the dilemma of the missing anterior single tooth - restorative parameters
TRANSCRIPT
![Page 1: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/1.jpg)
The Dilemma of The Missing Anterior Single Tooth
- Restorative Parameters
Shankar Iyer DDS, MDSAsst. Clinical Professor, AEPP, NYU, UMDNJ
![Page 2: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/2.jpg)
“ It is what we know that prevents us from learning more”
Albert Einstein
![Page 3: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/3.jpg)
Clinical ScenariosThe Missing Single anterior tooth:• Congenitally missing anterior tooth
![Page 4: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/4.jpg)
Clinical ScenariosThe Missing Single anterior tooth:• Past Perio/Endo involved partial edentulism
![Page 5: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/5.jpg)
Clinical Scenarios
The Endodontically involved tooth:• The non-restorable fractured incisor
![Page 6: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/6.jpg)
Clinical Scenarios
The Endodontically involved tooth:• The non-restorable fractured incisor
![Page 7: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/7.jpg)
The OptionsRemovable Partial Denture
![Page 8: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/8.jpg)
OptionsFixed Partial Denture
![Page 9: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/9.jpg)
OptionsImplant Supported Crown
![Page 10: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/10.jpg)
OptionsNo Treatment
![Page 11: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/11.jpg)
10
Evidence For Single Tooth Implants“Although posterior single-tooth replacement is a relatively new treatmentalternative, many studies have been published since 1990, and survivalrates reported range from a low of 94.6% to a high of 100% for a 1 to 15 years. 35-45”
Misch CE, Contemporary Implant Dentistry III Ed. 2008 Mosby pp 7
![Page 12: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/12.jpg)
Evidence Based Decision• “Systematic Review of The Scientific Literature failed to
demonstrate any direct comparative studies assessing clinical performance of single implant-supported crowns and tooth-supported fixed partial dentures”
Salinas TJ, Eckert SE. In Patients Requiring Single-Tooth Replacement, What Are the Outcomes of Implant – as Compared to Tooth-Supported Restorations? IJOMI , 22: Suppl, 71-107, 2007
![Page 13: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/13.jpg)
Survival Rates of Options*
FPDTooth supported
FPD Implant Supported
Implant Supported Single Crown
Five Years 93.8% 95.2% 94.5%
Ten Years 89.2% 86.7% 89.4%
*No RCTs only observational studies and case cohortsPaetursson BJ. Osseointegration and Dental Implants ed. Jokstad A. 2009, Wiley-Blackwell, pp 14 - 23.
![Page 14: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/14.jpg)
“While Single Crowns on vital teeth have the best prognosis, those on endodontically treated teeth have a slightly poorer prognosis over 10 years. Crowns on teeth with posts and cores and implant-supported Single Crowns
displayed the highest incidence of (biologic and technical) failures and complications”
Schmidlin K, et al. Complications and failure rates in patients treated for chronic periodontitis and restored with single crowns on teeth and/or
implants, Clinical Oral implants research,21:55-557, 2010
![Page 15: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/15.jpg)
Paradigms For Decision Making
![Page 16: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/16.jpg)
Paradigms For Decision Making
INDUCTION
![Page 17: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/17.jpg)
Paradigms For Decision Making
INDUCTION
![Page 18: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/18.jpg)
Paradigms For Decision Making
INDUCTION Clinician’s Experience
![Page 19: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/19.jpg)
Paradigms For Decision Making
INDUCTION
DEDUCTION
Clinician’s Experience
![Page 20: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/20.jpg)
Paradigms For Decision Making
INDUCTION
DEDUCTION
Clinician’s Experience
![Page 21: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/21.jpg)
Paradigms For Decision Making
INDUCTION
DEDUCTION
Clinician’s Experience
![Page 22: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/22.jpg)
Paradigms For Decision Making
INDUCTION
DEDUCTION
Clinician’s Experience
Evidence Based
![Page 23: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/23.jpg)
Paradigms For Decision Making
INDUCTION
DEDUCTION
SEDUCTION
Clinician’s Experience
Evidence Based
![Page 24: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/24.jpg)
Paradigms For Decision Making
INDUCTION
DEDUCTION
SEDUCTION
Clinician’s Experience
Evidence Based
Corporate Lure
![Page 25: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/25.jpg)
Factors Influencing DecisionsScientific Criteria Clinical Criteria
![Page 26: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/26.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data
Clinical Criteria
![Page 27: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/27.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability
Clinical Criteria
![Page 28: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/28.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors
Clinical Criteria
![Page 29: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/29.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors
Clinical Criteria
![Page 30: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/30.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors• Biomaterials and
Biomechanics
Clinical Criteria
![Page 31: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/31.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors• Biomaterials and
Biomechanics
Clinical Criteria• Trauma
![Page 32: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/32.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors• Biomaterials and
Biomechanics
Clinical Criteria• Trauma• Esthetics
