Congenitally missing teeth are adult teeth that never formed. As seen in this picture, the lateral incisors are some of the more common teeth that can be congenitally missing. Because this patient had enough bone height and bone width in these areas, they were a candidate for implant surgery. Here, the teeth were replaced by implants with custom-shaped and custom-colored crowns. The patient's central incisors presented with chips and stains, so patient opted to place veneers. What an incredible difference!