Bridging the gap: a prep-less concept

LWW thumbAs we enter clinic, it’s not uncommon that providers see patients with missing anterior teeth. Congenitally missing lateral incisors have been reported in a significant percent of the population. For those who have already studied for part 1 of NBDE, we remember that dental decks flash card that states the lateral incisor is actually the third most commonly congenitally missing tooth, behind the third molars and mandibular second premolars. To bridge the gap I, for one, would not opt to do a PFM bridge, reducing anywhere from 0.5-2mm of tooth structure from virgin adjacent teeth. However an implant, which would be the alternative to a bridge, can easily cost upwards of $5,000 each. The other option of a flipper or stayplate may be available for some, but the removable prosthesis makes it less appealing than a fixed option. Keep reading this Lab Work Wednesday!