A cosmetic dentistry smile makeover simulation illustrating the placement of a dental bridge, dental bonding, and a dental crown.

Dental History: This person is missing his center, upper right tooth. This tooth had been replaced previously with a porcelain and gold dental bridge, unfortunately the condition of this bridge has since deteriorated (including the fact that the porcelain has come off).
      The teeth that lie immediately to either side of the dental bridge have problems also. The tooth on the left side of the bridge has a cavity. The eyetooth that lies on the right side of the bridge seems to have a chip on its biting edge.

Cosmetic Dentistry Treatment Plan: It's simply time to replace this person's existing dental bridge with a new one. Bridges that show a gold edging are fine if that's your taste but we've illustrated the replacement bridge as one having porcelain on its front side so it looks more natural. (Please note, we've taken some liberties when creating our "after" picture. There may have been some changes over the years with this person's gum line in the area of the missing tooth. When a new dental bridge is made this person's gums will probably not fill in between the individual teeth of the bridge as fully as we've illustrated.)
      The needed repairs for the other two teeth, the decayed tooth and the tooth with the chip, could probably be made by placing white fillings (dental bonding). In our after picture, however, we've chosen to illustrate the repair of the decayed tooth with a white filling and the chipped eyetooth with a dental crown (primarily so significant changes with the shape of this tooth can be made).