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    The International Journal of Periodontics & Restorative Dentistry
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    For young adults with a missing maxillary lateral incisor, consider alternatives like canine substitution or zirconia bridges over dental implants. Implants pose long-term risks including craniofacial growth issues and peri-implantitis.

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    Area of Science:

    • Dentistry
    • Oral and Maxillofacial Surgery
    • Restorative Dentistry

    Background:

    • Dental implants are frequently used for single missing maxillary incisors in young adults.
    • Long-term consequences and complications of implants in this demographic are under-discussed.
    • Maxillary lateral incisors are commonly missing due to agenesis or trauma.

    Purpose of the Study:

    • To reevaluate the routine use of dental implants for single missing maxillary incisors in young adults.
    • To highlight potential long-term complications associated with implant therapy.
    • To advocate for alternative, less invasive treatment options.

    Main Methods:

    • Literature review of implant complications and alternative treatments.
    • Analysis of factors influencing implant success and failure in young adults.
    • Comparison of implant therapy with canine substitution and bonded zirconia bridges.

    Main Results:

    • Implants in young adults face risks from continued craniofacial growth, peri-implantitis (nearly 25% prevalence), mucosal issues, and mechanical failures.
    • Implant placement can preclude future palatal expansion.
    • Canine substitution and bonded zirconia bridges show long-term success.

    Conclusions:

    • Dental implants for young adults with missing maxillary lateral incisors have significant potential long-term disadvantages.
    • Alternative treatments like canine substitution and bonded zirconia bridges should be primary considerations.
    • Implant therapy should be a secondary option only when alternatives are not viable or have failed.