Standards of pontic design

Howard, William W.; Ueno, Hiroshi; Pruitt, Clarence O.

doi:10.1016/0022-3913(82)90297-9

Cited by 12 publications

(9 citation statements)

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“…Adding and removing resin to the pontic may control the pressure on the site. Tissue sculpting with laser, bur abrasion, and electrosurgery can be done for this 5,28 …”

Section: Discussionmentioning

confidence: 99%

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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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“…Adding and removing resin to the pontic may control the pressure on the site. Tissue sculpting with laser, bur abrasion, and electrosurgery can be done for this 5,28 …”

Section: Discussionmentioning

confidence: 99%

“…Different pontic designs have been described in the literature to promote a natural appearance of the prosthesis, which is essential in the anterior maxilla, where the bone gets quickly remodeled after tooth extraction due to the thin cortical buccal plate present 3–7 …”

Section: Introductionmentioning

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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“…The ovate pontic which emerged from these limitations was first described by Dewey and Zugsmith in 1933. 5 Chiun-Lin Steven Liu improvises the design of ovate pontic for enhancing the esthetic and maintenance of hygiene by moving the height of contour of the pontic more labially to support the soft tissue and get the required emergence profile. 6 To ease of hygiene maintenance is technically easier in these type of pontics.…”

Section: Discussionmentioning

confidence: 99%

Simulated Tooth Emergence from Soft Tissue in an Anterior Bridge with Ovate Pontic

Khandagale¹,

Sanyal²,

Pawashe³

et al. 2016

IJPCDR

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Pontic is an artificial substitute for the missing tooth. The design of this prosthetic tooth will be dictated by esthetics, functions, hygiene, patient comfort, and maintenance of the dentulous ridge. An ovate pontic has been widely recommended to fulfill esthetic, functional, and hygienic requirements. The convex design of this pontic intends to form a concave soft tissue outline at the site of the alveolar ridge mucosa. This design eliminates the "black triangles" which are created after loss of tooth and interdental papilla thus preserving the emergence profile.Unfortunately, an ovate pontic design is not frequently advised by the clinicians. The case report presents an ovate pontic design for replacing maxillary anterior tooth to meet both esthetics and gingival health.

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“…[ 3 ] The requirements of the pontic design include esthetics, biocompatibility, function, phonetics, patient comfort, and maintenance of healthy tissue on the edentulous ridge. [ 4 5 6 7 ] Pontic design selection depends on the location of the edentulous area. Controversies exist for the gingival embrasure space and design.…”

Section: Introductionmentioning

confidence: 99%

Different pontic design for porcelain fused to metal fixed dental prosthesis: Contemporary guidelines and practice by general dental practitioners

Kazmi

Iqbal²,

Muneer

et al. 2018

Eur J Dent

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Objective:The current study aimed to assess the knowledge and practice of pontic design selection by the general dental practitioners (GDPs) in the light of contemporary guidelines.Materials and Methods:This cross-sectional study was conducted among the GDPs of Karachi. A questionnaire was designed to collect data from 100 GDPs. The questionnaire included general/demographic information (practitioner's education, experience, and place of practice) and an average number of fixed prosthesis constructed by the GDP. The questionnaire was further categorized to evaluate the knowledge/practice of pontic design selection and latest recommendations.Results:For the maxillary anterior segment, the ridge lap pontic was the most common (32%) followed by the modified ridge lap (28%). In the maxillary posterior segment, the ridge lap pontic was the most common (37%) followed by sanitary design (34%). For the mandibular anterior segment, the modified ridge lap (50%) was the most common followed by ridge lap pontic (17%). In case of the mandibular posterior segment, the sanitary design (34%) was the most common followed by ridge lap pontic (30%).Conclusions:The pontic design selection for the fixed prosthesis is a neglected domain. The contemporary guidelines are not followed with full spirit by the GDPs leading to wide variations in the pontic design selection.

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Standards of pontic design

Cited by 12 publications

References 0 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

Simulated Tooth Emergence from Soft Tissue in an Anterior Bridge with Ovate Pontic

Different pontic design for porcelain fused to metal fixed dental prosthesis: Contemporary guidelines and practice by general dental practitioners

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