Lonnie had more than one problem: her lateral incisor (next to the upper front two teeth) had badly discolored. We could have treated it conservatively, with bleaching and a porcelain veneer, but there was more: the tooth had also severely rotated on its axis, and the root was resorbed. So the only reliable treatment was to extract the tooth and replace it with a dental implant. Extraction of a tooth and dental implant replacement can take some time to complete; it had to be planned carefully so that at no time during the whole process would Lonnie be left with a missing tooth. She liked the shape of her existing teeth and wanted to be sure that the lateral incisor implant would mimic the other lateral incisor perfectly. The goal was to give Lonnie a completely natural look when the procedure was over, and she could not have been happier with the final outcome.