The patient described in this case report required removal of several mandibular incisor teeth because of severe periodontal disease. She demanded an immediate replacement for these teeth, but, because of the periodontal conditions, it was not possible to use conventional approaches to fulfill her request. The decision was made to fabricate an immediate indirect-direct, reinforced, bonded composite resin periodonal prosthesis. The patient's extracted mandibular central incisors were used as pontic replacements. The procedure was expedient, inexpensive, and conservative, and the results were esthetic.