Front tooth replacement

Front tooth implant

If you have a missing tooth due to decay or injury, you may need a dental bridge or implant. Unless you have gum and jaw bone condition, we recommend dental implants. because implants give you natural-looking teeth and function and help prevent your jawbone from deterioration. When a tooth is extracted or falls out, the jawbone shrinks over time and changes teeth alignment. Since an implant is embedded in the jawbone, the new tooth allows you to chew naturally and stimulates the bone, preventing it from shrinking.

Laura lost an old crown and the post on the left upper central tooth because of caries. She called us right away and came to our office. Obviously, she cannot smile, talk, or eat in front of her friends anymore. Laura received immediate temporization, and we took the CT scan on the initial visit.
As shown, there is not enough tooth structure left to support a new crown. So, extraction of the broken root and an implant-supported crown was the treatment plan for this patient. This crown is in the aesthetic area, and she has a high smile line, meaning when she smiles big (like Julia Roberts), she shows her gums and the whole crown. Julia Roberts' smile will make things very challenging.

Careful preparation necessary for a missing front tooth

It is necessary to take particular caution to proceed with front upper tooth replacement. It might be easy to have an implant and a crown, but it is tough to keep a natural-looking healthy gum and match the crown's color on the implant in the center of your face without crowning the right central tooth (another tooth).

Single implant procedure

To make her teeth look natural, we proceed with a minimum invasive approach. In this treatment, minimum invasive means we will keep what the patient already has and make no change with the existing condition. For example, many dentists open a flap (gum) for easy access to the root and better visibility when extracting the broken teeth or the roots. However, once you open the gum, it loses blood supply for a couple of days, and the gum recedes upward and inward. Once this happens, it is almost impossible to recreate the original shape. When we extract the root, we use the slow minimum invasive extraction technique and try not to break the bone around the root. It took a little longer to extract the tooth, but by not breaking the bone, you can keep the gum shape because the gum's shape is supported by the bone underneath. Because we don't break the bone, there is less post-operative discomfort. Of course, you can extract the tooth quicker and easier by ignoring the minimum invasive technique. Then you can recreate what you lost by gum surgeries; however, as you can imagine, the original shape is by far natural than the one a dentist can reproduce later, and the results last longer.

Color matching of one central crown to other natural teeth is the most difficult. Some dentists and even patients ask to do two teeth together for a better color matching, even if the other tooth has no caries.
We use a color corrected camera and a special filter for the shade (color) in the office. Even so, it is not easy. Nevertheless, if the color is not matching, we will send the crown to the dental lab and modify it until it matches the neighboring teeth color. There is no extra cost to do so, but the patients need to wait a little longer with the temporary crown. After periods of adjustment, Laura got her front tooth back just the way she had wanted-natural color that matches the original tooth.

front upper tooth replacement before after
Here is an example of extracting the root without opening the gum or breaking the bone and placing implant. Only one tooth was treated. Surgery, cosmetic dentistry and photography by Dr. Shimizu.

Giving people the smile they want is our passion!

About Us

Dr. Shimizu is an accredited member of the American Academy of Cosmetic Dentistry. There are 417 dental professionals worldwide (Only six in Houston area) as of 2021 who have achieved this prestigious honor.

AACD Accredited Member


11757 Katy Freeway, Suite 960, Houston, TX 77079