![Page 33: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/33.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors• Biomaterials and
Biomechanics
Clinical Criteria• Trauma• Esthetics• Preservation of Natural
Teeth
![Page 34: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/34.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors• Biomaterials and
Biomechanics
Clinical Criteria• Trauma• Esthetics• Preservation of Natural
Teeth• Time
![Page 35: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/35.jpg)
Factors Influencing DecisionsScientific Criteria• Long-term Data• Structural Durability• Periodontal Factors• Endodontic Factors• Biomaterials and
Biomechanics
Clinical Criteria• Trauma• Esthetics• Preservation of Natural
Teeth• Time• Cost
![Page 36: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/36.jpg)
Diagnostic Considerations• Available bone
![Page 37: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/37.jpg)
Diagnostic Considerations
• Esthetic Involvement – The Low Smile Line
![Page 38: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/38.jpg)
Diagnostic Considerations• Esthetic Involvement
– The High Smile Line
![Page 39: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/39.jpg)
Vertical Bone Loss
Class I Class II
Class III P. Palacci , Quint Pub 2001
![Page 40: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/40.jpg)
Papillary Prediction
Tarnow DP et al. The effect of the distance from the contact point to the crest of Bone on the presence or absence of the interproximal dental papilla. J Periodontol 63:995-996, 1992Choquet V, Tarnow DP et al. Clinical and radiographic evaluation of the papilla level adjacent to single-tooth dental implants. A retrospective study in the maxillary anterior region. J Peridontol 72:1364-1371, 2001
![Page 41: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/41.jpg)
Diagnostic Considerations• Three Dimensional Diagnosis
– Apical/coronal
![Page 42: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/42.jpg)
Diagnostic Considerations• Three Dimensional Diagnosis
– Mesio-distal
![Page 43: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/43.jpg)
Diagnostic Considerations• Three Dimensional Diagnosis
– Bucco-lingual
![Page 44: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/44.jpg)
Treatment Considerations
Risk Assessment Scale:
1 = Excellent2 = Good3 = Fair4 = Poor
![Page 45: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/45.jpg)
EstheticsFPDs
![Page 46: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/46.jpg)
EstheticsFPDs
![Page 47: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/47.jpg)
EstheticsImplant
![Page 48: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/48.jpg)
EstheticsImplant
![Page 49: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/49.jpg)
EstheticsImplant
![Page 50: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/50.jpg)
11Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
![Page 51: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/51.jpg)
![Page 52: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/52.jpg)
![Page 53: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/53.jpg)
![Page 54: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/54.jpg)
![Page 55: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/55.jpg)
44Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
![Page 56: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/56.jpg)
Teeth PreparationFPD Implant
Treatment Considerations
14Tooth PreparationSingle Tooth Implant3 Unit FPDRisk Assessment
![Page 57: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/57.jpg)
Abutment Bone SupportFPD Implant
Risk Assessment 3 Unit FPD ImplantBone Support 2 2
![Page 58: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/58.jpg)
CostFPD Implant
11 CostSingle Tooth Implant3 Unit FPDRisk Assessment
![Page 59: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/59.jpg)
CostFPD Implant
![Page 60: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/60.jpg)
CostFPD Implant
41 CostSingle Tooth Implant3 Unit FPDRisk Assessment
![Page 61: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/61.jpg)
22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
![Page 62: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/62.jpg)
2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
![Page 63: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/63.jpg)
2-31Provisionalization2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
![Page 64: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/64.jpg)
2-31Provisionalization2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Studies
![Page 65: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/65.jpg)
2-41-3Time
2-31Provisionalization2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Studies
![Page 66: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/66.jpg)
2-42-3Cost2-41-3Time
2-31Provisionalization2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Studies
![Page 67: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/67.jpg)
2-42-3Cost2-41-3Time
2-31Provisionalization2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Studies
3 - 42Trauma
![Page 68: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/68.jpg)
11Overall Predictability
2-42-3Cost2-41-3Time
2-31Provisionalization2-31-2Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Studies
3 - 42Trauma
![Page 69: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/69.jpg)
The Dilemma
![Page 70: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/70.jpg)
The Dilemma
Mesio-Distal Width• Loss of Golden Proportion
Loss of Anterior Coupling• Attrition
Atrophic Ridge #9 site• Lack of bucco-lingual width • Multiple restorations
![Page 71: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/71.jpg)
![Page 72: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/72.jpg)
Treatment Considerations
31Predictability
32Cost31Time
31Provisionalization31Augmentation22Bone Support44Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
32Trauma
