Perfect timing

Recently, Keith returned for a review appointment. I had last seen him a few years before when he had been provided with a complete fixed maxillary implant retained bridge. The construction was a standard CAD/CAM milled titanium framework, wrap around acrylic veneer with denture teeth, supported on seven implants. Keith had only appeared because the upper right five and six had shattered. This had not really prompted him to attend; we had written to him again, suggesting a review appointment, and the combination must have reached critical mass for him to contact us. It’s surprisingly difficult to get some of these characters to attend. I had not seen Keith since his initial review and hygiene visit shortly after fitting his definitive bridge, more than three years previously. When I did finally see him he was full of enthusiasm for his bridge: ‘Yeah, they’ve been fantastic, amazing. You know it’s just like my old teeth’. I could see whilst he spoke the missing contours of the UR5 UR6.