Anterior single implant in the esthetic zone

A 32-year-old patient came to Universidad Internacional de Cataluña. The male patient's chief complaint was a missing central and lateral incisor which had been extracted several years earlier. The site presented significant loss of hard and soft tissues, the midline deviated to the left which could eventually compromise the aesthetic result of implant treatment. The overall health status was good and there was no concomitant oral disease; therefore, a two-stage implant procedure was planned.

Two treatment options were offered: a single implant leaving a diastema on the middle line and the second option with a full anterior rehabilitation with veneers and an implant on the central incisor. A Porcelain-fused-to-metal crown over implant with a GBR and a collagen membrane on #21 (FDI)/ #9 (US) was chosen from the patient after presenting him the different option plans.

The patient was very satisfied with the overall result of the treatment, the final crown being harmonic to the contralateral tooth and the soft tissues with a healthy and natural appearance, despite the absence of the lateral incisor.