![Page 73: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/73.jpg)
![Page 74: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/74.jpg)
![Page 75: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/75.jpg)
![Page 76: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/76.jpg)
The Tapered Atrophic Ridge
![Page 77: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/77.jpg)
The Dilemma
![Page 78: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/78.jpg)
The Dilemma
Atrophic Ridge• Inadequate Bucco-lingual width
Root Proximity• Inadequate Mesio-distal width
Recession• Compromised Emergence profile
![Page 79: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/79.jpg)
Treatment Considerations
21Predictability
32Cost31Time
22Provisionalization31Augmentation22Bone Support13Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Results
31Trauma
![Page 80: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/80.jpg)
![Page 81: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/81.jpg)
![Page 82: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/82.jpg)
![Page 83: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/83.jpg)
![Page 84: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/84.jpg)
![Page 85: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/85.jpg)
![Page 86: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/86.jpg)
![Page 87: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/87.jpg)
![Page 88: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/88.jpg)
![Page 89: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/89.jpg)
![Page 90: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/90.jpg)
![Page 91: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/91.jpg)
Pre-Op
![Page 92: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/92.jpg)
Pre-Op
![Page 93: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/93.jpg)
Pre-Op
![Page 94: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/94.jpg)
Pre-Op
Post Implant Restoration
![Page 95: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/95.jpg)
Optimal Vs Ideal Treatment Plan
![Page 96: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/96.jpg)
Optimal Vs Ideal Treatment Plan
![Page 97: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/97.jpg)
Optimal Vs Ideal Treatment Plan
![Page 98: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/98.jpg)
Optimal Vs Ideal Treatment Plan
![Page 99: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/99.jpg)
Optimal Vs Ideal Treatment Plan
![Page 100: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/100.jpg)
![Page 101: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/101.jpg)
![Page 102: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/102.jpg)
![Page 103: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/103.jpg)
![Page 104: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/104.jpg)
![Page 105: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/105.jpg)
![Page 106: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/106.jpg)
![Page 107: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/107.jpg)
![Page 108: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/108.jpg)
Close root proximity• Converging roots
Esthetics• High smile line
Post Orthodontic result• Inadequate space
![Page 109: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/109.jpg)
Treatment Considerations
31Predictability
32Cost31Time
31Provisionalization31Augmentation22Bone Support14Teeth Preparation31Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
32Trauma
![Page 110: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/110.jpg)
![Page 111: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/111.jpg)
![Page 112: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/112.jpg)
![Page 113: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/113.jpg)
![Page 114: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/114.jpg)
68
Illiac Crest Graft Failure
![Page 115: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/115.jpg)
68
Illiac Crest Graft Failure
![Page 116: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/116.jpg)
68
Illiac Crest Graft Failure
![Page 117: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/117.jpg)
68
Illiac Crest Graft Failure
![Page 118: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/118.jpg)
![Page 119: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/119.jpg)
![Page 120: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/120.jpg)
![Page 121: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/121.jpg)
![Page 122: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/122.jpg)
![Page 123: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/123.jpg)
![Page 124: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/124.jpg)
A
![Page 125: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/125.jpg)
![Page 126: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/126.jpg)
![Page 127: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/127.jpg)
![Page 128: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/128.jpg)
![Page 129: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/129.jpg)
![Page 130: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/130.jpg)
![Page 131: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/131.jpg)
![Page 132: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/132.jpg)
![Page 133: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/133.jpg)
![Page 134: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/134.jpg)
![Page 135: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/135.jpg)
![Page 136: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/136.jpg)
![Page 137: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/137.jpg)
![Page 138: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/138.jpg)
![Page 139: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/139.jpg)
![Page 140: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/140.jpg)
![Page 141: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/141.jpg)
