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Órgano oficial de la Universidad Autónoma de Sinaloa

2023, Number 2

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Rev Med UAS 2023; 13 (2)

Soft tissue optimization with ovoid pontics and adhesive prosthesis in a patient with agenesis of maxillary lateral incisors

Duarte-Chávez LI, Larrinúa-Pacheco AD, Bermúdez-Cortés M, Villegas-Mercado CE, Bujanda-Ríos CI, Estrada-Macías ME, Luján- Aguilar MA

Language: Spanish
References: 20
Page: 193-200
PDF size: 188.97 Kb.


ABSTRACT

The absence of a single tooth can occur due to trauma, cavities or congenital alterations. The implant-supported prosthesis has become a common treatment to restore an absent tooth, however, not all patients are eligible to receive it. There are several treatment options, the most conservative is the resin bonded bridge or Maryland. The all-ceramic Maryland prosthesis has a better aesthetic appearance, less accumulation of dental biofilm and is biocompatible. The conformation of an ovate pontic, provides major esthetic to the restoration, because it simulates the emergence profile of a natural tooth. Its design allows proper cleaning to prevent accumulation of dental biofilm and soft tissue inflammation. In this article, we report the clinical case of a female patient with congenital absence of both upper laterals. Soft tissues were optimized by gingivoplasty, and ovoid pontics for the successful placement of the prosthesis, obtaining greater aesthetics in the anterior sector, since it imitates an emergence profile of a natural tooth, in addition, it allows for adequate cleaning.


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