Are you confident in replacing a single missing central incisor?

When is a denture the right option — and when should you consider a bridge or implant instead?

Why is the single central incisor one of the hardest teeth to replace to a patient’s satisfaction?

In this Back to Basics episode, Jaz and Protrusive Student Emma Hutchison explore the unique challenges of replacing a single central incisor. They break down when each option — denture, resin-bonded bridge, conventional bridge, or implant — is appropriate, and the biological and aesthetic factors that influence that decision.

They also share key communication strategies to help you manage expectations, guide patients through realistic treatment choices, and avoid disappointment when dealing with this most visible and demanding tooth.

Key Takeaways: 

Highlights of this episode:

00:00 Teaser

00:28 Intro

01:56 From Dental Nurse to Final-Year Student

07:38 Challenges and Considerations in Replacing Central Incisors

12:51 Patient Communication and Treatment Planning

18:33 Discussing Treatment Options and Enamel Considerations

21:16 Communicating Options and Guiding Patient Decisions

25:51 Choosing Between Fixed and Removable Options

27:10 Midroll

30:31 Choosing Between Fixed and Removable Options

31:05 Handling Old Crowns and Patient Communication

34:17 Conventional vs. Resin-Bonded Bridges

37:57 Occlusal Load, Function, and Implant Considerations

43:40 Digital Workflow in Dentistry

45:54 Managing Aesthetic Expectations

48:34 Final Thoughts and Recommendations

52:59 Outro

🎧 Want to feel confident with prosthodontics?

Explore these essential follow-ups to this episode:

Quick, practical lessons to sharpen your planning, communication, and anterior aesthetics — all in your pocket.

#ProsthoPerio #OcclusionTMDandSplints #Communication #BreadandButterDentistry

This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. 

This episode meets GDC Outcomes C.

AGD Subject Code: 610 – Fixed Prosthodontics

Aim: To provide a clear, clinical overview of replacing a single missing incisor — focusing on when to choose a denture, bridge, or implant, and how to communicate realistic expectations.

Dentists will be able to –