Agarwal Sumeet, Shetty Uttam, Mistry Laresh N, Mhaske Prasad, Deshpande Shantanu, Kondkari Saba, Mulla Sayem A, Jaiswal Himmat, Vaidya Hrashikesh
Prosthodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND.
Pediatric and Preventive Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, IND.
Cureus. 2025 Mar 9;17(3):e80276. doi: 10.7759/cureus.80276. eCollection 2025 Mar.
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.
本病例研究探讨了卵形桥体设计在模拟组织塑形中的应用,该技术旨在使牙科修复体获得尽可能最佳的功能和美学效果。无牙颌牙槽嵴和正常牙龈结构必须得以保留和维持,因为拔牙后它们常常会塌陷。在当今的美容牙科领域,保留邻面组织外形并防止牙槽骨塌陷是非常可取的。本病例报告介绍了一名25岁男性患者,因外伤导致上前牙缺失。患者上前牙缺失造成了功能和美观问题。向患者提供了两种选择:种植体支持的修复体或三单位固定局部义齿(FPD)。由于经济限制,患者选择了三单位FPD。临床检查发现相邻牙齿完好,无牙颌牙槽嵴保存良好。这就需要采用谨慎的修复方法,以实现与周围软组织的和谐整合。采用转移印模技术以达到预期效果。选择三单位FPD来修复患者的无牙区,并对正常牙龈结构进行解剖学模拟,包括一个卵形桥体以及相邻两颗牙齿上的烤瓷熔附金属冠。由于其外观自然且与无牙颌牙槽嵴的整合性更佳,卵形桥体设计比其他桥体设计(如改良嵴顶式或鞍形桥体)更可取。与更厚重或不合适的设计相比,其形状与天然牙的外形非常相似,通过减少菌斑附着来提高清洁度和美观度。结果表明,牙齿美学和功能性咬合能够成功恢复且患者对修复体自然的外观感到满意。本病例突出了定制修复方法在打造外观自然的牙齿修复体中的关键作用,特别是通过卵形桥体设计和模拟组织塑形。它强调了将以患者为中心的护理与数字技术、3D打印和人工智能等前沿口腔修复学理念相结合以优化牙科实践效果的重要性。从教育角度来看,本文为带有卵形桥体的三单位FPD如何增强牙科修复体的功能和美学方面提供了有价值的见解。