This question is more than six months old, so the information in the answer may no longer be accurate.
Visitor asks:

Hello,
I have healthy, nice teeth and have never had problems, except about 20 years ago with two teeth in the upper left. The dentist had to make a crown on the second premolar, the first premolar was dark — probably non-vital, and he filled the first molar. I now have fillings on all teeth except all the front ones (1,2,3).
Because of a process (granuloma), my dentist referred me to surgery and advised removal of teeth 24, 25, 26. Unfortunately I do not understand what the problem is with fitting a bridge, but she advised me to have two implants.
Immediately after that, while abroad, I had an opportunity to ask for another opinion and everything happened so quickly that I agreed to extraction of teeth 24 and 25 — preparation for two implants (why not also extract 26, unfortunately I do not know).
Now I am thinking about what to do, because in the long term I will not have enough money for all dental implants. Should I also have 26 removed and replace the three teeth with two implants — is that even possible? Does it make sense to place the implants next to each other, or could I remain without the second premolar and have an implant at the first premolar only?
Can an implant serve as an abutment for a fixed prosthesis, and at which positions are implants needed for this?
Thank you for your answer.
Respectfully,
Brigita

Dentist Tomaž Rotar answers:

Dear Sir/Madam!

Based on what you have written, I believe it would be best to remove the first molar as well (as was originally planned). The gap of three teeth (24, 25, 26) could be filled with two implants supporting a bridge construction of three teeth. If you remain with a gap of two teeth (24, 25), it is possible to solve the problem with one implant and two artificial crowns, which in that case are supported by just one implant. Anatomical conditions must be suitable for such treatment. After examining an X-ray, I could provide you with more precise information.

Have a nice day!

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