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The reinforced natural tooth pontic
L G Breault1, R K Manga, N K Elliston
1163rd Medical Battalion (Dental Services), U.S. Army Garrison, Yongsan, Seoul, Korea.
General Dentistry
|March 27, 1998
Summary
This study presents a novel dental technique using a natural tooth pontic reinforced with orthodontic wire to replace missing anterior teeth in patients with periodontal disease. This method offers an esthetic solution for compromised dentitions, enhancing tooth retention and stability.
Area of Science:
- Dentistry
- Periodontology
- Restorative Dentistry
Background:
- Periodontally compromised dentitions often present esthetic challenges, particularly when anterior teeth are lost.
- Replacing missing teeth in patients with advanced periodontal disease requires techniques that consider both esthetics and structural integrity.
Observation:
- A technique for replacing a maxillary central incisor in a periodontally compromised dentition is described.
- The technique utilizes a natural tooth pontic, prepared with recess grooves.
Findings:
- The natural tooth pontic and adjacent abutment teeth were prepared with recess grooves.
- An intracoronal orthodontic wire (0.032) was embedded in these grooves and bonded with acid-composite.
- This method significantly increases the retention of the tooth pontic.
Implications:
- This technique provides a viable and esthetic alternative for restoring anterior teeth in periodontally compromised patients.
- The use of intracoronal reinforcement enhances the stability and longevity of the restoration.
- Further research can explore long-term outcomes and patient satisfaction with this innovative approach.