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pontic design

Pontics are artificial teeth in fixed partial dentures that replace missing teeth, focusing on biological, mechanical, and aesthetic considerations for effective design. Various types of pontics include mucosal contact designs like ridge lap and ovate, and non-mucosal contact designs like sanitary and modified sanitary pontics, each with specific advantages and disadvantages. Successful pontic design requires careful assessment of the residual ridge and abutment teeth to ensure proper function and appearance.

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Sang Khan
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4 views51 pages

pontic design

Pontics are artificial teeth in fixed partial dentures that replace missing teeth, focusing on biological, mechanical, and aesthetic considerations for effective design. Various types of pontics include mucosal contact designs like ridge lap and ovate, and non-mucosal contact designs like sanitary and modified sanitary pontics, each with specific advantages and disadvantages. Successful pontic design requires careful assessment of the residual ridge and abutment teeth to ensure proper function and appearance.

Uploaded by

Sang Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Pontic

Pontics are the artificial


teeth of a fixed partial
denture that replace the
missing teeth, restoring
function and appearance.
Pontic design
considerations
Considerations for successful
pontic design
 Biologic considerations:
Pertain the maintenance and
preservation of the residual ridge,
abutment and opposing teeth and
supporting tissues.
Pontic should provide:
 Cleansable tissue surface

 Access to abutment teeth

 No pressure on ridge.
Mechanical considerations:
Includes:
 Rigidity (to resist deformation)

 Strong connectors (to prevent

fracture)
 Metal-ceramic framework (to resist

porcelain fracture)
Esthetic considerations:
 Shaped to look like tooth it

replaces
 Appears to grow out of edentulous

ridge
 Sufficient space for porcelain
Pre treatment assessment

Interabutmne
Residual t space, if
ridge tiliting is
contour, its there, need
height, orthodontic
width alignment
assessment first
Pretreatment assessment
Pontic space assessment:
Is the foremost important in pontic
designing e.g.
If any of the abutment is tilted or drifted
into the pontic space → it is usually
difficult for the creation of the
acceptable appearance without
orthodontic repositioning of the
abutment teeth.
Residual ridge contour:
The ridge contour and topography should be
carefully evaluated during the treatment
planning phase.
Ideally ridge has a smooth, regular surface of
attached gingiva which facilitates maintenance
of plaque free environment.
Its height, width should allow placement of a pontic
that appears to emerge from the ridge and
mimics the appearance of the neighboring teeth.
Free of frenulum attachment and be of adequate
facial height to sustain the appearance of the
interdental papilla.
Types of pontics
 Pontics with Mucosal contact:
1. Ridge lap
2. Modified ridge lap
3. Ovate
4. Conical
 Pontics with No mucosal contact
1. Sanitary (hygienic)
2. Modified sanitary (hygienic)
Types of pontics
 Pontics with Mucosal contact:
1. Ridge lap

2. Modified ridge lap

3. Conical
4. Ovate

Pontics with No mucosal


contact
1. Sanitary (hygienic)

2. Modified sanitary (hygienic)


Mucosal contact pontics
 Saddle/ ridge lap pontic :
Has concave fitting surface that overlaps the
ridge surface bucolingually, simulating the
contours and emergence profile of the missing
tooth on both sides of the residual ridge.
Ridge lap pontic design

Disadvantage:
Concave ginigival
Advantage: surface of the pontic
Good esthetics is not amenable to
cleaning with dental
floss → plaque
accumulation
→ tissue
inflammation.
FPD with ridge lap pontic,
after its removal tissues
found to be ulcerated
Ulceration related to
saddle pontic in FPD
Modified Ridge lap pontic
Combines the best features
of the hygienic and saddle
pontic design, combining
esthetics with easy
cleaning.
Modified ridge lap design
overlaps the residual ridge
on the facial side (to
achieve the appearance of
the tooth emerging from
the gingiva) but remains
clear of the ridge on the
lingual side.
Tissue surface should
resemble a letter T, whose
vertical arm contact ends at
crest of the ridge.
Advantages: good esthetics

Disadvantages:
moderately easy to clean
as compared to sanitary
design.

