Natural Tooth Pontic: An Instant Esthetic Option for Periodontally Compromised Teeth—A Case Series

Abstract

Sudden tooth loss in the esthetic zone of the maxillary or mandibular anterior region can be due to trauma, periodontal disease, or endodontic failure. The treatment options for replacing the missing tooth can vary between removable prosthesis, tooth-supported prosthesis, and implant-supported prosthesis. Irrespective of the final treatment, the first line of management would be to provisionally restore the patient's esthetic appearance at the earliest, while functionally stabilizing the compromised arch. Using the patient's own natural tooth as a pontic offers the benefits of being the right size, shape, and color and provides exact repositioning in its original intraoral three-dimensional position. Additionally, using the patient's platelet concentrate (platelet rich fibrin) facilitates early wound healing and preservation of alveolar ridge shape following tooth extraction. The abutment teeth can also be preserved with minimal or no preparation, thus keeping the technique reversible, and can be completed at the chair side thereby avoiding laboratory costs. This helps the patient better tolerate the effect of tooth loss psychologically. The article describes a successful, immediate, and viable technique for rehabilitation of three different patients requiring replacement of a single periodontally compromised tooth in an esthetic region.

Maintenance of gingival profile in the esthetic zone using natural tooth pontic

“…Tooth loss due to trauma, periodontal disease, and failed endodontic therapy in the esthetic zone creates a challenging situation to the dentist and requires immediate treatment due to the psychological and esthetic demands of the patient. [ 6 ] When the tooth is planned for extraction due to periodontal disease in the anterior region, the primary concern is esthetics. Due to increased esthetic demands from the patient, the dentist relies on esthetic principles while operating in esthetic areas considering patients' economic status.…”

Natural Tooth Pontic Using Recent Adhesive Technologies: An Esthetic and Minimally Invasive Prosthetic Solution

“…The immediate bonding of a natural tooth to adjacent elements presents a low-cost alternative for direct tooth replacement [6,[17][18][19]; this technique enables the original tooth anatomy to be replaced, providing excellent function and esthetics (size, shape, and color) at the same time. Use of patient's own tooth as pontic represents a conservative restorative solution with no laboratory procedures involved; it is well-suited for patients who ask for an immediate replacement of a hopeless tooth in the esthetic zone [20,21] and are not candidates for implant therapy. The use of a natural tooth as pontic (NTP) provides promising results by means of a combined application of fiber-reinforced materials and adhesive technologies.…”

An alternative treatment approach and follow-up of bone development ongoing young patient with extremely substance lost in anterior insicor teeth: case report

“…The extraction of these teeth causes aesthetic, phonetic and functional difficulties, pathological migration in the teeth and psychological problems in patients. 2 Urgent restoration of anterior aesthetic and functional requirements and treatment with minimal preparation that will cause minimal damage to the underlying dentition is important for patients. Current treatment options; removable temporary acrylic prostheses, dental prostheses used extracted tooth as abutment, fiber-reinforced adesive bridges, conventional metal and ceramic fixed partial prosthesis, and implant supported prostheses.…”