As a boy of around 9 years old I managed to knock out tooth 9 in a cycling accident. Both 8 & 10 were also damaged and ended up being root filled. I wore a plate to the age of 18 but since then I have been wearing a Maryland bridge which has worked well. Over the years the bridge has come out a few times and 8 & 10 have become quite discoloured; also I think the Maryland is starting to loosen again.

My question is what is the best way forward for me from here?

1) Carry on as is – not sure if 8 & 10 can be cleaned in some way?

2) A bridge – I am worried about its longevity & weather the neighbouring teeth, which are root filled, are up to supporting it via crowns.

3) Go for an implant at 9 with single crowns at 8 & 10 – assuming it is viable.

4) Something I haven�t thought of?

I guess what I am looking for is an unbiased opinion of the right way forward. Any advice you can give to help me make the best decision would be much appreciated.