Rick was born without his permanent lateral incisors (the teeth just to the side of his two front teeth). His other teeth moved over and everything was crooked. When he was nine, it was time for the orthodontist. He wore braces for several years so his teeth could be moved into the proper spaces. Space was left where the missing teeth should have erupted. Rick is now 15 but when his jaw is no longer growing at about age 19 he will have implants placed. Crowns will be placed over the implants in order to fill in the spaces.
In the meantime he needs a temporary solution so he has replacement teeth for the two missing teeth and also to hold the spaces so the teeth don’t drift again. The orthodontist made him a removable retainer, but Rick didn’t like that the retainer was removable. It didn’t look great and it was not comfortable. Rick asked me what to do. I recommended a bonded, or Maryland, bridge. This is a fixed bridge that is bonded to the adjacent teeth. It doesn’t require cutting the adjacent teeth and the esthetics can be excellent. It is easily removed when Rick is ready for implants.