works in the dental field that on a front tooth she wouldn’t recommend that type of crown that it would be better for a ceramic or zirconia. That a PFM would end up looking dark due to the metal behind it. I called the dentist I’m currently seeing and the assistant assured me that a PFM would be better. I don’t know what i should do. Since its my front tooth i want it to be as natural as possible and dont like the look of the metal behid the teeth that I’ve seen. Please advise me

    Reply
  6. Hello there i am towards the last step of my implant procedure on tooth #8 they are going to do a pfm crown but i was told by a friend that works in the dental field that on a front tooth she wouldn’t recommend that type of crown that it would be better for a ceramic or zirconia. That a PFM would end up looking dark due to the metal behind it. I called the dentist I’m currently seeing and the assistant assured me that a PFM would be better. I don’t know what i should do. Since its my front tooth i want it to be as natural as possible and dont like the look of the metal behid the teeth that I’ve seen. Please advise me

    Reply
  7. Hello sir,
    I m 33 years old.
    I lost my front two teeth in accident at 20 years age, dentist made a bridge with support of side tooth. Unfortunately afree 9 years, both supported teeth fractured and broken. After visit of dentist, he extracted both broken teeth and he is suggesting me 6 unit bridge with the support of canine. I have requested for implant, but he observed that, due to lack of appropriate bone, they r unable to do implants.
    Sir what could be best option in your opinion please.

    Reply
  8. I had an implant to my front tooth but now with the crown you can see a dark color where the screw is. Do I need a better crown?

    Reply
  9. My son is 26. He severely chipped his beautiful two front teeth at 12 when he fell getting out of a pool. He has suffered with crowns for years and recently had an accident that took one of the front teeth (post and all) out and causing him to have to get another crown on one of them. He is in Washington going through the process now. He has been fitted for a crown on the one tooth twocd now but the crown sticks way out and does not look natural to his real teeth. He showed the dentist a picture of his natural teeth. He has bond loss, thus causing a bone grafting process of some type before he can have the implant placed. When going back to the dentist it was discovered he needs to go through another graft. Does this sound appropriate? He has paid several thousand dollars do far. I worry because he had such a beautiful smile!

    Reply
    • Ugh…so sorry. Our kids mean the world to us. Sometimes a second graft is needed. In my own practice, I don’t charge the patient for this type of procedure but that is just me.

      Reply
      • Yes, it seems he is up for a second graft. Fingers crossed it works. I hope too, they eventually get his crown next to the implant right. Experiences like this are so disheartening. I know it plays with his self esteem.

        Reply
  10. good day!

    Sir , can i ask if four individual implant per tooth is possible for me. I have loss my 4 upper front teeth and planning to undergo implant. I dont want the bridge implant but rather i want one implant per tooth. Is that possible?

    Thank you!

    Reply
      • Whu is it not the best ??? I feel ive been lied to since I recently lost my front 4 teeth and dentist told me best to have all four done for strength in the front … Now the gum line does not match up and looks like garbage !!

        Reply
    • Hi,
      I,m in the same situation now. Did you ever go for individual implants? and if so how did it go for you?
      Please let me know.
      Thank You

      Reply
      • Hi Dr. Amin,

        I am also interested to know what are the best options when one is missing multiple front teeth. If I already have an implant on #7 and need to extract #8, what is the best option?

        Thanks,
        Lusine

        Reply
  11. hello..my name is meng and i need ur help..i got bad teeth and bad gum..and i want to come visit u so u can help me fix my bad gum and teeth i don’t want to loss all my teeth i still young and i still need to get merry and i don’t no confidence to ask my mom and dad for help…so how much do dental implants cost?? and please help me.. i feel like i don’t want to live in this world..i’m so sad now..so help me!!

    Reply
  12. I had a chipped front tooth , This dentist did a root canal and and implant all in the same day, about 6months later the implant just fell out, I went back to this dentist he charged me $1700 to put it back in & he told me my other front teeth are fine 6 months later it fell out again and and my other front tooth broke in half.Now He wants to charge me $3000 I have No front tooth and a chipped front tooth. Shouldnt he atleast fix the tooth he did an implant on for free?? Or make me a flipper? I was never informed about a flipper being an option he just did the implant.

    Reply
    • ugh…sorry about your troubles. It sounds like you both may have had misunderstandings. I would suggest you talk and try to work things out.

      Reply
  13. Dear Dr. Amin,
    I had 3mm Biohorizon implant placed in the front upper jaw in February. I just moved to CA from NYC and I’m looking for a dentist to place an abutment and a crown. I had a couple consultations and both dentists recommended gold alloy custom abutments. I’m worried about esthetics of gold alloy and would prefer custom zirconia abutment instead. Do you think it’s possible in my case to have zirconia abutment?

    Regards,

    Victoria

    Reply
  14. What an amazing site you have developed. I hope you will consider answering my question too 🙂
    As a teen I was in a car accident that broke all of my front teeth, top and bottom. After having crowns for years and some issues, about ten years ago I got a bridge across the top front four (and the bottoms as well). The bridge was an amazing feat of engineering and required two teeth on either side to be crowned to attach the bridge. Recently I broke one of the ‘teeth’ in the front and now need to replace this bridge with something, either another bridge or implants. My question is: after 10 years of having a bridge across my front top teeth, can I still opt for implants? Or is that little “triangle” of gum that you describe long gone.
    Thanks.
    Susan

    Reply
  15. I had an implant attempted in my top tooth but didn’t accept it and have lost bone causing gap now dentist says only thing to do is bridge is this correct? Also feel this is dentist fault as didn’t see me throughout whole time while implant was trying to settle really annoyed and don’t know what to do

    Reply
    • Hello Mark,

      I’m sorry to hear about your frustration. I always hope that people have a really good experience with the process of having a dental implant or bone graft.

