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An implant-supported, screw-retained, provisional fixed partial denture for pontic site enhancement
Ricardo Mitrani1, Keith Phillips, John C Kois
1Graduate Prosthodontics, University of Washington, Seattle, WA, USA. ricardomitrani@hotmail.com
Summary
For anterior maxilla restorations, provisional implant-supported dentures help manage bone changes after tooth extraction. This technique creates a natural emergence profile for the final restoration, improving aesthetics.
Area of Science:
- Dentistry
- Prosthodontics
- Implantology
Background:
- Alveolar ridge remodeling after tooth extraction presents challenges for anterior maxilla fixed partial dentures.
- Achieving optimal aesthetics in the anterior maxilla requires careful management of the edentulous ridge.
- Traditional methods may struggle to compensate for post-extraction bone resorption.
Purpose of the Study:
- To present a technique for managing the edentulous ridge in the anterior maxilla using provisional restorations.
- To demonstrate how to achieve predictable aesthetic outcomes for implant-supported fixed partial dentures.
- To guide clinicians in creating a natural emergence profile for definitive restorations.
Main Methods:
- Utilizing an implant-supported, screw-retained provisional fixed partial denture.
- Manipulating the pontic site during the provisional phase.
- Employing the provisional restoration to shape soft tissue and create an emergence profile.
Main Results:
- The technique allows for predictable manipulation of the pontic site.
- It successfully creates the illusion of natural pontic emergence from soft tissue.
- This approach enhances the aesthetic outcome of the definitive restoration.
Conclusions:
- Provisional implant-supported restorations are effective for managing anterior maxilla edentulous ridges.
- This technique offers a predictable method for achieving aesthetic results.
- It provides a valuable strategy for improving patient satisfaction with fixed partial dentures.