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Soft Tissue Ridge Augmentation for Pontic Site Preparation:A Perio-Prostho Synergy.

P Marattha1, M Humagain1, S Lamichhane1

  • 1Department of Periodontology and Oral Implantology, Kathmandu University School of Medical Sciences, Dhulikhel Hospital, Kathmandu University Hospital, Dhulikhel, Kavre, Nepal.

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Summary

Reconstructing lost alveolar bone housing is key for dental prosthesis success. This study shows a successful periodontal-prosthodontic approach using a free gingival graft to augment soft tissue ridges, improving aesthetics and function.

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Area of Science:

  • Periodontology
  • Prosthodontics
  • Oral Surgery

Background:

  • Alveolar ridge reconstruction is crucial for dental prosthesis success, balancing biology, function, and aesthetics.
  • Soft tissue ridge augmentation corrects horizontal deformities, offering aesthetic benefits and less invasiveness than hard tissue augmentation.
  • Increased keratinized tissue and improved soft tissue profile enhance hygiene and reduce complications.

Purpose of the Study:

  • To present a synergistic periodontics-prosthodontics approach for treating a Seibert class I moderate ridge defect.
  • To address issues of insufficient vestibular depth and keratinized tissue in an edentulous molar pontic site.
  • To demonstrate the efficacy of a free gingival onlay graft in soft tissue reconstruction.

Main Methods:

  • A case report detailing a periodontics-prosthodontics synergistic approach.
  • Utilized a free gingival onlay graft for soft tissue ridge augmentation.
  • Treated a Seibert class I moderate ridge defect with vestibular depth and keratinized tissue insufficiency.

Main Results:

  • Successful reconstruction of the alveolar housing was achieved.
  • Improved soft tissue profile and increased keratinized tissue were observed.
  • The synergistic approach facilitated the placement of a fixed partial prosthesis.

Conclusions:

  • The combined periodontics-prosthodontics approach is effective for managing moderate alveolar ridge defects.
  • Free gingival onlay grafts provide a viable solution for soft tissue augmentation.
  • This method enhances both the functional and aesthetic outcomes of dental prostheses.