Options for replacing a single lost anterior tooth in a dentition with reduced periodontal health

To restore comfort, function, and esthetics while maintaining occlusal stability, restoring a single missing anterior tooth in a periodontally impaired dentition is a significant task. An implant-supported crown, traditional three-unit fixed partial denture (FPD), cantilever FPD, resin-bonded FPD, or removable partial denture can be considered in a normal, healthy dentition; however, problems with mobility and poor periodontal support of the remaining dentition may make these procedures unfeasible options as it might be difficult to avoid overloading of the implant in periodontal compromised adjacent teeth, difficult to achieve proper esthetics with conventional FPD, to maintain the stability of dental arch with acrylic resin removable partial dentures is not possible and incidences of frequent debonding of resin bonded FPD are high when abutments are mobiles. Fiber-reinforced composite resin FPD is often effective in these clinical situations to provide a conservative therapy option to restore the patient’s ease and esthetics by limiting mobility.