Canine substitution versus implants versus dental bridge
Canine substitution vs dental implants!
When deciding between canine substitution and dental implants what should you consider?
Bite (occlusal) considerations that allow a canine substitution.
From an occlusal standpoint, there are two situations were canine substitution works well. The first situation is a Class II individual that does not have any mandibular crowding. When this is the case, the molars remain in Class II but the pre-molars are forward to act as a canine. The other situation is a Class I individual with enough mandibular anterior crowding that we need pre-molar extractions on the lower jaw.
Profile considerations for a canine substitution.
What is the canine shape and color?
If we move the canine to the lateral site then we must evaluate the canines shape and color. Canines are always larger than lateral incisors and so we want to see how much wider. We pay speacila attention to the width at the CEJ since this area can not be changed. The wider the tooth at the CEJ, the more difficult it will be to make them look like lateral incisors. Canines are the teeth with the most color and thus appear more yellow than a natural later would. We can deal with the color by whitening but it is something we look at before hand.
Smile line consideration for canine substitution.
So what is best canine substitution or dental implants?
Likely depends and you should ask your orthodontist and dentist what they prefer. They likely prefer what they are capable of best doing. Whether that is truly best or not is debatable, but it is likely the best treatment result you will get in their particular hands. Most important is to choose the right docs though, as seen below. We can’t undo some things without spending a lot of time and money.
Canine substitution dental research
I will be including studies and more info in this blog as time goes on.
The layperson does not notice a difference if do a canine substitution. BDJ 2015