Female in her 50s presented with toothache of her upper tooth under her bridge. The upper left molar had cavity under her bridge. Her upper bridge was sectioned and removed. She became very vary of bridge and would like to have implants to replace her missing teeth. However, there was not enough bone at the front under her bridge.
Section bridge and remove upper left molar
Bone graft at upper front
Implant to replace missing upper and lower molars
Upper front implants
Note the long span bridge of 10 teeth from right to left. Caries developed under bridge.
Upper left first molar was removed. Upper right first and second molars are missing.
Lower right second premolar and lower left first molar is missing.
Lower right second molar tilting into the empty space.
There is grey-brown tetracycline stain of the lower front teeth.
Upper front teeth are restored with implant-supported bridge.
The upper right molars are replaced with 2 medium size implants.
Bone graft and soft tissue graft added volume to the front gum.
The lower left molar was replaced with a small implant. As we keep the natural teeth as single individual crowns, patient can floss and keep teeth clean preventing caries.