This 59-year-old female patient presented with a collapsed vertical and anterior bridge that did not show teeth when she smiled. The lack of supporting bone made implants unfeasible, so BioTemps were placed to overcome the resorption and restore a normal vertical dimension. Pink acrylic was used to mask the resorbed area and permit a smile that would show her teeth.

This 45-year-old male patient had a severe parafunctional habit for all of his adult life. Because of his edge-to-edge bite, he had lost several millimeters of vertical dimension over the decades. Full upper and lower BioTemps were placed to restore vertical dimension and establish proper overjet and overbite.

This 41-year-old male patient had always smiled with his lips closed because he was embarrassed by the look of his smile. He did not like the spaces between his teeth, the multiple discolorations, or how short the teeth had become from parafunctional activity. BioTemps were used to improve his smile on the same appointment and to act as a template for final restorations.

This 21-year-old male patient would cover his smile with his hand to hide his teeth. This patient has suffered with GERD and has been treated by a physician. Once under control, treatment could proceed and BioTemps were placed on the upper arch. The patient was visibly moved at seeing his new smile, and the final restorations matched the size and shape of the BioTemps.

This 34-year-old male patient did not like how his PFM bridge from #6–8 looked and the fact that food always got caught underneath. The patient decided to restore his teeth from #5–12 at the same time. BioTemps were placed from #5–12 to successfully address the patient’s aesthetic and functional concerns.

This 28-year-old male patient had multiple failing composites with recurrent decay and moderate periodontitis. He was also embarrassed to smile. After completing his periodontal program, full-arch BioTemps were placed on the upper. The gingival embrasures were intentionally left open so the patient could easily floss.

This 31-year-old female patient was presented with a PFM bridge from #8–10 with open margins on both abutments. She complained that food constantly got caught underneath the modified ridge lap pontic. It was decided to place a new PFM bridge with an ovate pontic. When the old bridge was removed, the faciolingual width of the ridge was measured to see if there was enough space for the ovate pontic, and in this case there was. If the ridge has collapsed on the facial due to a traumatic extraction, an ovate pontic is often not possible. A color transfer applicator was used to mark the tissue side of the BioTemps pontic, and the bridge was tried into place, leaving a mark in the correct position for the ovate pontic receptor site. A Waterless^® YSGG laser was used to remove the marked tissue. The BioTemps bridge was tried in again to continue marking the tissue. When the BioTemps bridge would seat completely, enough tissue had been removed. The BioTemps were then cemented and the area was allowed to heal for 6–8 weeks.

This 54-year-old male patient presented with unaesthetic PFMs with exposed metal margins. Upon further examination, it became apparent that teeth #8–10 were periodontally involved and their prognosis was hopeless. Teeth #8–10 were atraumatically extracted with the use of periotomes. The patient did not bite down on any 2x2s as this can cause collapse of interdental papilla. Because our goal was to create ovate pontic receptor sites, the BioTemps pontics were extended into the extraction sites and were allowed to heal, creating a more esthetic result.