Porcelain Bridges – missing lateral incisors and cosmetic dentistry

February 17, 2013

What a difference a smile makes!  This patient was missing her lateral incisors – a common genetic occurence.  Her options were a denture, bridges, or implants.  I would prefer inplants but there was no room in the bone to fit them.  She had worn the denture since a teenager and hated it – why wouldn’t she.  That only left us with bridges.  A bridge is a false tooth that is attached to the exisitng teeth on either side or both sides.  Traditionally this meant cutting the tooth significantly.  Newer techniques give us more options.  These bridges have been made with Zirconia, a very hard and strong porcelain, with a wing wrapping around the back of the front teeth.  By use of a new spray on porcelain bond, we were able to bond the Zirconia wing onto the back of the front incisors without any prepping or danage to the existing teeth.  The porcelain bride cantilevers out over the space.  I have also closed the dark triangle between the front teeth with tooth coloured composite resin bonding as the patient found it unattractive.  I think we have ended up with a lovely result.

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