02/08/2026
Patient came in for a dental implant since patient has missing 1st premolars. Upon checking, space available in the right and left side are not symmetrical, along with the natural rotation and angulation of the natural teeth, with that, we also observed the redness of the gum tissue in the upper incisors caused by the previous porcelain fused to metals. Patient wanted to change them as well for a better smile.
Patient chose to have a combination of crowns and bridge instead of dental implants.
This was a very challenging case since the 4 upper incisors are all made up of root canal treated and metal posts. Upon removing the previous crowns, preparation was a violated subgingival preparation, tooth was severely darkened due to metal posts and pigmentation of the old porcelain fused to metal crowns. We waited for almost a month and made 2 revisions of the provisional before taking a final impression to let the gums / soft tissue heal.
For the 4 incisors, we made a double coping zirconia and zirconia bridge on the right and left side 13-15, 23 - 25. Used opaque cement as well to make sure that the discolored tooth is fully masked.
1st photo - PRE OP
2nd photo - 2nd set of provisional (tempraries)
3rd photo - Final crowns and bridge photo taken 2 weeks after cementation
Happy to be of service!!
For booking of appointments, please message us directly. π
JUSTO DENTAL CLINIC is not affiliated with any other clinics and is located only at del pilar street, Cabanatuan City. π