Soft tissue management with ovoid pontics. Clinical case report
DOI:
https://doi.org/10.56294/saludcyt2024.553Keywords:
soft tissues, ovoid pontics, anterosuperior rehabilitationAbstract
Dentists daily face various clinical situations that complicate treatments in areas with missing teeth, particularly due to defects in the alveolar ridge. These defects in the anterior region are of special relevance, not only because of their aesthetic impact, as they involve teeth to be replaced, but also because of the need to maintain a gingival shape that resembles the natural anatomy as closely as possible and that facilitates hygiene. patient's mouth. For the treatment of edentulous ridges, multiple surgical techniques have been used. This article presents a clinical case report of a 64-year-old male patient, who attended the San Gregorio University of Portoviejo reporting dissatisfaction with his aesthetic appearance. The objective of the treatment was to describe the protocol for soft tissue management through the use of ovoid pontics. The rehabilitation included the complete restoration of the anterior-superior area, in order to restore the affected architecture, function and aesthetics. Treatment planning included endodontic procedures, tooth preparation and increasing the patient's vertical dimension to ensure correct adaptation of the final bridge. The application of these techniques allowed us to achieve aesthetic and functional success both in the short and long term
References
1. Falcon BE. Una alternativa «all in one» para el manejo de los defectos del reborde en la zona estética. Rev Mex Periodontol. 2014;2:75–9. https://www.medigraphic.com/pdfs/periodontologia/mp-20 14/mp142g.pdf
2. Di Stefano DA, Orlando F, Ottobelli M, Fiori D, Garagiola U. A comparison between anorganic bone and collagen-preserving bone xenografts for alveolar ridge preservation: systematic review and future perspectives. Maxillofac Plast Reconstr Surg. 2022;44(1). https://doi.org/10.1186/s40902-022-00349-3
3. Valadéz GS. Pónticos ovoides en el manejo de tejidos blandos: zona posterior con y sin extracción. Reporte de dos casos clínicos. Rev ADM. 2017;74(6):320–4. https://www.medigraphic.com/pdfs/adm/od-2017/od176i.pdf
4. Gómez-Escorza MA, Hernandez-Romero C, Armentía-Escarraga J, Gómez-Escorza E. Preservación Alveolar con Técnica BARP y Provisionalización Inmediata. Caso Clínico. Int J Odontostomatol. 2022;16(3):412–21. Available from: http://dx.doi.org/10.4067/S0718-381X2022000300412
5. Steigmann L, Di Gianfilippo R, Steigmann M, Wang HL. Classification Based on Extraction Socket Buccal Bone Morphology and Related Treatment Decision Tree. Materials (Basel). 2022;15(3):733. https://doi.org/10.3390/ma15030733
6. Abad-Coronel C, Villacís Manosalvas J, Palacio Sarmiento C, Esquivel J, Loi I, Pradíes G. Clinical outcomes of the biologically oriented preparation technique (BOPT) in fixed dental prostheses: A systematic review. J Prosthet Dent. 2022; S0022-3913(22)00488-7. https://doi.org/10.1016/j.prosdent.2022.07.010
7. Yadav R, Das M, Reddy N, Kumar GA. Aesthetic Management of Immediate Anterior Tooth Replacement with Ovate Pontic: A Case Report. Int J Res Rev. 2020;7(3):507–11. https://www.ijrrjournal.com/IJRR_Vol.7_Issue.3_March2020/IJRR0069.pdf
8. Loha OEC. Manejo de los tejidos blandos durante el tratamiento restaurador [Internet]. Universidad Nacional de Cuyo; 2019. https://tesisenfermeria.bdigital.uncu.edu.ar/objetos_digitales/19219/loha-cristina.pdf
9. Vargas AP, Yañez BR, Monteagudo CA. Periodontologia e Implantologia. 2da Edicion. Ciudad de Mexico: Editorial Medica Panamericana; 2022.
10. Duarte-Chávez LI, Larrinúa-Pacheco AD, Bermúdez-Cortés M, Villegas-Mercado CE, Bujanda-Ríos CI, Estrada-Macías ME, et al. Optimización de tejidos blandos con pónticos ovoides y prótesis adhesiva en paciente con agenesia de incisivos laterales superiores. Rev Med UAS. 2023;13(2):193–200. http://dx.doi.org/10.28960/revmeduas.2007-8013.v13.n2.009
11. Shelar P, Abdolvand H, Butler S. On the behaviour of zirconia-based dental materials: A review. J Mech Behav Biomed Mater. 2021;124(August):104861. https://doi.org/10.1016/j.jmbbm.2021.104861
12. Hanawa T. Zirconia versus titanium in dentistry: A review. Dent Mater J. 2020;39(1):24–36. https://doi.org/10.4012/dmj.2019-172
13. Reyes G, Ríos E. Ovoid pontic design through gingival contour. Rev Odontológica Mex. 2011;15(4):257–62. https://www.medigraphic.com/pdfs/odon/uo-2011/uo114i.pdf
14. Padilla MÁ, Hernández G, Nieto JA, Virgilio TM. Conformación de póntico E en sector anterior. Rev la Asoc Dent Mex. 2020;77(3):168–71. https://dx.doi.org/10.35366/94012
15. Korman RP. Enhancing esthetics with a fixed prosthesis utilizing an innovative pontic design and periodontal plastic surgery. J Esthet Restor Dent. 2015;27(1):13–28. https://doi.org/10.1111/jerd.12110
16. Mascetti T. Manejo clínico de las restauraciones f ijas de disilicato de litio con un solo retenedor y resina. Int J Esthet Dent. 2022;10(8):592–601. https://www.sepes.org/wp-content/uploads/2023/03/lectura-recomendada-tomasso-mascetti.pdf
17. Su G, Zhang Y, Jin C, Zhang Q, Lu J, Liu Z, et al. 3D printed zirconia used as dental materials: a critical review. J Biol Eng. 2023;17(1):1–19. https://jbioleng.biomedcentral.com/articles/10.1186/s13036-023-00396-y
18. Alqutaibi AY, Ghulam O, Krsoum M, Binmahmoud S, Taher H, Elmalky W, et al. Revolution of Current Dental Zirconia: A Comprehensive Review. Molecules. 2022;27(5):1–19. https://www.mdpi.com/1420-3049/27/5/1699
19. Bukhari MA, Aldossari AM, Alyami IM, Al Shari AH, Al Huwaidi AA, Alzaid SY, et al. Pontic design and its effects on the health of the gingiva. Int J Community Med Public Heal. 2022;9(12):4725. https://doi.org/10.18203/2394-6040.ijcmph20223238
20. Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: A narrative review. BMC Oral Health. 2019;19(1):1–14. https://doi.org/10.1186/s12903-019-0838-x
21. Bunces DS, Villegas JA, Posso RJ, Amancha JR. Aesthetic Interventions: A Clinical Study on Satisfaction with Personal Appearance. Salud, Ciencia y Tecnología. 2024; 4:1111. https://doi.org/10.56294/saludcyt20241111
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Copyright (c) 2024 Ana Carolina Pinargote Celorio, Hidelisa Valdés Domec (Author)
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