Failed upper bridge

Case7CMY

Case7CMY

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. Treatment sequence: Section bridge and remove upper left molar Bone graft at upper front Implant to replace missing upper and lower molars Upper front implants

CMY001

CMY001

Note the long span bridge of 10 teeth from right to left. Caries developed under bridge.

CMY002

CMY002

Upper left first molar was removed. Upper right first and second molars are missing.

CMY002A

CMY002A

Lower right second premolar and lower left first molar is missing.

CMY003

CMY003

Lower right second molar tilting into the empty space.

CMY004

CMY004

There is grey-brown tetracycline stain of the lower front teeth.

CMY005

CMY005

Upper front teeth are restored with implant-supported bridge.

CMY006

CMY006

The upper right molars are replaced with 2 medium size implants.

CMY007

CMY007

Bone graft and soft tissue graft added volume to the front gum.

CMY008

CMY008

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.

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