A 65-year-old man has a failing fixed prosthesis replacing the tooth #19 (Fig.1).  The distal abutment tilts mesially (red line) with evidence of occlusal trauma (>, increased periodontal ligament space).  The implant at the site of #19 is intentionally placed distally (black outline) and will be used as an anchorage once osteointegrated to upright #18.  Ultimately the mesiodistal width of #19 crown will be ideal. *: distal inlay prep of #20.  The occlual surface of the pontic (19) is low, suggesting supraeruption of #14.  The cusps of #14 will be adjusted before fabrication of a provisional fixed prosthesis.

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Xin Wei, DDS, PhD, MS 1st edition 09/23/2014, last revision 09/23/2014