Purpose: This article reports a case in which a recently extracted tooth was used as a natural tooth pontic bonded to the teeth on either side of the missing tooth using a Ribbond ribbon. Materials and Methods: A bondable, reinforcing polyethylene ribbon was used to bond a natural tooth pontic to adjacent teeth. Results: Acceptable esthetics were obtained and the result was satisfactory for the patient. Conclusion: After one year of clinical use, direct construction of a single-tooth replacement using the natural tooth pontic still provided satisfactory esthetics and function. The technology which makes this adhesive restoration possible is the development of a high strength, high molecular weight, biocompatible polyethylene fiber. This easily handled material must be evaluated In long-term clinical studies.