Step-by-step:

1. The patient is a 51-year old woman. Her premolar tooth in the upper jaw fractured and had to be removed. To replace the missing tooth we decided to make an EverStick fiber reinforced composite bridge using the direct method at the clinic.
2. The initial situation. For the molar tooth we prepared a cavity mesially. On the distal surface of the premolar we prepared a distal cavity for EverStick reinforcement. A wide area of cavities and bonding surfaces were etched. Cavities were bonded normally and light cured. After careful drying, flow plastic was placed onto the bottoms of the cavities. The flow composite was not hardened at this point
3. By using dental floss we measured the right size of EverStick fiber bundle. EverStick is packed on a silicone mold which makes it easy to handle.
4. EverStick fiber reinforcement was placed at the bottom of the cavities and light cured. To replace the missing tooth we need at least one EverStick fiber bundle.
5. The EverStick fiber reinforcement was covered first with flow composite and light cured. The intermediate section was layered with composite. The proximal spaces of premolar teeth must be left clear to ease cleaning.
6. We reinforced the pontic by attaching unidirectional EverStick fibers in transverse direction onto the frame. The pontic frame makes it easier to build the pontic from composite resin as well as reinforces it.
7. The bridge was adjusted to the occlusion and finished using a Bullet diamond.
8. The ready EverStick fiber reinforced bridge photographed from the labial side. By the patient's request we built a microfiller composite facade on the premolar.

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