09/08/2026
✨Two hopeless teeth. One implant. One goal: preserve what matters.✨
Replacing two adjacent teeth in the esthetic zone presents a unique challenge—particularly when the goal is not simply to replace teeth, but to preserve the architecture that makes them look natural.
In this case, the radiograph tells an important part of the story.
These anterior teeth demonstrated significant external root resorption, compromising its long-term prognosis. Ultimately, two adjacent teeth required replacement.
But replacing two teeth does not automatically mean placing two implants.
In the anterior maxilla, treatment planning must consider far more than simply where an implant will fit. Bone, soft tissue, papillae, implant position, restorative space, and the emergence of the final restoration all influence the esthetic result.
Here, a single implant was used to support a two-unit restoration.
The adjacent root was intentionally submerged, preserving tissue in an area where maintaining the ridge and gingival architecture was particularly important to the final result.
Why does that matter?
Because the pink tissue around an anterior restoration can be every bit as important as the white ceramic.
The implant provides the foundation. The retained root helps support the surrounding architecture. The prosthesis then has to bring everything together—form, proportion, emergence profile, texture, translucency, and color.
Swipe through the case and look at the transition from the radiograph to the definitive restoration.
The final challenge was not simply replacing two teeth.
It was making one implant, one submerged root, and two ceramic teeth disappear into the surrounding natural dentition.
Successful implant dentistry isn’t measured by how impressive the implant looks on an X-ray. It’s measured by how little the patient—or anyone else—has to think about it when they smile.