Anterior Implants – Bridge Replacement

Often bridges lead to long term complications. What is a quick solution to a missing tooth, leads to possible long term issues on the surrounding teeth, as well as the missing tooth ‘site’.

This patient had a long term bridge from 8-10. #8 and #10 were treated with Root Canal therapy somewhere along the process, but #8 abscessed out the buccal, and there was large defect on the buccal plate where #9 used to be. The bridge also fractured between #9 and #10.

After discussing several options, we decided to take out the bridge, and do bone grafting for the buccal defect as well as the buccal plate fenestration for #8. GBR (guided bone regeneration) was done for that defect.

After healing for 6 months, he was finally ready for implant placement. Using a surgical guide, we designed the crowns for lingual screw channel access.

After 3 months of healing for the implants, we replaced the crown on #10 and delivered his final implant crowns. We were all very happy with the results!

(Note the tissue is still blanched from the tissue pressure from the final crowns).