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Fixed Partial Denture - Pontics: G.Rachana Intern
Fixed Partial Denture - Pontics: G.Rachana Intern
Fixed Partial Denture - Pontics: G.Rachana Intern
-PONTICS
G.RACHANA
INTERN
FIXED PARTIAL DENTURE IS MADE UO
OF THREE PARTS
• 1 RETAINER
• 2 PONTIC
• 3 CONNECTOR
PONTICS
• DEFINITION : AN ARTIFICIAL TOOTH ON A FIXED PARTIAL DENTURE
THAT REPLACES THE MISSING TOOTH RESTORES ITS FUNCTION AND
USUALLY FILLS THE SPACE PREVIOUSLY FILLED BY THE NATURAL
CROWN
Ideal requirements of pontics
• When viewed from the gingival aspect, the tissue contact should
resemble a letter ‘T’ whose vertical arms end at the crest of the
ridge.
Advantages Disadvantages
Hygiene is inferior to
• Superior aesthetics. sanitary
• Lingually, the pontic
does not make any
contact with the
gingival
tissue and the
contacting surface is
convex. This enables
the patient
to maintain hygiene.
• iii. Ovate pontic
• An ovate pontic is one of the most aesthetically appealing designs.
• Design
• Convex tissue surface of ovate pontic resides within the ridge,
which appears as if the pontic is emerging from the ridge.
• The tissue contacting surface of the pontic is bluntly rounded and is
set into the concavity within the ridge.
• Concavity in ridge can be created by placing a provisional
restoration similar in shape immediately after extraction. It can also
be surgically created
Indications
• Fresh extraction sockets.
• Anterior missing teeth where aesthetics is of prime concern.
• Broad flat ridges.
Advantages Disadvantages
• Emergence profile of a
pontic simulates that of the • Requires surgical
adjacent natural preparation.
tooth. • Though
v it can be
• Pleasing appearance. flossed, meticulous oral
• Broad convex geometry is
stronger than modified ridge hygiene is required to
lap pontic. prevent tissue
• As tissue surface is convex inflammation resulting
in all directions, it is from large area of tissue
accessible while contact.
flossing.
iv. Conical pontic
It is also known as ‘egg-shaped’, ‘bullet-shaped’ and ‘heart-shaped’
pontic. This design is related to the ‘sanitary dummy’ described by
Tinker in 1918.
• Design
• The conical pontic is rounded with a small tip in relation to the overall size of the
pontic.
• It should be made as convex as possible, with only one point contact at the
centre of the ridge.
• The facial and lingual contours are dependent on the width of the residual ridge.
A knife-edged residual ridge requires flatter contours with a narrow tissue
contact area
Advantage Disadvantage
Indications Contraindications
• Broad residual
• Knife-edged posterior edentulous ridge
ridges. Aesthetic zone as the
• Molars that do not emergence profile is
require much aesthetic compromised
attention.
2. Without mucosal contact
i. Sanitary/hygienic pontic
Sanitary pontic is called so because this design allows easy cleansing, as the tissue
surface of the pontic remains clear of the residual ridge.
Design
• This design makes no contact with residual ridge thus there are minimal chances
of inflammation.
• Occlusogingival thickness of the pontic should be greater than 3 mm and there
should be adequate space under it to facilitate cleansing.
• The conventional type is called ‘the fish belly’ design where the undersurface of
the pontic is rounded without angles for easier cleansing/flossing because it is
difficult to get the floss to pass over a flat undersurface evenly
Advantages Disadvantage