Designing both mandibular central incisors on one, 3.0 mm single piece implant: Five years Outcome.

Deficient bone volume, anatomical limitations, lack of available mesio-distal space, adjacent teeth angulations, and surgical errors may lead to placement of narrow diameter implants. In such a scenario; a functional and esthetic yet sustainable replacement of missing more than one tooth becomes quite challenging. This article describes the successful restoration of missing both mandibular central incisors on one, 3mm single piece implant in three patients. Despite being a biomechanically complex presentation, the objectives of optimal outcome were achieved in all three patients by means of innovative designing, fine control of occlusal factors, and the correct choice of restorative material. Till the last follow up at 5 years, no implant and/or prostheses loss was experienced.