Congenitally missing incisors is a fairly common anomoly within the area of dental defects that are congenital in origin.
Our young patient had a history of conventional orthodontics in an attempt to move her teeth closer. In this particular case orthodontia cannot move teeth into the missing incisor area.
This patient, a mere 14 years old, was committed to having Dr. Halmaghi implement a specialized treatment plan he had created and managed to use her own personal finances to fund the treatment. Our patient's long term goal, as she becomes older, is to have premium dental implants to fill the void.
Encore vs Maryland
The popular treatment of using a Maryland Bridge would create the current cosmetic goal of having a full smile but would also involve significant invasive alteration of adjacent tooth structures... which she did not want.
Dr. Halmaghi's treatment plan incorporated the use of an
Encore Bridge which is constructed with a fiber reinforced polymer framework with a porcelain veneer. The absence of metal eliminates the typical metallic "shine through" associated with Maryland Bridges.

The polymer framework (patented unidirectional glass fibers) is completely bondable and therefore does not require invasive preparation of abutment teeth.
The cosmetic result exceeded our patient's expectations. She now has the smile she wanted which
will endure for years without
the possibility of acquiring the "metallic-look" that is commonplace
with ordinary bridgework.
There are indeed alternatives to even the most standard of treatment plans. With today's advancements in dental technologies and materials, Dr. Halmaghi is able to create a choice of treatment plans to meet just about any type of unique need related to genetic abnormalities in dentition for his patients.