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J62A1629 (1)
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Implantology / Dental Prosthetics

Smile reconstruction after loss of a front incisor

Dental implant and zirconia crown for a complete and natural smile

Treatment duration 3 months (2 stages)

Patient story

Alexei, an energetic and active young man, suffered an accident during a holiday with friends, resulting in the loss of an upper central incisor. Beyond the major aesthetic impact, the trauma also caused bone and gum volume loss in the affected area, requiring a complex implant-prosthetic rehabilitation.

I lost a front tooth and I dare not smile anymore. I want to fix this as naturally as possible.

Alexei, 29 years old
alexei before

Initial diagnosis

Loss of front incisor

Traumatic avulsion of tooth 21

Alveolar bone defect

Moderate bone resorption in the edentulous area

Aesthetic and functional impact

Phonetic difficulties and marked aesthetic discomfort

Challenge and main objectives

The main challenge was the natural reconstruction of the front zone with perfect aesthetic integration into the existing dental arch.

Implant replacement of the missing incisor

Colour matching with adjacent teeth

Restoration of a natural gingival contour

Predictable and durable aesthetic result

Treatment plan & stages

Zone of missing incisor

  • Bone volume assessment (CBCT)
  • Dental implant placement
  • Immediate provisional crown

Stage 1 – 2 days

We assess the bone volume, place the implant and attach a provisional crown to maintain aesthetics during the healing period.

Implant Provisional crown

Final restoration

  • Digital impression
  • Zirconia crown fabrication
  • Cementation and occlusal adjustment

Stage 2 – after 3 months

After implant integration, we fabricate and cement the definitive zirconia crown, perfectly matching the colour and shape of natural teeth.

Zirconia crown Occlusal adjustment
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Final result

Complete and natural smile

Front incisor perfectly integrated aesthetically into the arch

Restored phonetic function

Correct pronunciation and communication comfort

Durable result

Zirconia crown on implant, resistant and stable long-term

octavian

Doctor's comment

Reconstructing a front incisor is one of the most delicate procedures in aesthetic implantology. We performed guided bone regeneration and created a crown perfectly matched in colour and shape to the adjacent teeth. The final result exceeded the patient's expectations, giving him a natural and symmetrical smile.

Pușcașu Octavian, oral surgeon
Consultation Photo 1 - Man with braces
Consultation Photo 2 - Woman smiling

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