The patient was a smoker and had poor oral hygiene causing gum disease which affected the lower front incisor teeth.
We removed the lower 4 front teeth and inserted two dental implants o support a 4-unit bridge that was fitted after 3 months of healing.
As this patient was also having a full mouth rehabilitation with porcelain crowns to correct a collapsed bite, we were able to use the teeth on either side of the space to support a temporary bridge during the healing of the implants.
It was important to improve the oral hygiene along with any treatment for this patient, and in this case it was a matter of no one ever showing him how to do it properly.
After healing we fitted a 4-unit all-ceramic porcelain implant bridge to replace the missing lower front teeth. The remaining natural teeth were treated with porcelain crowns.