Prosthetic terapy

Hello,
I am sending you a doctor's report of my  boyfriend after his latest, the fourth in a row surgery in the same area.He has only 24 years so please be so kind and tell us the best solution for the situation described.
We know that some of the options are an implant or fixed bridge, but as we are talking about frontal incisors 31 and 32 that have been repeatedly submited to invasive surgery we are interested in options that require less surgery, if possible.
If you need more information I have scanned all reports from 2001. with a pair of X-ray pictures that i can send  you. Once again I ask you for your valued opinion, since we have read already  so much, and he has  suffered so many that we  really do not know what else to do.
Sincere thanks

Klinička bolnica Dubrava
Specijalistički nalaz
Datum: 14.11.2010.
Dijagnoza
Ostitis periapicalis chronica 41,31,32
The patient now commissioned for a third reapicotomy of  teeth 31,32.
For the first time the patient reported in 2001for  apicotomy of  teeth 31,32.  The teeth have been reapicotomied in 2007th ., and in March 2008. g. 31.32 retrograde-filled teeth. On the X-ray-visible amalgam scattered in the region 31.32. And the tooth 31 and 32 moving, 31 more than the 32. Made cut-by Nowak -Peter and show all three teeth.
Intraoperative visible complete lossof the inferior mandible (bukalni kortikalis) of the tooth 31 and communication with the periodontal oral cavity with the distal side of the root. Tooth 31 indicated for the ex (consulted Dr. Sandev). Granulation cleaned. Necessary to plan a prosthetic treatment. It is proposed implanto-prosthetic solution.

Dr. M. Mekovec i Dr. S. Sandev

[scottma]

Your descriptions suggest that teeth#31 and 32  are indicated for extraction. It appears that you are concerned about whether implant or conventional fixed bridge is utilized to replace missing teeth. If performed optimally, both treatment plans  can give you satisfactory outcome.However, if the alignment of lower front teeth are normal, implant prosthesis may not provide best cosmetic result.Consultation with a prosthodontist is advised.