OK, nothing revolutionary here. Many of you may have done cases like this. But, maybe some haven’t.
Patient is a 90 y.o. male. He broke a big chunk of porcelain off a screw-retained 3-unit bridge, #19 – 21. The fracture was on #21, taking most of the facial and mesial porcelain off. This left what would be a big food trap on the mesial of #21, not to mention rather unsightly metal exposure in a semi-cosmetic area of the smile.
I discussed options with the patient, which included:
- No treatment.
- New 3-unit bridge.
- Repair with an “over-crown.”
Together, we decided a repair was a conservative approach. I explained that the worst thing that could happen is it didn’t work, and we’d be back where we started. Then, I winked at him and said, “But, it will work.” I’ve done these before with no failures to date.
I prepped the abutment, removing most, but not all, of the porcelain. Imagine a 3/4-crown prep with the open side facing the connector to the pontic. I just prepped to create a path of draw and enough room for an all-ceramic (porcelain fused to zirconia) restoration.
I forgot to get a pre-op photo, so what you’ll see here starts after I prepped it.
That’s it! Nothing complicated. A nice conservative service for a long-time, very nice 90 y.o. patient (who you would think is in his 70s).