Gingival response to pontics

Podshadley, Arlon G.

doi:10.1016/0022-3913(68)90009-7

Cited by 49 publications

(17 citation statements)

References 4 publications

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“…Some investigators have reported that soft tissue-contacting pontics have been associated with clinical signs of inflammation such as swelling, edema, and histologic changes. [23][24][25][26] However, oral hygiene was not the main concern of these investigators; their primary concerns were the composition and surface texture of the pontic material, the design of the pontic, and the degree of pressure placed on the edentulous ridge mucosa by the pontic.…”

Section: Discussionmentioning

confidence: 99%

Use of a Modified Ovate Pontic in Areas of Ridge Defects: A Report of Two Cases

Liu

2004

J Esthet Restor Dent

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A modified design for ovate pontics is proposed to achieve the esthetic, functional, and hygienic requirements for fixed partial dentures. This design should aid the clinician in preparing the edentulous area, thus resulting in less discomfort for the patient because little to no ridge augmentation is required. The same emergence profile can be developed as with the classic ovate pontic design. CLIhrICAL SIGNIFICANCEA modified ovate pontic has the following advantages: excellent esthetics because it produces a correct emergence profile;: fulfilled functional requirements; greater ease of cleaning as compared with the ovate pontic; an effective air seal, which eliminates air or saliva leakage; the appearance of a free gingiv~l margin and interdental papilla; elimination or minimization of the "black triangle" between the teeth; and little or no ridge augmentation required prior to the final restoration.( J Esthet Restor Dent 16:273-283, 2004)

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Section: Discussionmentioning

confidence: 99%

Use of a Modified Ovate Pontic in Areas of Ridge Defects: A Report of Two Cases

Liu

2004

J Esthet Restor Dent

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“…Treatment planning must include a thorough evaluation of the abutment teeth as well as the presence of adequate gingival tissue for conditioning, or whenever necessary, tissue grafting to develop vertical height. In addition to clinical procedures, many authors have highlighted the importance of encouraging the patient to achieve outstanding plaque control, since localized inflammation could be the main reason for treatment failure …”

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confidence: 99%

“…14,15 Three main gingival conditioning methods have been well documented in the literature: (1) electrosurgery, (2) scarification, and (3) gradual pressure by the convex surface of the pontic. [14][15][16][17][18] Treatment planning must include a thorough evaluation of the abutment teeth as well as the presence of adequate gingival tissue for conditioning, or whenever necessary, tissue grafting to develop vertical height. In addition to clinical procedures, many authors have highlighted the importance of encouraging the patient to achieve outstanding plaque control, since localized inflammation could be the main reason for treatment failure.…”

mentioning

confidence: 99%

“…In addition to clinical procedures, many authors have highlighted the importance of encouraging the patient to achieve outstanding plaque control, since localized inflammation could be the main reason for treatment failure. 14,15 Gingival tissue manipulation using provisional crowns may overcome the esthetic problem during the period of provisionalization; however, transferring such details with precision and reproducibility to the laboratory technician is a much more daunting task, since the gingival tissue is highly resilient and rapidly changes upon removal of the provisional crowns. Considering that, commonly, the conditioned tissue is transferred filling up the gingival concave spaces after removal of provisional crowns with low shrinkage acrylic resin followed by the metal framework placement on the abutment teeth.…”

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confidence: 99%

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Transferring Conditioned Partially Edentulous Ridge Form to a Master Cast

Pereira

Ghizoni

Oliveira

et al. 2015

Journal of Prosthodontics

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Gingival conditioning techniques in prosthodontics aim to overcome bone and soft-tissue defects that often compromise the outcome of restorations in terms of esthetics, function, and biocompatibility. Whatever the technique used, it is essential to reproduce a regular concave gingival outline in order to recreate the natural aspect of the relationship between teeth and gingiva, eliminating black triangles. Transferring the details of the conditioned soft tissue to the laboratory technician with precision may be challenging. The authors hereby propose a novel technique to transfer the clinical aspect of the conditioned soft tissue to the master cast, using a customized metal framework to help ensure accuracy.

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“…2,11,12 The ridgelap would usually involve a slightly larger area of tissue contact and somewhat greater tendency to concavities in the contacting surface. 17,19 The modified ridge-lap is generally flat or slightly convex in all tissue contacting areas 13,14 .This study was done to evaluate the tissue response underneath the modified ridgelap pontic and ridgelap pontic, 15,16 to determine the condition of mucous membrane beneath the tissue surface of the pontic, condition interdental papilla under the connector of the fixed partial denture and to evaluate periodontal status of the abutment tooth. 21,23,24 …”

Section: Introductionmentioning

confidence: 99%

A comparative study on tissue response under the ridgelap and modified ridgelap pontic

Khan

Rahman

Islam³

et al. 2015

Update Dent. Coll. j

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The aim of this study is to compare the tissue response between the ridgelap pontic and modified ridgelap pontic. Total patients were 40. The fixed prosthesis were cemented by temporary cementing material. After providing the treatment, instruction on maintenance of prosthesis. Patients were visited and studied after 6 weeks, 12 weeks and 6 months to observe the condition of tissue response beneath pontic. The following necessary data were collected in respect of the condition of tissue beneath the pontic, color of gingiva. The modified ridgelap pontic is better than ridgelap pontic regarding tissue response. The tissue response with the ridgelap surface of the pontic of fixed partial denture in 1st molar missing tooth enhanced the condition of the mucous membrane beneath the tissue surface of the pontic, condition of the abutment tooth, between ridge surface of the pontic and mucosa overlying the edentulous ridge achieved better success regarding fixed partial denture.Update Dent. Coll. j: 2015; 5 (1): 15-20

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Gingival response to pontics

Cited by 49 publications

References 4 publications

Use of a Modified Ovate Pontic in Areas of Ridge Defects: A Report of Two Cases

Use of a Modified Ovate Pontic in Areas of Ridge Defects: A Report of Two Cases

Transferring Conditioned Partially Edentulous Ridge Form to a Master Cast

A comparative study on tissue response under the ridgelap and modified ridgelap pontic

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