The zirconia maryland bridge may be small, but is quite mighty. The patient presented with a fractured #23 at the gingival margin. He was concerned with the unsightly appearance of his smile.

A clinical case managing undiagnosed diabetes, active chronic moderate periodontitis with severe localized contributions, moderate to severe attrition on lower natural dentition (managing parafunctional habit), existing full upper arch PFM and Gold crowns with recurrent decay and open margins and anatomically incorrect crowns that contributed to the progression of periodontal disease, loss of VDO, and high caries risk.

Comprehensive dental care is essential for restoring patients’ oral health, function, and aesthetics. In this clinical presentation, I will discuss the comprehensive oral rehabilitation of a patient who presented with a chief concern of restoring occlusion function and improving aesthetics and overall oral health.

The patient was transferred to me by my “big sib” in order to proceed with implant FDPs oral rehabilitation. He presented with a complex medical history. Moreover, he felt self-conscious about his smile as a result of the deterioration of his oral health. The consequence of this led to the psychological impact of not being able to publicly smile. A multidisciplinary approach to this case was a foundation of clinical success. Rebuilding a patient’s confidence through a smile can be a life-changing experience. With dental implant and veneer rehabilitation, we were able to achieve the beautiful smile that the patient once had and wanted to regain. Once the treatment plan was completed, the patient agreed we had achieved our mutual goals.