Fig. 5 Fig. 10 Fig. 6 Fig. 11 Fig. 7 Fig. 8 Fig. 9 After discussing various options with the patient, she approved the treatment plan of sectioning the bridge at the mesial of tooth #18 and the distal of tooth #22. Tooth #21 would be extracted, and immediate implants would be placed at sites #19 and #21 to support a three-unit implant-supported bridge. Photographs, digital intraoral scans and a CBCT were taken, which allowed for virtual implant treatment planning, based on the desired restorative design and position. Dynamic surgical guidance would be used to place the implants in the desired position and a milled polymethyl methacrylate TempShell was fabricated to allow for immediate loading of the implants. The bridge was sectioned and tooth #21 was extracted atraumatically. Implants were placed at sites #19 and #21 using dynamic guided surgical protocols with an attained initial primary stability greater than 35 nanocentimeters (Figs. 5 and 6). As a result, an immediate provisional implant bridge was fabricated using the TempShell and was delivered (Fig. 7). Twelve weeks after the surgical procedure, the implant integration was verified and final digital impressions were taken using an intraoral scanner and scan bodies. The tissue contours and tooth shade were also captured with the intraoral scanner (Figs. 8 and 9). This information was sent to the laboratory, where a monolithic zirconia-based bridge was fabricated with a shade selected by the scanner (Fig. 8). This bridge was delivered successfully, with good color matching of the monolithic zirconia (Figs. 10 and 11). This case exhibits a completely digital workflow for a simple implant case and also demonstrates the aesthetics that are possible with monolithic zirconia. dentaltown.com \\ JUNE 2019 65http://www.dentaltown.com