A case report of esthetic rehabilitation of an anterior fixed dental prosthesis with modified ovate pontic combining minor periodontal plastic surgery

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  • Shinya Akikazu
    Department of Dental Materials Science, School of Life Dentistry at Tokyo, The Nippon Dental University

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  • 顎堤粘膜形成とモディファイドオベイト型ポンティックを併用して審美性を改善した症例

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<p>Patient: A 21-year-old female patient who had poor esthetics due to a missing maxillary right central incisor was treated using a fixed dental prosthesis with modified ovate pontic combining minor tooth movement and localized alveolar ridge augmentation.</p><p>Discussion: After tooth positioning by minor tooth movement, localized alveolar ridge augmentation was performed using a provisional fixed dental prosthesis for esthetic designings. After periodontal surgery, modified ovate pontic and mucosa were harmonized, and the esthetic problem was considerably improved. The stability of mucosa shape was confirmed during the temporary cementation period of 5 years and 11 months. As a result, the outcome has remained stable to date at 10 years and 6 months.</p><p>Conclusion: For a maxillary incisor missing patient with ridge defects, the interdisciplinary approach combining local orthodontic treatment, minor periodontal plastic surgery and fixed dental prosthesis with modified ovate pontic provided satisfactory long-term stability with good esthetics.</p>

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