We did the beautiful upper teeth for this patient years ago, but recently she fractured a lower tooth and developed an abscess.
The damaged tooth had to be extracted. (The “bruising” in the photo above is from the old tooth being extracted less than an hour prior.)
As for replacing the extracted tooth, the patient had 2 conditions that we worked with:
First, she wanted no drilling of the other tooth.
Second, she did not want anything removable or an implant.
So what did we do?
During the extraction, we used the laser to clean out the infection from the bone.
Immediately after extracting the damaged tooth, I ended up copying the tooth shape, and 3D-milling a fake tooth (a pontic) with a “wing” of porcelain on the back. That was then bonded on to the adjacent teeth.
Normally, this would have required a removable plastic tooth (called a “flipper”) to be worn for 6 months while healing. So it is amazing that the patient never needed to go without a tooth, especially a front one!
I love having a 3D machine so I can sculpt and mill teeth in-office.