The patient refused to accept a removable prosthesis. The free-end situation favored an implant-retained bridge as a fixed prosthetic option; therefore, it was decided that at least three fixtures would be installed.
Two years after the original surgery, three titanium implants were installed in the healed surgical site under local anesthesia (Fig. 4). Five months later, the fixtures were uncovered and subsequently restored by using Mirus cone (Nobel Biocare, Yorba Linda, CA) abutments in the region of teeth Nos. 35, 36, and 37 (Fig. 5). A metal ceramic bridge was finally placed by using gold screws (Figs. 6 and 7).
More than a year has passed since the procedure. The patient is still on recall and doing well both functionally and esthetically. She continues to demonstrate good oral hygiene. The radiographic appearance at the 12-month recall is shown in Figure 8.

Fig. 5. Photograph that shows Mirus cone abutments (Nobel Biocare, Yorba Linda, CA) (stage II).
Fig. 6. Periapical radiographs after one year.

 
 
Fig. 2. Radiograph after surgical intervention of the lesion.
Fig. 7. Radiograph after bridge placement.
Fig. 8. Photograph after bridge placement.