For a patient missing #2 and #3 with Class III mobility in #1, what is the optimal treatment plan?

The optimal treatment plan in this scenario is the extraction of tooth #1 and placement of implants for teeth #2 and #3. Class III mobility indicates that tooth #1 is significantly compromised and unlikely to support a restoration long-term. By extracting #1 and replacing the missing teeth with implants, the treatment not only addresses the mobility issue but also restores aesthetics and function in a way that fixed bridges or crowns might not.

Using dental implants provides a stable and durable solution for the missing teeth, facilitating better oral hygiene and maintenance compared to a fixed bridge. A bridge would rely on tooth #1 for support, which, given its mobility, may not be a viable or effective long-term option. While frequent recall visits can be an important part of dental care, they do not address the structural problems presented by the compromised tooth and missing teeth. Thus, extraction and implant placement is a proactive approach that provides a more functional and lasting solution for this patient's needs.