Anterior 6 Unit Bridge

Uncontrolled diabetic came in for tooth pain on lower front. Perio involved. class II mobility. Blood glucose tested 312 mg/dl. sent off for med consult and then extracted 23-26. delivered immediate resin rpd. Then hygiene and caries control. 3 months later diabetes is well controlled with daily average BG under 100 mg/dl. Preps, final impression and provisional fabricated in 1 appointment. FPD design: ovate pontics, 1mm metal margin for hygiene and beneath smile line so esthetically not an issue.  Good outcome for a great patient who has a new lease on life with her oral & systemic health now under control. 

Anterior crowding and super eruption

Bisacryl Temp

Preps #22 & 27

shade guide

final prosthesis (not her actual bite)