Monday, January 8, 2024

What type pontic design would you in a patient with a high esthetic demand when preparing teeth number 9-11 for a FPD



What type pontic design would you in a patient with a high esthetic demand when preparing teeth number 9-11 for a FPD:

  • a- ridge lap or saddle pontic
  • b- An ovate pontic
  • c- modified ridge lap pontic.

For a patient with high aesthetic demand when preparing teeth number 9-11 for an FPD, the most suitable pontic design would be: b. An ovate pontic.

Here's why:

- Aesthetics:

Ovate pontics offer the most natural and aesthetically pleasing appearance. They mimic the emergence profile of a natural tooth, with a smooth convex surface blending seamlessly into the gingiva. This is particularly important in the anterior region where visibility is high.

- Tissue support:

Ovate pontics provide good support for the gingival tissues, promoting healthy tissue contour and minimizing the risk of black triangles.

- Strength:

While not as strong as some other designs, ovate pontics can be sufficiently strong for most cases, especially with proper material selection and fabrication techniques.

- Versatility:

Ovate pontics can be adapted to various clinical situations and can be customized to match the specific anatomy of the missing tooth.

Other Options:

Here's a comparison of the other options:

- a. Ridge lap or saddle pontic:

These designs can appear bulky and unnatural, especially in the anterior region. They might also trap food debris and be difficult to clean.

- c. Modified ridge lap pontic:

This is a compromise between a ridge lap and an ovate pontic. It offers better aesthetics than a ridge lap but may not be as natural-looking as a true ovate pontic.

Therefore, considering the high aesthetic demand and the anterior location of the pontics, an ovate pontic would be the most recommended design for this specific case. However, it's important to note that the final decision should be made by a qualified dentist based on a comprehensive evaluation of the patient's individual needs and clinical factors.