Lisa presented with dissatisfaction over the aesthetic appearance of her anterior bridge. She had been wearing a long-standing gold bridge (UL4–UL2), replacing UL3, with visible aesthetic concerns including mismatched shades, exposed margins, and poor gingival contour. The patient specifically expressed concern over the visibility of the metal components and disharmony within the smile line.
Despite the poor appearance, the existing prosthesis had lasted over 25 years without mechanical failure—a testament to its structural design. Lisa did not want an implant, and given the prosthesis’ longevity, a conservative restorative approach was selected.
This case demonstrates how thoughtful execution of a minimally invasive treatment plan can achieve a high-impact result. Without altering the original bridge design, we replaced the crown and pontic unit (UL3–UL4) using a carefully colour-matched ceramic restoration and subtle soft tissue contouring to enhance the gingival profile around the UL3 pontic.
Through minor tissue shaping and strategic shade selection—guided by calibrated photography techniques—the final result blended seamlessly into Lisa’s natural dentition. The outcome restored her confidence without surgical intervention, maintaining structural integrity while vastly improving aesthetics.
Diagnosis and Treatment Plan
Apply tooth whitening to natural teeth for shade harmonisation
This case exemplifies the value of preserving existing prosthetic design when appropriate, especially when the structural integrity of the prosthesis has already demonstrated long-term success. Rather than opting for a more invasive approach such as implant placement, we achieved a highly aesthetic and functional outcome through subtle refinements in soft tissue and shade matching.
Careful pontic site development, gingival shaping, and prosthetic craftsmanship allowed us to deliver a restoration that was indistinguishable from the surrounding dentition. This case also highlights how photography and digital planning—often overlooked in smaller cases—can dramatically improve the final result.
Lisa’s case reinforces that conservative treatment can be transformative when executed with attention to detail and biological respect.
If you're ready to elevate your skills in anterior bridgework, soft tissue contouring, or minimally invasive smile design—and you're seeking mentorship or hands-on training—visit our Education page. Discover how Dr. Arman Barfeie can help refine your clinical techniques through mentorship, real-case walkthroughs, and expert-led workshops.
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Trust Dr. Arman Barfeie to transform your smile with expert dental implants, stunning cosmetic treatments, and thorough, personalized care. Enjoy a warm, patient-focused experience that guarantees your comfort and delight at his premier Forest Hill dental practice.