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    Replacement Options for Incisors – Denture? Bridge? Implant? – PS018
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    Replacement Options for Incisors – Denture? Bridge? Implant? – PS018

    Replacement Options for Incisors – Denture? Bridge? Implant? – PS018

    Episode Title:

    Replacement Options for Incisors – Denture? Bridge? Implant? – PS018

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    Show Notes

    Are you confident in replacing a single missing central incisor?

    When is a denture the right option — and when should you consider a bridge or implant instead?

    Why is the single central incisor one of the hardest teeth to replace to a patient’s satisfaction?

    In this Back to Basics episode, Jaz and Protrusive Student Emma Hutchison explore the unique challenges of replacing a single central incisor. They break down when each option — denture, resin-bonded bridge, conventional bridge, or implant — is appropriate, and the biological and aesthetic factors that influence that decision.

    They also share key communication strategies to help you manage expectations, guide patients through realistic treatment choices, and avoid disappointment when dealing with this most visible and demanding tooth.

    https://youtu.be/czjPQxKpwPw
    Watch PS018 on YouTube

    Key Takeaways: 

    Replacing a single central incisor isn’t just about technical skill — it’s about communication and case selection. 

    Success comes from helping patients understand that a restoration replaces a tooth’s function and appearance, not nature itself. 

    Clear conversations about expectations, limitations, and maintenance are what turn a difficult aesthetic case into a satisfying long-term result.

    Highlights of this episode:

    00:00 Teaser

    00:28 Intro

    01:56 From Dental Nurse to Final-Year Student

    07:38 Challenges and Considerations in Replacing Central Incisors

    12:51 Patient Communication and Treatment Planning

    18:33 Discussing Treatment Options and Enamel Considerations

    21:16 Communicating Options and Guiding Patient Decisions

    25:51 Choosing Between Fixed and Removable Options

    27:10 Midroll

    30:31 Choosing Between Fixed and Removable Options

    31:05 Handling Old Crowns and Patient Communication

    34:17 Conventional vs. Resin-Bonded Bridges

    37:57 Occlusal Load, Function, and Implant Considerations

    43:40 Digital Workflow in Dentistry

    45:54 Managing Aesthetic Expectations

    48:34 Final Thoughts and Recommendations

    52:59 Outro

    🎧 Want to feel confident with prosthodontics?

    Explore these essential follow-ups to this episode:

    Dentures vs Bridges with Michael Frazis

    Crowns vs Onlays with Alan Burgin

    Dentures with Finlay Sutton

    RBB Masterclass on the Protrusive Guidance App

    Quick, practical lessons to sharpen your planning, communication, and anterior aesthetics — all in your pocket.

    #ProsthoPerio #OcclusionTMDandSplints #Communication #BreadandButterDentistry

    This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. 

    This episode meets GDC Outcomes C.

    AGD Subject Code: 610 – Fixed Prosthodontics

    Aim: To provide a clear, clinical overview of replacing a single missing incisor — focusing on when to choose a denture, bridge, or implant, and how to communicate realistic expectations.

    Dentists will be able to -

    Identify the key biological, functional, and aesthetic challenges in replacing a central incisor.

    Compare the indications, advantages, and limitations of dentures, resin-bonded bridges, conventional bridges, and implants.

    Communicate realistic outcomes, limitations, and maintenance expectations effectively to patients.

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