Tito explained to us that his previous dentist never addressed his concerns and lacked compassion and empathy.  He felt that he wasn’t being heard, and that all the dentist wanted to do was to bond porcelain on his teeth.  His frustrations led him to our office for a consult.  Tito explained to us they had recommended removing four of his front teeth and replacing them with a very long-span bridge. Although not entirely a bad plan, it did not take into account more contemporary and advanced options, and did not address the many problems that can result from implementing it.First, a bridge that has to be attached to multiple teeth will exert tremendous forces on them, and may result in leakage and secondary cavities, and eventually, the need for root canals.  Second, the bridges are also difficult to clean, since a patient cannot use floss on them. Finally, cosmetically, they will never look right.  Our plan for Tito included implants to replace the teeth that had to be removed. In addition, the broken-down teeth on the corners of his smile would be strengthened with all-porcelain crowns that would blend seamlessly with the implants.