Tag Archives: bridge

Emergency Temporary Bridge

This patient broke off her front teeth and delayed treatment due to fear of contracting COVID. I cleaned up the decay and made her a PMMA temporary bridge so she could smile for the holidays.

pmma bridge
before/after PMMA bridge
computer design
CAD/CAM milled bridge

Bridge Case of The Day

dental bridge
knocked out front tooth
after whitening and bridge

This lady was playing with her todler son and smashed her teeth on the back of his head knocking out her front tooth. To restore her smile, I whitened her teeth and replaced the missing tooth with a cemented dental bridge.

Bridge case of the day

This patient presented with a broken 25 year old bridge replacing a missing front tooth. I re-prepped the teeth, digitally scanned the impression, computer designed a new bridge, 3D printed it out and cemented it in. Totally awesome!!!

before_after_bridge
before/after bridge cementation
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digital impression scan
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design images
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bridge cemented-perfect!!!

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.

before-bridge
before
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 :-)))

beforebridge afterbridge

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
bridgepreps
teeth built-up and prepared
bridgeafter
bridge cemented

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bridge

dentalbridge 

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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Implant bridge case of the day

This patient was super pleased with his new teeth. His 4 upper teeth were broken down and needed to be extracted. We did a bone graft and placed 2 implants. Following healing I made him a 4 unit porcelain bridge cemented over custom abutments. The entire process took about 6 months. During the healing phase he wore a partial denture.

before
before
implantsurgery
uncovering the implants
encodeabutments
Encode healing abutments
customabutmentsmouth
custom abutments
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implant bridge cemented over custom abutments
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nice smile

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facephoto
very happy patient

happypatient

digitalscan

xraycustomabutments

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.

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

after

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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