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Perio-prosthodontic pontic site management, part II: Pontic site reconstruction strategies to enhance the esthetic and biological outcomes.
Gomez Meda, Ramon; Esquivel, Jonathan.
Afiliación
  • Gomez Meda R; Adjunct Assistant Professor, Department of Prosthodontics, Louisiana State University School of Dentistry, New Orleans, Louisiana, USA.
  • Esquivel J; Adjunct Associate Professor, Department of Prosthodontics, Louisiana State University School of Dentistry, New Orleans, Louisiana, USA.
J Esthet Restor Dent ; 36(5): 737-745, 2024 May.
Article en En | MEDLINE | ID: mdl-38186222
ABSTRACT

OBJECTIVE:

Ridge deformities are present in most patients after tooth extraction; these defects make the management of future implant and pontic sites challenging to deal with. The restorative team should be able to diagnose and treat these deformities to allow for successful outcomes. Many approaches have been described to reconstruct pontic sites, each with specific indications. This article describes the different approaches to reconstructing pontic sites and their indications to allow for a proper esthetic and biological environment for future restorations. CLINICAL CONSIDERATIONS Depending on the severity of the defect, location, and the esthetic necessity, pontic site enhancement can be done through different approaches, some requiring soft tissue grafting, hard tissue grafting, or both. Understanding the indications of the treatment options is essential to allow the clinician to make the right therapeutic decision and achieve the best possible perio-prosthodontic outcomes.

CONCLUSIONS:

An adequate balance between the soft tissue and prosthetics is essential to achieve successful results on implant-supported or tooth-supported fixed dental prostheses (FDPs). Selecting the right approach to treat ridge deformities is necessary to increase treatment success, reduce over-treatment, and create a biologically sound environment for restorations. CLINICAL

SIGNIFICANCE:

Pontic site enhancement through reconstructive surgery will allow for esthetically pleasing and biologically stable results, allowing restorations to emulate natural structures lost after tooth extraction.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prostodoncia / Estética Dental Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: J Esthet Restor Dent Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prostodoncia / Estética Dental Tipo de estudio: Prognostic_studies Límite: Humans Idioma: En Revista: J Esthet Restor Dent Asunto de la revista: ODONTOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido