Technique to Match Gingival Shade when Using Pink Ceramics for Anterior Fixed Implant Prostheses

Papaspyridakos, Panos; Amin, Sarah; El-Rafie, Khaled; Weber, Hans‐Peter

doi:10.1111/jopr.12483

Cited by 12 publications

(5 citation statements)

References 10 publications

(16 reference statements)

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“…However, they can be a disadvantage with high smile line patients as it is mostly indicated for moderate and low smile patients. [ 8 ] The reason is transition line exposure of gingiva and artificial pink substitute’s visibility during smile. The precise location of this line in apical direction depends on a clinician’s ability to create crestal concavity at its border to harbor artificial gingival extension with a convex profile.…”

Section: Discussionmentioning

confidence: 99%

Pink gingival restoration: An acceptable treatment for complex ridge defects

Durrani

Pandey

Singh

2022

Journal of Indian Society of Periodontology

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Complex implant prosthetic reconstruction poses several challenges. The lost anatomy of periodontium due to trauma or long-standing missing teeth, especially in esthetic area, requires several surgical visits for recovery. The augmentation procedures are technique sensitive and unpredictable and need long commitment from the patient. They are time-consuming and expensive, and patients are often unwilling. The alternative for anatomically deficient partial edentulous sites could be prosthetic gingival restoration. They help in re-establishing natural contours, interproximal papilla, and further eliminating complex procedures. The other advantage is perfect horizontal and vertical transition between the prosthesis and adjacent tissues. This article describes two cases of completed gingival prosthetic prosthesis which corrected the missing architectures around lost teeth. It was well accepted by the patients and can be an alternative for unpredictable regenerative procedures.

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Section: Discussionmentioning

confidence: 99%

Pink gingival restoration: An acceptable treatment for complex ridge defects

Durrani

Pandey

Singh

2022

Journal of Indian Society of Periodontology

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“…Gingival shade matching, often overlooked, plays an integral role in designing fixed prostheses for patients with high smile lines, and gingival defects, and in cases where the acrylic flange of removable dentures extends into the aesthetic zone [ 4 ]. A recent study showed that ethnicity and age had a significant impact on the color of the gingiva [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Prevalent Gingival Shades in the South Indian Population: An Observational Study

Ashok¹,

R²,

N³

et al. 2023

Cureus

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Introduction: Gingival shade matching, often overlooked, plays an integral role in designing prostheses for patients with high smile lines, gingival defects, and cases where the acrylic flange of removable dentures extends into the aesthetic zone. The purpose of this study was to find the most prevalent gingival shade in a sample of the South Indian population. Materials and methods: A total of 110 participants were included in the study based on the inclusion and exclusion criteria. The standard daylight method of shade matching was used for this study. The participants were seated in a dental chair in the vertical position with their heads supported, their mouths open, and cheek retractors in place. The study area, gingiva, and vestibular region in relation to maxillary and mandibular right central incisors were dried with a three-way syringe, 15cm away, for 3 seconds before shade matching for 5 seconds at each reference point with an Ivoclar Vivadent IPS Dsign shade guide. Conclusion: The most prevalent shade in the marginal and vestibular regions of the gingiva of the South Indian population was found to be GM2 shade, while the most prevalent shade of the attached gingiva was found to be G2 shade. A good percentage of the attached gingival shade was not matched with the tabs available in this shade guide.

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“…Among the soft tissue materials, gingival-colored pink porcelain stands out due to its superior aesthetics [10]. Pink porcelain has been shown to enhance aesthetics and is effective in masking negotiated surgical outcomes [11,12]. However, to achieve an ideal aesthetic outcome, the restorative material must reproduce the natural color of the tissues.…”

Section: Introductionmentioning

confidence: 99%

Influence of Multiple Firings on the Color Stability and Surface Roughness of Gingival Pink Feldspathic Ceramic

Alnassar

2022

Coatings

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The present study was aimed at analyzing the impact of repeated firings on the color stability and surface roughness (Ra) of gingival pink feldspathic porcelain. Twenty specimens (n = 20) were prepared, and repeated firings were carried out. These samples were equally and randomly divided into two groups (n = 10) to assess the color change (ΔE), using a spectrophotometer and Ra using a non-contact profilometer. The ΔE was calculated after the third, fifth, and seventh firings, whereas the Ra was assessed after the first, third, fifth, and seventh firings. The greatest ∆E was observed after the seventh firing (6.86), followed by the fifth firing (3.93). The lowest ∆E was seen after the third firing (2.61). All the inter-group comparisons were statistically significant (p < 0.01). The change in color of gingival pink feldspathic porcelain samples observed after multiple firings could be attributed to pigments in this material becoming unstable, and the possible change in the crystal orientation with increased firings. The highest Ra was observed for the samples after the first firing (1.130 μm), followed by the third firing (0.617 μm) and fifth firing (0.477 μm). The lowest Ra values were seen for the samples after the seventh firing (0.425 μm). All the inter-group comparisons were statistically significant (p < 0.01), except when the Ra values of samples after the fifth and seventh firing were compared (p > 0.01). The decreased Ra could be attributed to the melting of glaze with increased firings, which could have filled the gaps on the porcelain’s surface making it less rough. The present study demonstrated that an increase in repeated firings resulted in an increase in the ∆E values and a decrease in the Ra values of gingival pink feldspathic porcelain samples. The greatest increase in ∆E and the highest reduction in Ra values were noticed after the seventh firing. Future studies, including other parameters (variable thickness of ceramic and firing temperatures), should be conducted to study the impact of repeated firings on the color stability and roughness of gingival pink feldspathic porcelain.

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Technique to Match Gingival Shade when Using Pink Ceramics for Anterior Fixed Implant Prostheses

Cited by 12 publications

References 10 publications

Pink gingival restoration: An acceptable treatment for complex ridge defects

Pink gingival restoration: An acceptable treatment for complex ridge defects

Assessment of Prevalent Gingival Shades in the South Indian Population: An Observational Study

Influence of Multiple Firings on the Color Stability and Surface Roughness of Gingival Pink Feldspathic Ceramic

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