Recommended areas:
areas of the mouth that
are visible in function like
maxillary and mandibular
anterior teeth, maxillary
premolar and first molars.
Cross sectional view of modified ridge lap
pontic (left), tissue contact of the
maxillary FPD should resemble letter T
Modified Ridge lap pontic Design
Conical pontics
Often called egg shaped,
bullet shaped or heart
shaped.
It should be made as convex
as possible with only one
point contact at the center of
the ridge.
Facial and lingual Contours
are dependant on the width
of the residual ridge; a knife
edged ridge necessitates
flatter contour with a narrow
Recommended areas: tissue contact
posterior areasarea
where
esthetics are of minimal concern.
Contraindications:

Poor oral hygiene of the


patients. Also unsuitable for
broad residual ridges, because
emergence profile associated
with small tissue contact point
may create areas of food
entrapment. So sanitary or
hygienic design pontics are
more suitable for these
situations.
A pontic with maximum convexity and
single point contact with the tissue surface
is the design easiest to keep clean as
compared to ridge lap pontic

Advantages:
good access
for oral
hygiene in
knife edge
ridges.

Disadvantages: poor esthetics,


unsuitable for broad residual
ridges.
Conical pontic (A) may cause
entrapment of food on broad residual
ridge, sanitary pontics (B) may be a
better alternative
Patient must be instructed to keep
prosthesis clean. Conical pontic is easy to
clean as compared to ridge lap design
Ovate pontic
Ovate Pontic
Ovate pontics
Most esthetically appealing pontic design.
Its convex tissue surface resides in the soft tissue
depression or the hollow in the residual ridge, which
makes it appear as the tooth is emerging from the
residual ridge.
Careful treatment planning is necessary for successful
results. Socket preservation techniques should be
performed at the time of extraction to create tissue
recess from which the ovate pontic form will emerge
Advantages:
Pleasing appearance and its strength, negligible
food entrapment, ease of cleaning.
Disadvatages:
Require surgical preparations and associated cost,
additional evaluation appointment, not recommended
for residual ridge defect.
Socket depression with its pseudopapillea requires the
support of the interim ovate pontic and will collapse
before an impression is made. To overcome this it is
necessary to scrape the cast in the area to ensure
positive contact and support of the pseudopapillae with
the definitive pontic.
Recommended locations for use:
Maxillary incisors, canines and premolars.
Indications:
High smile line, desire for optimal esthetics.
Over pressure in ovate
pontics can cause
ulceration
Sanitary or hygienic pontic
(left), modified sanitary pontic
(right)
 Sanitary pontic  Modified sanitary
pontic
 Sanitary pontics:
The primary design
feature of the
sanitary pontic
allows easy
cleaning, because
its tissue surface
remains clear of
the residual ridge.
Advantages:
This design permits
easier plauqe
control by guaze
strips and other
cleaning devices to
be passed under
the pontic and
seesawed in a shoe
shine manner.
Disadvantages:
It is the least tooth like design therefore
applicable in least displayed areas in the
mouth, like posterior mandible.
Entrapment of food particles, which may lead to
tongue habits that annoy the patient.
Indications:
Non esthetic zones
Impaired oral hygiene.
Contraindications:
Esthetic zones
 Modified sanitary pontics:
Its gingival portion is shaped like an
archway between the retainers.
This geometry allows increased
connector size while decreasing
the stress concentrated in the
pontic and connectors.
Name the type of Pontics shown
in the picture a, b and c

Ridge Lap Pontic Modified Ridge Ovate


Lap Pontic Pontic
Choice the type of Pontic for proposed FPD in mandibular saddle
space
Choice the type of Pontic for proposed FPD in maxillary saddle spa
Choice the type of Pontic for proposed FPD in mandibular saddle space
Choice the type of Pontic for proposed FPD in maxillary saddle space

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