Purpose: This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone.
Methods: Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented.
Results: The submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch.
Conclusions: The results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.
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http://dx.doi.org/10.5051/jpis.2015.45.4.152 | DOI Listing |
J Indian Soc Periodontol
December 2024
Department of Periodontics, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India.
Introduction: Following tooth extraction, there is comparatively more bone loss at the buccal aspect at 3 months of healing, which may result in 56% bone loss due to resorption of the bucco-facial ridge contour. In the socket shield technique, a tooth is planned for extraction in such a way that the tooth is sectioned in two halves, a palatal section is removed and the facial part is retained.
Materials And Methods: Twenty-six sites, i.
Br Dent J
December 2024
Specialty Registrar in Restorative Dentistry, Bristol Dental Hospital, Lower Maudlin Street, Bristol, BS1 2LY, UK.
Hard and soft tissue remodelling after tooth extraction may result in a concave profile at the subsequent edentulous ridge. This defect may result in a sub-optimal aesthetic transition zone between the soft tissue and the pontic, which may appear to sit on the ridge, rather than emanating from within the ridge, as would a natural tooth. To optimise aesthetics, pontic site augmentation (PSA) (increasing the volume at the pontic site) and pontic site development (PSD) (remodelling the tissue at the pontic site) may provide a solution.
View Article and Find Full Text PDFJ Esthet Restor Dent
October 2024
Clinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.
Objectives: To report on soft tissue contour changes at pontic sites with or without soft tissue grafting over an observation period of 15 years.
Methods: Fourteen patients received a fixed dental prosthesis (FDP) in the posterior zone in a controlled clinical study and were available at the 15-year follow-up. Eight patients received a subepithelial connective tissue graft in the pontic area (test) while six received the FDP without soft tissue grafting (control).
Cureus
July 2024
Department of Prosthodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical sciences, Saveetha University, chennai, IND.
Background Advancements in computer-aided design (CAD) and computer-aided manufacturing (CAM) technology have significantly improved the accuracy and consistency of producing fixed partial dentures (FPDs) compared to traditional manual methods. However, the fully digital transfer of mock-up morphology to final FPDs is not yet fully explored. Proper pontic design, which avoids direct gingival contact, is essential for maintaining oral hygiene and preventing tissue irritation.
View Article and Find Full Text PDFCureus
July 2024
Department of Periodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Dental implantology has been considered the mainstay in the rehabilitation of partial or complete edentulism. Nevertheless, complications and failures are occasionally encountered, and the most significant is the neurosensory disturbance. It not only causes persistent discomfort to the patient but frequently degrades the patient's oral health-related quality of life, even leading to a negative psychological impact.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!