Authors :
Dr. Nazish Baig; Dr. Isha Gotmare; Dr. Shubhankar Nandkhedkar; Dr. Sakshi Bhatkar; Dr. Shivani Kapoor
Volume/Issue :
Volume 9 - 2024, Issue 5 - May
Google Scholar :
https://tinyurl.com/2tvn76e4
Scribd :
https://tinyurl.com/y2j69jfs
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24MAY414
Abstract :
Background
The article discusses a technique for modifying the
pontic site when replacing missing maxillary incisors in
the anterior esthetic zone. In such cases, patient concern
often centres around esthetics, especially considering
factors like smile lines and the display of incisors. The
esthetic zone may extend to the entire clinical crown and
involve the surrounding soft tissue, particularly if the
patient has a high smile line.
Case Summary
The emergence profile is highlighted as a crucial
aspect when dealing with pontics in the esthetic zone. The
emergence profile refers to the way the pontic emerges
from the gingival tissue, and it significantly influences the
overall esthetics of the restoration.
Conclusion
The technique described in this case report involves
converting a flat gingival contour into a concave receptor
site for the desired pontic without soft tissue grafting. This
modification aims to enhance the emergence profile,
contributing to a more natural and esthetically pleasing
outcome when replacing missing maxillary incisors in the
anterior esthetic zone.
References :
- Narayan, Sarita Joshi; Singh, Pranav Kumar; Devarhubli, Achut R.1; Keerthi, R.1. Soft tissue development around pontic site: A case series. The Journal of Indian Prosthodontic Society 16(3):p 298-302, Jul–Sep 2016. | DOI: 10.4103/0972-4052.167943
- Croll BM. Emergence profiles in natural tooth contour. Part I: Photographic observations. The Journal of prosthetic dentistry. 1989 Jul 1;62(1):1-3.
- Yotnuengnit B, Yotnuengnit P, Laohapand P, Athipanyakom S. Emergence angles in natural anterior teeth: influence on periodontal status. Quintessence International. 2008 Mar 1;39(3).
- Gahan MJ, Nixon PJ, Robinson S, WY Chan MF. The ovate pontic for fixed bridgework. Dental Update. 2012 Jul 2;39(6):407-15.
Background
The article discusses a technique for modifying the
pontic site when replacing missing maxillary incisors in
the anterior esthetic zone. In such cases, patient concern
often centres around esthetics, especially considering
factors like smile lines and the display of incisors. The
esthetic zone may extend to the entire clinical crown and
involve the surrounding soft tissue, particularly if the
patient has a high smile line.
Case Summary
The emergence profile is highlighted as a crucial
aspect when dealing with pontics in the esthetic zone. The
emergence profile refers to the way the pontic emerges
from the gingival tissue, and it significantly influences the
overall esthetics of the restoration.
Conclusion
The technique described in this case report involves
converting a flat gingival contour into a concave receptor
site for the desired pontic without soft tissue grafting. This
modification aims to enhance the emergence profile,
contributing to a more natural and esthetically pleasing
outcome when replacing missing maxillary incisors in the
anterior esthetic zone.