      You might just want to start off with a different provider. Some dentists do not have a vast experience in implant dentistry. A front and Center tooth is extremely important. I would not have a bridge unless it was going to aesthetically look better than implant. This situation is a possibility but your dentist should be able to tell you before you ever start the process.

      This link may help you find a dentist that can help you.
      How to Choose an Implant Dentist
      Very Respectfully,

      Ramsey Amin DDS
      Diplomate of the American Board of Oral Implantology/Implant Dentistry
      Fellow of the American Academy of Implant Dentistry
      Burbank, California

      Reply
  16. I wish you had done my front implant tooth. The teeth in the pics look amazing. I had slipped on black ice, fell flat on my face & broke my nose & front tooth came out. Implant doctor put an implant in without consulting with the dentist first and as a result positioned my implant in a way that the dentist who did the crown had to give me a big thick tooth that gives me a lisp now. I did not know the procedure that I was supposed to a regular dentist first & went straight to the implant dentist since he was right across the street of where I worked. The crown dentist said it is a matter of “getting used to it”, but for $7,000 I think they should have done it correctly. I think it is very irresponsible of them.

    Reply
    • Hello Pauline,
      Thank you for your very flattering words. I’m so sorry to hear that you had a bad experience. Front and center teeth are the most complicated dental implants in the mouth and need to be handled very carefully to yield a great cosmetic result.

      The implant has to be placed extremely precisely in all dimensions including depth, not just centering. Some implants should purposely be placed off-center for upper central incisors to develop what we call the zenith.

      There still may be answers to help. Sometimes a custom abutment can re-correct angles and gum contours. If you’re unhappy, you should consider seeing somebody who is very well-versed in dental implants.

      https://www.burbankdentalimplants.com/smile-gallery/

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
    • Hi Darlene,

      I am so sorry to hear about losing such an important tooth.

      At nine years old she is way too young for a dental implant. I would suggest she gets a Maryland bridge for now. She should also have braces done in preparation for an implant when she is about 16 years old.

      The Maryland bridge does not damage the teeth on either side.

      Good luck.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

      Reply
  17. Is it normal that it has taken 2 years and I still haven’t built up enough bone for dental implants? Numerous surgeries I’ve had. In the final 3rd I have a slab of bone and I am in so much pain. I am a young female with significant bone loss in the upper front teeth and have lost the two front teeth from trauma years ago. I am now regarded as the ” special patient ” and my dentists’ pro bono job. I am so tired of the years of pain. I feel I have suffered in vain. Thanks for your videos!

    Reply
    • Hi Theresa,

      You can find the best dental implant dentists on this website.

      http://www.aboi.org

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      Reply
  18. Great website. Very helpful. I only wish you were near me to to my dental work, but I very much appreciate the educational content of this site.

    Reply
  19. Why is a titanium implant used in the above picture for a front tooth? Under what circumstances would you do this? My #7 tooth had root canal and crown placed in 2006. The base of the crown was too thick and caused an occlusion with lower tooth. He filed my natural lower tooth down, but it still impacted everytime I bit. Guessing he didnt want to fracture the ceramic crown by drilling it at the base???? We tried many times with the carbon testing, then drilling, etc… but ultimately he just said it could be a problem later; kind of shrugging his shoulders; like this was the best that he could do. (Was this to save him the cost of re doing a crown? This is a high price for me to pay now. This seems like bad dentistry to me.) Nov. 2011, the crown was loose. I went in for xray, he said my tooth was fractured at the root. This tooth apparently had trauma as a child and was brittle, but it took 5 yrs of the occlusion to finally break. Just a few weeks ago it dropped in the sink while brushing. It still has the cement and my tooth in the crown; I’ve been glueing it back in for aesthetic appeal. But in the canal of my gums there is a wall of my tooth with a hole in it. There is some black bone/tooth. I may be able to get by without bone grafting, i don’t know. I am in Northern Calif., Rocklin. Can I have a consultation with you to evaluate my perameters, cost and such. Considering air travel cost, I’d need to pay attention to detail. Do you do the prosthesis also or is that an additional Doctor and visit with someone else? Then wouldn’t they have to work with you closely?…………………Sorry so long.

    Reply
    • Hi Wendy,

      It sounds like you have a common but unfortunate fractured root. Each situation is really unique.

      Titanium abutments can be used in the front of the mouth.
      I use custom white abutments for the following scenarios:
      ■An implant for an upper front tooth where the gum may be thin and the titanium would show through.
      ■The space between your upper and lower teeth is really small and the implant need to be held by a screw instead of by cement.
      ■Multiple or full mouth bridged dental implants.
      ■High Lip lines
      ■Excessively thick or thin gums.
      ■Excessively “scalloped” gums.
      …and many other factors

      I would need to see you to really be able to tell you what is possible. Yes, I do both the surgery and make the teeth. This gives me great control of the final result. I would love to meet you. Just call the office to schedule.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, CA

      Reply

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