Soft Tissue Master Cast for Esthetic Control in Crown and Bridge Procedures

Pameijer, Jan H.N.

doi:10.1111/j.1708-8240.1989.tb00492.x

Cited by 13 publications

(7 citation statements)

References 3 publications

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“…A second impression is made using a resin framework with the proper pontic shapes. These techniques, however, require additional clinical appointments and laboratory procedures 27,30–34 …”

Section: Pontic Designsmentioning

confidence: 99%

Perio‐prosthodontic pontic site management, part I: Pontic designs and their current applications

Gómez-Meda

Esquivel

2023

J Esthet Restor Dent

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Objective: Emulating natural dentition with dental implant restorations is challenging, increasing its complexity when a pontic area must be restored. Many different methods have been described to solve this problem. The pontic designs which have been proposed have specific indications and may require additional treatments, including soft tissue augmentation procedures, to increase the possibility of an esthetically pleasing and biologically tolerable outcome. Proper conditioning of the soft tissues during the interim restoration stage and adequate communication with the laboratory are also critical factors to a successful outcome. This article describes the different approaches to restoring pontic sites with different degrees of complexity, their clinical indications, and limitations viewed from a perio-prosthodontic approach. Clinical Considerations: Different clinical scenarios for pontic sites require different approaches. Missing hard and soft tissues can be replaced by surgical or prosthetic means. Understanding the clinical indications and implications of the different pontic designs allows the clinician to make good decisions when planning and treating patients that require replacement of pontic spaces leading to more successful outcomes. Conclusions: Different pontic designs have specific indications as well as biologic and esthetic prognoses. Selection of a good design, proper modifications during the provisionalization stage, and adequate communication with the dental laboratory will lead to higher chances of esthetic and biological success. Clinical Significance: The proper pontic design allows for esthetically pleasing pontic sites which emulate natural emergence from the soft tissues while promoting biological stability.

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Section: Pontic Designsmentioning

confidence: 99%

Perio‐prosthodontic pontic site management, part I: Pontic designs and their current applications

Gómez-Meda

Esquivel

2023

J Esthet Restor Dent

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“…Removable dies were prepared (Pindex System, Coltene Whaledent, Mahwah, NJ) with the abutment teeth and the pontic area indepcndently removable from the base (Fig 4). 4. The pontic area on the cast was wrtically reduced to clear the apical extension of the ovate pontics and notched to allow indexing and retention of soft tissue cast material.…”

Section: The Impression Was Poured With An Improved Stone (Die-keen Gmentioning

confidence: 99%

A Technique to Replicate Soft Tissues Around Fixed Restoration Pontics on Working Casts

Chee

Cho

Ikoma

et al. 1999

Journal of Prosthodontics

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When missing maxillary incisors are replaced, the patient's primary concern is usually esthetics. Depending on the patient's smile line and the display of the incisors, the esthetic zone may extend to the entire clinical crown and include the surrounding soft tissue. For these patients, the appearance and form of the soft tissue at the base of the pontics is as critical as the esthetics of the incisal edges of the restoration. A technique is presented to precisely transfer the soft tissue morphology of the pontic area to the working cast. This modified master cast allows the laboratory technician to fabricate restorations that will harmonize precisely with the soft tissues of the patient.

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“…When a missing maxillary incisor is replaced with a fixed dental prosthesis (FDP), an ovate pontic can be applied for esthetics and less plaque accumulation. [1][2][3][4][5][6][7][8][9][10] The established tissue beneath an interim ovate pontic may collapse when an interim FDP is removed and an impression is made. 10,11 To ensure positive contact and support of the pseudopapillae with a definitive pontic, a stone cast is scraped in this area.…”

mentioning

confidence: 99%

“…10 Alternatively, a soft tissue cast and an ovate pontic index can be fabricated to transfer accurate information about the sculpted tissue to the laboratory technician. [2][3][4][5][6][7][9][10][11][12][13][14][15] These techniques, however, require additional clinical appointments and laboratory procedures.…”

mentioning

confidence: 99%

Completely digital approach to an ovate pontic

Lee

2016

The Journal of Prosthetic Dentistry

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Soft Tissue Master Cast for Esthetic Control in Crown and Bridge Procedures

Cited by 13 publications

References 3 publications

Perio‐prosthodontic pontic site management, part I: Pontic designs and their current applications

Perio‐prosthodontic pontic site management, part I: Pontic designs and their current applications

A Technique to Replicate Soft Tissues Around Fixed Restoration Pontics on Working Casts

Completely digital approach to an ovate pontic

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