The replacement of a mandibular incisor is a dental treatment warranting special consideration. Some of the challenges associated with the anterior mandible are limited space, challenging surrounding anatomy, and tough esthetic requirements. Proper diagnosis and treatment planning may require a multidisciplinary approach to successfully meet the demands of replacing a missing tooth in this sextant. Several treatment options currently exist for mandibular incisor replacement. These options include

(1) resin-bonded fixed dental prostheses (RBFDPs),

(2) orthodontic treatment,

(3) full-veneer fixed dental prostheses (FDPs),

(4) dental implants for single-tooth replacement,

(5) possible extraction of one or more incisors and restoration with implant-supported FDPs,

(6) possible extraction of one or more teeth and restoration with FDPs from #22 to 27,

(7) possible extraction of one or more teeth and restoration with removable dental prostheses (RDPs). This manuscript outlines the various treatment options for the replacement of mandibular incisors and discusses benefits and drawbacks of each.