![Page 142: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/142.jpg)
![Page 143: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/143.jpg)
![Page 144: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/144.jpg)
![Page 145: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/145.jpg)
![Page 146: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/146.jpg)
95
Orthodontic Intervention
![Page 147: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/147.jpg)
96
![Page 148: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/148.jpg)
96
![Page 149: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/149.jpg)
96
![Page 150: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/150.jpg)
97
![Page 151: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/151.jpg)
98
![Page 152: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/152.jpg)
The Dilemma
Non restorable root• Vertical Fracture
Healthy abutments• No restorations
Distinct Papillae• Esthetic Demands
![Page 153: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/153.jpg)
Treatment Considerations
11Predictability
22Cost21Time
11Provisionalization21Augmentation22Bone Support14Teeth Preparation11Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
11Long Term Results
22Trauma
![Page 154: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/154.jpg)
![Page 155: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/155.jpg)
![Page 156: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/156.jpg)
![Page 157: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/157.jpg)
The Dilemma
Space Availability• Mesio Distal Width
Healthy abutments• No restorations
Thin biotype• Esthetic Demands
![Page 158: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/158.jpg)
Treatment Considerations
12Predictability
32Cost21Time
21Provisionalization21Augmentation22Bone Support14Teeth Preparation11Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
32Trauma
![Page 159: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/159.jpg)
![Page 160: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/160.jpg)
![Page 161: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/161.jpg)
![Page 162: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/162.jpg)
![Page 163: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/163.jpg)
![Page 164: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/164.jpg)
![Page 165: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/165.jpg)
![Page 166: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/166.jpg)
![Page 167: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/167.jpg)
![Page 168: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/168.jpg)
![Page 169: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/169.jpg)
![Page 170: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/170.jpg)
![Page 171: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/171.jpg)
![Page 172: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/172.jpg)
![Page 173: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/173.jpg)
![Page 174: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/174.jpg)
![Page 175: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/175.jpg)
![Page 176: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/176.jpg)
![Page 177: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/177.jpg)
![Page 178: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/178.jpg)
![Page 179: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/179.jpg)
Non Restorable Central with Failing Retreatments
![Page 180: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/180.jpg)
Evaluation of Gingival Architecture
![Page 181: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/181.jpg)
![Page 182: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/182.jpg)
![Page 183: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/183.jpg)
![Page 184: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/184.jpg)
![Page 185: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/185.jpg)
![Page 186: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/186.jpg)
![Page 187: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/187.jpg)
![Page 188: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/188.jpg)
![Page 189: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/189.jpg)
![Page 190: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/190.jpg)
![Page 191: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/191.jpg)
![Page 192: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/192.jpg)
![Page 193: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/193.jpg)
![Page 194: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/194.jpg)
![Page 195: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/195.jpg)
![Page 196: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/196.jpg)
![Page 197: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/197.jpg)
![Page 198: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/198.jpg)
![Page 199: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/199.jpg)
![Page 200: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/200.jpg)
![Page 201: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/201.jpg)
![Page 202: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/202.jpg)
![Page 203: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/203.jpg)
![Page 204: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/204.jpg)
![Page 205: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/205.jpg)
![Page 206: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/206.jpg)
The Dilemma
Extreme bone loss• Loss of buccal plate
3 – D loss• Loss of Soft Tissue
Esthetic Demands• High Smile Line
![Page 207: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/207.jpg)
Treatment Considerations
23Predictability
32Cost21Time
21Provisionalization22Augmentation22Bone Support14Teeth Preparation11Esthetics
Single Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
32Trauma
![Page 208: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/208.jpg)
