Category Archives: bridges to replace missing teeth

Bridge case of the day

This patient had a non-restorable decayed upper first molar tooth. I recommended a bridge since his adjacent teeth already had crowns on them. We extracted the infected molar and placed a temporary bridge. Following healing I prepared the adjacent teeth and fabricated and cemented a fixed 3 unit zirconia porcelain bridge. Here’s the before and after pictures.

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after-bridge
after bridge
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X-ray of infected tooth
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photo of decayed tooth
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zirconia bridge
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view of inside
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happy patient :-)))

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Bridge to replace a missing tooth

For this patient, I replaced his lower right missing bicuspid tooth with a porcelain fused to metal bridge. Normally we would place an implant, however, in this case his mandibular bone was very thin in this area, and the distal tooth was very badly decayed and needed to have a crown. So I recommended a bridge to replace the missing tooth.

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before
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teeth built-up and prepared
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bridge cemented

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This next patient was missing a lower molar and the adjacent teeth were badly broken down. We elected to try to save the remaining teeth and made a porcelain fused to metal bridge to replace the missing molar and restore the adjacent posterior teeth. The other option would have been to extract the 3 broken down teeth and place dental implants to restore the lower left quadrant. Here’s the before picture showing the broken down teeth, and after with the bridge cemented in place.

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Immediate provisional bridge

This patient was very unhappy with her smile and wanted me to help. We discussed different treatment options and what would work best. I took study models, waxed up an ideal smile and made a provisional bridge of the ideal smile.  At the treatment appointment I prepped the canines and centrals for the bridge, extracted the lateral incisors and adjusted, fitted and cemented, the provisional bridge. The provisional bridge will stay in place for 3 months while the extraction sites heal. Following healing I will re-prep the teeth and take the final impression for the porcelain bridge.

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smile before
after
Two hours later with provisional bridge
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provisional bridge
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placing the provisional bridge
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extracted lateral incisors

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fixed bridge

This patient I saw today, grinds and clenches his teeth, and as a result he has broken and worn down all his teeth. After discussing options for restoring his lower right quadrant, he elected to have me restore his teeth with a 4 unit fixed bridge. I made 3 teeth with porcelain and did the last molar in metal. Since the last tooth doesn’t show, I did it in metal because there was not much space and if I used porcelain he would fracture the porcelain off with his clenching and grinding. This bridge looks great and is strong and will last.

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Dental implant bridge case of the day

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Nice note I received from this wonderful patient :-)))

I consider myself very lucky to have found such an outstanding dental professional.
Over the years he has done some truly amazing work for both my husband and me. He filled, he fixed, he patched, repaired and replaced, while employing the latest innovations in dentistry.  All this with a cheerful, kind attitude that would put the most anxious person at ease. Not just best in his field, but BEST ALL AROUND! You can not imagine just how wonderful my new teeth feel! The fit is simply perfect!! My whole outlook has changed and I feel like a new person. Thank you, thank you!  I could not be happier!!!
We have the highest regard for Dr. Philip Gentry and recommend him without reservation.
A grateful patient from Bethesda, Maryland.  Ildiko  Yeni- Komshian

Dental bridge attached to teeth

Another option to replace missing teeth is to make a dental bridge attached to the patient’s teeth. This is also called a fixed partial denture and is cemented to the teeth on either side of the missing teeth.

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Fixed upper bridge placed by Dr. Gentry 

1. A 62 year old female patient with broken decayed front teeth.

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2. Dr. Gentry was able to build up and restore her remaining front teeth and cement a 6 unit porcelain fused to metal bridge.

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3. The bridge.

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Another example of a bridge by Dr. Gentry

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