This patient had a porcelain bridge placed 10 years earlier. The back anchor tooth failed as it most often will with a bridge. The bridge was sectioned and back 2 teeth removed and the area was grafted. After a healing period of 4 months the implants were placed with a laser punch and the healing caps placed to start forming the gum tissue. After an additional healing period of 4 months the implant abutments and porcelain crowns were added. The front anchor tooth for the bridge was also replaced with a new all porcelain crown. Note the contrast in quality of the new porcelain work.