Immediate One Piece Implant Bridge
A 51-year-old man has severe periodontal disease (Fig.1). Finally the tooth # 24 falls out spontaneously (Fig.2).
To fix it, the neighboring teeth #23,25 are extracted and replaced by implants immediately (Fig.3). An immediate temporary bridge is fabricated (Fig.4).
Now the implants heal (Fig.5). The temporary bridge is removed and re-preped for Zirconium one (Fig.6).
Please note that there are two different shades for the lower anterior teeth: one for the crown and the other for the root (Fig.2). When the permanent bridge is made, please use a more yellowish shade for the roots. In addition, make a nice transition from the crown to the root. See a referenced case.
Unlike the temporary bridge (Fig.4), the pontic (#24) of the Zirconium bridge should touch the receding gums if the pontic does not look too long.
If possible, do not make the roots for #23 and 25 too bulky.
Xin Wei, DDS, PhD, MS 1st edition 01/11/2013, last revision 01/21/2014