Because this severe trauma patient lost the two upper central incisors, the only solution was to restore the aesthetic placement of two implants to replace them. But first we decided putting on braces to correct the large lower crowding and improve the occlusion so that the implants had better previous function. We use sapphire self-ligating brackets and we drew a lower incisor.

In 18 months, all the initials objectives were achieved and the central incisor implants were placed. Until these were placed, the patient took a few teeth resin to maintain the aesthetics along the treatment.