Two Missing Teeth. Space Too Small for Two Implants. Options?

Great question Amanda! Unfortunately, there is not one simple answer. The MOST IMPORTANT consideration in your husband's case is to ensure that there is a clearly defined plan BEFORE any implants are placed. His entire mouth must be evaluated by the COSMETIC or RESTORATIVE dentist. It is always beneficial in a case like this to have the restoring dentist and implant dentist on the same team. 

You might consider moving adjacent teeth (Invisalign), it might be possible to replace two teeth with one implant, or restoring/cosmetically enhancing teeth adjacent to the missing teeth might also be an option.

At the end of the day, the treatment plan must be developed by the restorative dentist according to the patient's goals, time frame and budget and must be clearly understood by the patient AND the surgeon who will place the implant.

Good luck!

Hey Amanda19,

There are several options for this situation.  If there are just 3mm remaining than one implant should be able to support both crowns.  The dentist can ask the lab to create a wax-up to give you a preview of the crowns.  If you are satisfied with the esthetics of the wax-up and the dentist thinks there’s enough bone to place the implant in the proper position then you’re all set.  In the rare instance where esthetics are compromised, orthodontics may be an alternative to move teeth in order to recreate space.

When you do not have enough  space for 2 implants there are few options that you might consider for an esthetic outcome. You can have orthodontic treatment to create needed space for second implant or close it, so you might not need it. You need to obtain orthodontic consultation to determine what would be the best for you. Another option is to place one implant ant make two crowns to fill the space. The best treatment option for you can be determined by dental specialist who will analyse your case and will give you the most favorable treatment option. Good luck