A missing upper front tooth restored together with its stained, chipped neighbours

One upper central incisor is missing, leaving a gap with the gum ridge visible and slightly hollow. The teeth on either side are yellowish and differ in shape, with brown staining along their edges next to the gap and between the remaining central and lateral incisors. The remaining central incisor has a small chip at its corner, and a canine shows a worn tip with a yellow inner layer exposed.

The after photo shows the gap restored with a fixed tooth, and the six upper front teeth now matching in shade, width and edge line. The gum line over the new tooth sits a little higher than on the neighbouring central incisor.

Dr. Marina’s planning in a case like this starts with the whole front segment rather than the gap alone: how much bone and gum are available, the condition of the neighbouring teeth, and how the teeth meet in the bite. The replacement and the neighbouring restorations are then designed as one group, so the colour and proportions read as a single smile.

The gap is closed by a fixed tooth that matches its neighbours, and the six upper front teeth share one lighter shade with smooth, even edges. The stained margins and chipped corners seen before are no longer visible.