Had the opportunity to complete a direct resin infiltrated fiber bonded bridge on this recently explanted lateral incisor mini implant on a 16 year old female. The implant surgeon wishes to wait an additional 12 weeks before placing a new transitory fixture. A double winged approach here was utilized because we wanted the best assurance that the bridge was going to stay in place for these 12 weeks.
A way of approaching a case like this is to build the case without etching enamel and bonding first – build the pontic and layer as per usual. Remove the pontic and finish line angles and add apical convexities in the case of an ovate pontic, replace and try-in. Once “friction fitted” into place, a channel can be pre-placed in the palatal aspect of the pontic to house the Ever-Stick C&B ribbon, which is all “cemented” with flowable composite.