Among the goals of orthodontic therapy is the establishment of optimal facial form, occlusal function, and dental esthetics. Orthodontic treatment of patients with congenitally missing teeth, especially maxillary lateral incisors, can be accomplished best by positioning the remaining natural dentition in the anatomically correct location and closely coordinating therapy with the osseointegration team members. Special divergence of adjacent root tips is essential to provide space for the implant. The Brånemark system of implant therapy is the treatment of choice for the permanent replacement of congenitally missing teeth.