Am I an able candidate for canine substitution?

Question

hello, I have two congenitally missing lateral incisors and have already received orthodontic treatment and have since been fitted with two bridges. however, due to the unnatural look of the bridge I had hoped I could recieved dental implants yet my dentist has informed me I do not have enough space (left gap 5mm, right gap 4mm) I'm very unhappy with the appearance of my smile and I am now considering opting for canine substitution. would this be a viable option? if so how long would it take?

Nirav Patel, MDS, PhD · Answer

best option is, create space for canines [possible with braces treatment] and go for implants , u have anterior segment , with other option it is not possible create social smile and to maintain  golden proportion.

Mark Weiser, DDS · Answer

Dr Borowski is spot-on with her comments and advice. I had done several cases that required me to gain space for laterals. I might add that consulting with the dentist who will be placing the implant is a good idea. Most general dentists who restore implants work with a surgeon they use on a regular basis. It is truly a team approach.

Vicki Borowski, DDS · Answer

Canines moved into the site for the lateral incisor very seldom make a good substitution. A better choice would be to orthodontically move the canines to create a larger and more even space for implants in the lateral position. This will Allow for the placement of 6 individual crowns. I do suggest meeting with both an orthodontist and an excellent restorative dentist before you make your final decision.

Am I an able candidate for canine substitution?

Answers (3)