Tooth adhesion has improved due to advances in adhesion technology, adhesivity, and material quality. As a consequence of these developments, a direct resin composite bridge may now be regarded as one of the options for management of a single missing tooth. The accuracy of 3D printing has also improved and clinical cases of using 3D printing in dentistry have been reported. In this clinical case, we chose a direct resin composite bridge using a plastic index which was digitally scanned and 3D printed, giving a satisfactory result. A 50-year-old female patient attended our hospital for extraction of a lower right central incisor. She favored a direct resin composite bridge as this method can achieve an esthetically satisfying outcome with non-invasive treatment. We scanned the patient’s dentition using a scanner (E4) and CAD software (Dental System). An index was made by CAD software (3-matic 15.0). Resin composite was used for restoration using a plastic index made by a stereolithography 3D printer (Form 3B). We chose a direct resin composite bridge for the single missing lower incisor, which has been successful for three months to date.

For long-term durability, it is necessary to observe any debonding, discoloration, partial fracture, secondary caries, etc.