Implants Vs Moving Teeth? (photo)

As mentioned previously there are several options for you.  Also taking care of the situation the "quick" way is not the best option.  From your photos it appears that you have an overbite in addition to the missing laterals.  You may have a narrow upper acrch as well, but this is difficult to say from the photos.  The best option for you id tradtional ortho to get your arches level and aligned.  Move the canines to the proper position, then place implants in the lateral region.  This is a treatment that should last you decades.  If you feel you need veneers for esthetics after ortho that is up to you, but remember that Veneers have a limited lifespan and will need to be redone on a regular basis.  The other options mentioned are viable, but ultimatley it is up to you to decide what is best for you as long as you have been prperly informed of all risks and benfits of all options

You are actually fortunate that the canines grew into the lateral position.  When lateral incisors are missing, many times the bone in the area is insufficient for implant placement and then multiple surgeries are required. 

Bringing the canines to the lateral position and them moving them back to their proper position allows us to have excellent quality and quantity of bone in the area.  However, you have to move fast.  It does take time to move the teeth, and conventional orthodontics (braces) will give you much more control over the movement of the canine roots within the bone.  This can be done with invisalign, yet the immediate control traditional braces give you are an advantage.  I would stick with that.

Prior to beginning the orthodontic treatment, however, you should see the most trained person in the restoration of this very visible and challenging procedure, the Prosthodontist.  A Prosthodontist receives three more years of additional training in handling cases such as your, and some even perform their own implant surgery, giving you the most control over the procedure.  The Prosthodontist is the expert in cosmetic, restorative, and implant dentistry.  Let the Prosthodontist, who will be placing the final crowns on the implants and possibly the necessary veneers communicate with the Orthodontist and determine the optimal position of the canines.  Even of the implants are to be placed by an oral surgeon or a periodontist, the exact position is dictated by the work up of the Prosthodontist.

You have a high smile line and you show all of your teeth and gums, if your case is not planned perfectly from the end result back, you will end up with an uneven gum-line and potentially a very problematic result.  Ask the Prosthodontist to see photos of prior work like your and make sure that you like the work.

Excellent results always start with proper planning and small steps.  Take the time, find a person with whom you are comfortable and go for it.

Best of luck.