![Page 209: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/209.jpg)
![Page 210: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/210.jpg)
![Page 211: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/211.jpg)
![Page 212: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/212.jpg)
The Dilemma
Extreme bone loss• Inadequate width
3 – D loss• Loss of Soft Tissue
Esthetic Demands• Metallic Hue
![Page 213: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/213.jpg)
31Predictability
32Cost31Time
11Provisionalization41Augmentation42Bone Support13Teeth Preparation
1-21EstheticsSingle Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
32Trauma
![Page 214: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/214.jpg)
![Page 215: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/215.jpg)
![Page 216: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/216.jpg)
![Page 217: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/217.jpg)
![Page 218: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/218.jpg)
![Page 219: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/219.jpg)
The Dilemma
Non restorable root• Horizontal fracture
Healthy abutments• No restorations
Esthetic Demands• High Smile Line
![Page 220: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/220.jpg)
Treatment Considerations
11Predictability
22Cost2-32Time
11Provisionalization21Augmentation22Bone Support14Teeth Preparation
1-21EstheticsSingle Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
22Trauma
![Page 221: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/221.jpg)
![Page 222: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/222.jpg)
![Page 223: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/223.jpg)
![Page 224: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/224.jpg)
![Page 225: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/225.jpg)
![Page 226: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/226.jpg)
Immediate Placement and Function – Immediate Post-op 4 months post - op
![Page 227: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/227.jpg)
Immediate Placement and Function – Pre op 6 months post op
![Page 228: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/228.jpg)
![Page 229: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/229.jpg)
![Page 230: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/230.jpg)
![Page 231: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/231.jpg)
Restoring Category I Treatment Sequence
• Fabrication of Removable Occlusal overlay appliance at increased vertical
![Page 232: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/232.jpg)
![Page 233: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/233.jpg)
![Page 234: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/234.jpg)
Restoring Category I Treatment Sequence
• Diagnostic wax up at the desired vertical dimension
![Page 235: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/235.jpg)
![Page 236: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/236.jpg)
Restoring Category I Treatment Sequence
• Fabrication of definitive provisional restoration
![Page 237: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/237.jpg)
![Page 238: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/238.jpg)
![Page 239: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/239.jpg)
![Page 240: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/240.jpg)
![Page 241: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/241.jpg)
![Page 242: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/242.jpg)
![Page 243: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/243.jpg)
![Page 244: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/244.jpg)
![Page 245: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/245.jpg)
![Page 246: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/246.jpg)
![Page 247: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/247.jpg)
![Page 248: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/248.jpg)
![Page 249: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/249.jpg)
![Page 250: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/250.jpg)
![Page 251: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/251.jpg)
Chang SW, Romberg E, Driscoll CF, Tabaco M. An In Vitro evaluation of the Reliability and validity of an electronic pantograph by testing with five different
Articulators, J Prosthet Dent 2004;92:83-9“The pantograph was determined to be both reliable and valid”
![Page 252: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/252.jpg)
![Page 253: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/253.jpg)
![Page 254: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/254.jpg)
![Page 255: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/255.jpg)
![Page 256: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/256.jpg)
![Page 257: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/257.jpg)
![Page 258: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/258.jpg)
The Dilemma
![Page 259: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/259.jpg)
The Dilemma
Failing Restoration• Repeated Decementations
Healthy abutments• No restorations
Patient Factors• Emotional Intolerance
![Page 260: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/260.jpg)
Treatment Considerations
11Predictability
21Cost2-31Time
11Provisionalization21Augmentation22Bone Support14Teeth Preparation
1-21EstheticsSingle Tooth Implant3 Unit FPDRisk Assessment
22Long Term Results
22Trauma
![Page 261: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/261.jpg)
186
![Page 262: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/262.jpg)
![Page 263: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/263.jpg)
![Page 264: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/264.jpg)
![Page 265: The Dilemma of The Missing Anterior Single Tooth - Restorative Parameters](https://reader036.vdocument.in/reader036/viewer/2022062522/58a4e8141a28abd8548b4deb/html5/thumbnails/265.jpg)