This bridge has been in place for about 20 years. The patient is beginning a comprehensive course of treatment and we are getting ready for ortho so I cut off the old bridge to reprovisionalize and see how the tissue responds. We just want to be sure that we can move teeth with healthy tissue. The bridge popped off easily and I noted that there was no cement in the canine abutment in the prosthesis. It fit very poorly, thus the cause of the inflammation. I just didn't expect the inflammation to look like this!
This tissue had grown under the crown and had completely covered the preparation. It was difficult to laser it away and then provisionalize. It did, however, result in a much healthier situation!