instruction: hi doctor I would like to get a second opinion on my dentist plan to fix my missing teeth I am missing my upper lateral incisors since birth and have had a temporary resign bonded bridge since I was 17 I am now ready to take the step to a more permanent solution my two options are a bridge or implants after my rays and mri scan it became apparent that I do not have enough bone for implants and I would need a bone graft since I would need at least my for each side my dentist told me that there was a chance it might not take and I would need another surgery the position of the roots of the adjacent teeth are not a problem there is enough space to place the implants just not enough bone initially he did say he would prefer to do the implants since it is a better solution for long term when my dentist asked the opinion of another dentist in the office he said that the bridge would be a better solution so I would not have to go through multiple surgeries and it would be done sooner the bridge is indeed a quicker solution but I am not very keen on having parts of my teeth removed for the bridge it will also need replacing at some point and if the underlying teeth have a problem the whole bridge needs to be replaced both my sister and mother have a bridge they are also missing their upper lateral incisors and I am not impressed with either results these were placed by different dentists I am fine with the process taking a little longer and being more expensive if it means it will give me a more natural smile but I am also afraid that I will be going through surgery for something that might not even take my dentist now does not want to express his opinion anymore and just keeps giving me the pros and cons any insights would be greatly appreciated
output: hi in my view even though I do not have any pictures or ray I believe it is better for you to get bridges you can get costly zirconium bridges which are highly aesthetic and looks exactly like natural teeth get those side teeth root canal treated to prevent future sensitivity or pain this will give you a highly satisfactory result in my view implants need much bone support and as your lateral incisors are congenitally missing the bone at the region will be very thin and any bone graft is bound to fail in 50 cases for more details send pictures if possible