This patient was very unhappy with her smile and wanted me to help. We discussed different treatment options and what would work best. I took study models, waxed up an ideal smile and made a provisional bridge of the ideal smile.  At the treatment appointment I prepped the canines and centrals for the bridge, extracted the lateral incisors and adjusted, fitted and cemented, the provisional bridge. The provisional bridge will stay in place for 3 months while the extraction sites heal. Following healing I will re-prep the teeth and take the final impression for the porcelain bridge.