Andrew’s bridge: a case report

Background: Replacing anterior teeth in patients with ridge defects often presents functional and esthetic limitations. Andrew’s Bridge, a fixed–removable prosthesis, is designed to overcome these challenges by combining the stability of fixed retainers with the esthetic and hygienic benefits of a removable component. Methods: This case report outlines the clinical procedure for fabricating an Andrew’s Bridge in a 38-year-old female patient presenting with missing mandibular anterior teeth (31, 41, 42) and gingival recession involving 32, 33, and 43. After comprehensive assessment and treatment planning, endodontic therapy was completed on abutment teeth (33, 34, and 43). Subsequent steps included tooth preparation, impression making, wax pattern construction, and casting of retainers with a bar design. A Ceka Preci-Horix attachment was incorporated for secure retention of the removable segment. The final prosthesis was finished, cemented, and delivered following standard clinical protocols. Conclusion: Andrew’s Bridge provides a conservative, cost-effective, and esthetic treatment option for patients with anterior ridge defects to restore function, estheticsand speech.