60 year old, Female

60 year old, Female

• Missing upper front teeth – dislike existing upper partial denture.
• Wishes for dental crown and bridge or dental implant alternatives.
• Seeking second opinion on previous advice for extensive bone graft surgery required for dental implant treatment.

• Long standing upper front teeth loss with substantial bone resorption (shrinkage).
• Weakened back teeth with large amalgam (metal) direct fillings and signs of cracked tooth syndrome.

• Smile makeover design with diagnostic mock up.
• Conventional tooth supported dental bridge in the replacement of missing upper front teeth and fractured upper left second premolar tooth.
• Patient declined bone graft and dental implant treatment due to high surgical risk and potential compromised success rate given her limited bone volume.