The patient was unhappy with missing teeth and spaces. He wanted a smoother flowing smile and desired a very conservative treatment plan. We accomplished this with a porcelain bonded bridge on the upper and a composite bonded bridge on the bottom and cosmetic bonding to even out his smile.
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Patient was missing #6-10. Bone and tissue graft was placed and 3 implants and finally restored with a single crown and two cantilever bridges.
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This patient had a missing #10 tooth and chipped teeth on 8, 9 and caries #9 distal. The edges of the teeth were bonded with composite resin and a pontic (fake tooth) was also built up with composite resin, including matching the decalcification present on her adjacent teeth.
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Patient was dissatisfied with the appearance of her old porcelain bridge. She felt that is was too bulky. We fabricated a new bridge with nicer proportions, color and contours and the patient was ecstatic.
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Before: 3 Unit bridge with chipped porcelain molar (supporting metal showing on molar tooth), poor enamel color match to patient's natural teeth, and poor fit around the patient's gumline. After: Replaced Bridge with an All Porcelain Bridge. The new bridge now also matches the patient's natural tooth color and was designed to properly fit around the gumline. Proper fit aids in decreasing decay and the ease of the patient's ability to clean around a bridge.
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This patient didn't like the appearance of the front crown with the dark line at the gumline (which was actually the front tooth of a bridge). She also didn't like the gap between her front teeth and thought that the one tooth in the front looked too small. Dr. von Tersch did 4 porcelain veneers and a 3 tooth porcelain bridge. This case was done about ten years ago and the patient still looks gorgeous!
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