This patient’s upper front teeth and old fixed bridge broke off. We discussed treatment options. Since the teeth were decayed and badly broken down, I recommended extracting them and making an immediate provisional partial denture. Following healing we can do crown lengthening periodontal surgery and make a fixed bridge from canine to canine or make her a final partial denture. I extracted the teeth and delivered the immediate provisional partial denture during the same 1 hour visit this afternoon.