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This case study investigates the use of an ovate pontic design in simulated tissue contouring, a technique intended to produce the best possible functional and aesthetic results in dental prostheses. The edentulous ridge and normal gingival architecture must be preserved and maintained, as they frequently collapse after tooth extraction. In today's aesthetic dentistry, preserving interproximal tissue contour and preventing alveolar bone collapse are highly desirable. This case report presents a 25-year-old male patient with a missing anterior tooth due to trauma. The patient's missing anterior maxillary tooth caused both functional and aesthetic problems. The patient was presented with two options: an implant-supported prosthesis or a three-unit fixed partial denture (FPD). Due to economic constraints, the patient opted for a three-unit FPD. A clinical examination revealed that the adjacent teeth were intact and that the edentulous ridge was well-maintained. This necessitated a careful prosthetic approach to achieve harmonious integration with the surrounding soft tissues. A transfer impression technique was used to attain the desired result. A three-unit FPD was selected to restore the patient's edentulous area and provide an anatomical imitation of normal gingival architecture, incorporating an ovate pontic and porcelain-fused-to-metal crowns on both adjacent teeth. Because of its natural appearance and improved integration with the edentulous ridge, the ovate pontic design is preferable to other pontic designs, such as the modified ridge lap or the saddle pontic. Compared to bulkier or ill-fitting designs, its shape closely resembles the contour of a natural tooth, improving cleanliness and aesthetics by reducing plaque retention. The results demonstrated that dental aesthetics and functional occlusion could be successfully restored, and the patient was satisfied with the prosthesis's natural-looking appearance. This case highlights the crucial role of custom prosthetic methods in creating natural-looking dental restorations, particularly through ovate pontic design and simulated tissue contouring. It underscores the importance of combining patient-centered care with cutting-edge prosthodontic concepts such as digital technology, 3D printing, and artificial intelligence to optimize outcomes in dental practice. From an educational perspective, this paper provides valuable insights into how a three-unit FPD with an ovate pontic enhances the functional and aesthetic aspects of dental prostheses.
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http://dx.doi.org/10.7759/cureus.80276 | DOI Listing |
J Esthet Restor Dent
August 2025
Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Objective: The replacement of missing maxillary lateral incisors poses both functional and esthetic challenges, not only from a restorative but also from a periodontal aspect. This case report presents a step-by-step protocol for ideal hard and soft-tissue esthetics with cantilever zirconia ceramic resin-bonded fixed dental prostheses (RBFDPs).
Clinical Considerations: A 20-year-old female patient presented with congenitally missing maxillary lateral incisors, seeking treatment to enhance the esthetics of her smile.
J Esthet Restor Dent
June 2025
Board Members of PROSEC and Active Members of EAED (European Academy of Esthetic Dentistry), Switzerland.
Introduction: Resin-bonded fixed partial denture (RBFDP) is a conservative minimal invasive approach for replacing missing teeth and could be included as a treatment option. This type of restoration has been described over 30 years ago and can be considered to give a reversible, minimally invasive, esthetic and predictable restorative outcome. Clinical settings appear to high failure rates, mainly due to unfavorable bridge designs or inappropriate cementation protocol.
View Article and Find Full Text PDFCureus
March 2025
Prosthodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND.
This case study investigates the use of an ovate pontic design in simulated tissue contouring, a technique intended to produce the best possible functional and aesthetic results in dental prostheses. The edentulous ridge and normal gingival architecture must be preserved and maintained, as they frequently collapse after tooth extraction. In today's aesthetic dentistry, preserving interproximal tissue contour and preventing alveolar bone collapse are highly desirable.
View Article and Find Full Text PDFJ Prosthodont
March 2025
Division of Periodontics, Columbia University College of Dental Medicine, New York, New York, USA.
Purpose: The aim of this prospective clinical cohort study is to evaluate how the use of ovate pontic alongside alveolar ridge preservation (ARP) contributes to soft tissue preservation when placed immediately post-extraction into a socket with or without intact buccal bone plate in the esthetic zone.
Materials And Methods: Twenty-three patients with a non-restorable tooth in the maxillary esthetic zone bound by natural adjacent teeth were recruited for the study. At the time of extraction, patients were assigned to three groups, Group A (type I socket with ARP), B (type II socket with ARP), and C (type II socket with ARP and membrane).
J Esthet Restor Dent
May 2025
University of Washington, Grand Rapids, Michigan, USA.
Objective: Due to the fluid and changing nature of oral soft tissue, creating an ovate pontic in both the provisional and final phases can be challenging. This article will explain the advantages of a digital workflow to streamline ovate pontic design, approval, and fabrication of the final prosthesis.
Clinical Considerations: The factors influencing the design of an ovate pontic will be presented for both an existing edentulous site and an immediate extraction site.