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Ovate pontic after extraction

Contour determination for ovate pontics - ScienceDirec

Since the outcome of the natural post-extraction healing process is extremely individual, the approaches to the realization of an aesthetic pontic, the so called ovate pontic, are based on a gradual correction of the mucosa until the remodelling processes come to a standstill Learn about and see more dental bridge before and after cases. If you are interested in learning more about replacing missing teeth or ovate pontics, contact our Chicago, IL practice, and schedule a consultation with Dr. Fondriest, by calling 847-234-0517. We hope to provide you with a complete, restorative ovate pontic treatment you can be. Ideally, making an ovate pontic shape would give the best result, but it takes another level of knowledge and skill by the clinician to develop this. It also takes patience and time and is ideally accomplished immediately after the tooth is extracted ovate pontic receptor sites and papillae formation Final impression and cementation The final impression may be taken three to four months after extraction, due to the variability in the healing process for each patient The aim of this prospective clinical study was to evaluate dimensional changes following immediate placement of a fixed ovate pontic provisional restoration into an intact extraction socket without grafting. The mean buccolingual dimensional change at 1 month was 0.51 ± 0.48 mm and 0.93 ± 0.55 mm at 3 months

OVATE PONTIC The ovate pontic was developed by Abrams in 1980.~ Instead of a concave shape at the rissue surface, the ovate pontic was created with a convex shape to overcome the disadvantage of the ridge lap or modified ridge lap. As a result, this pontic is easier to clean. However, the height of contour of the convex surface was designe An ovate pontic made on the edentulous ridge of a long-lost tooth is called a delayed condition ovate pontic, while an ovate pontic made on a patient who needs a provisional restoration immediately after tooth extraction is called an immediate condition ovate pontic. It is rather difficult to forecast the result

One option involves placing a temporary bridge with an ovate pontic at the time of extraction to support the proximal papillae, the facial soft tissue, and the healing gingival tissue. If some time has passed since the extraction, the soft tissue can be sculpted with radiosurgery (or a laser) before an ovate pontic is used after necessary adjustment. The intaglio surface of the ovate pontic was polished to prevent irritation to the underlying mocosa. Patient was dismissed after thorough oral hygiene instructions. Recall visits were planned on the next day, after one week, and one month later. Figure 5-Abutment teeth preparation pre extraction Ovate pontic helps in preservation of the interdental papilla, which in turn preserves the natural gingival contour that would have otherwise been lost after extraction The aim of this case series was to evaluate whether provisional restorations with ovate pontic would preserve hard and soft tissue of alveolar ridge after tooth extraction. 11 patients (5 males and 6 females; aged: 20 to 54) were enrolled

The protocol included tooth extraction and provisional restoration using ovate pontics. The outcomes were assessed 1, 3 and 6 months after the procedure, regarding changes in bone volume and soft tissue dimension. Results: A total of 11 patients (6 female and 5 male) were treated using an ovate pontic provisional restoration after tooth extraction A modified ovate pontic is the ideal interim restoration to support and help retain normal soft tissue architecture and is advocated in the Bio-Col Technique. Effective site preservation following tooth removal requires an effective, slowly resorbing, osteoconductive grafting material Ovate pontic design can give a natural look like the teeth out of a healthy gingiva. It can be achieve if temporary bridge with ovate pontic was made immediately after extraction expecting the pontic design becomes a guideline on gingival healing process Bodirsky H 1992, Spear F M 1999 also stated that immediate pontic technique can be used as a modified application, to maintain the topography of alveolar ridge after the extraction of the tooth. Ovate Pontic. Deeway and Ingsmith 1933. The pontic is designed such that its cervical end extends into the defect of the edentulous ridge The ovate pontic which mimics a natural tooth gives the most appropriate emergence profile. For a successful ovate pontic restoration, an alveolar ridge of sufficient height and width is necessary to enhance the deficient ridge and to achieve an esthetic emergence profile

Ovate Pontic Cosmetic Dentistr

A slight gingival pressure of the modified ridge lap design or, preferably, the ovate pontic helps maintain the interproximal papillae after extraction or the papillae can be molded gradually by the provisional Ovate pontic: Ovate pontic is the most esthetic design. It has convex surface towards the residual ridge, the covex portion resides within a concavity present in the ridge. This appears as if the pontic is emerging from the ridge. Concavity in the ridge can be created by placing a similar provisional restoration immediately after extraction The lab should attempt to have 6 mm of pontic extend into the extraction site apical to the free gingival margin. The key is to preserve the papillae during extraction, and to fill the extraction site with the provisional pontic as soon as possible. Fig. 1 Click here to enlarge imag While this height averages 4.5 mm between natural teeth, or between a natural tooth and an implant, it has been shown that after soft-tissue grafting, the amount of tissue above the bone interproximally between a pontic and a natural tooth, or between a pontic and an implant, averages 6.5 mm and, in fact, in some patients can be as high as 9 mm.

ovate pontic because of their close resemblance to natural contours (Fig. 1). Although the ovate pontic design is not new, 2 it had been in almost complete disuse until the 1980s, when the cosmetic revo-lution pushed dentists to re-evaluate the ovate pontic.3 The ovate pontic became unpopular because dentists considered it a non-hygienic pontic. A total of 11 patients (6 female and 5 male) were treated using an ovate pontic provisional restoration after tooth extraction. After 6 months, bone loss at level 1, 3 and 5 mm below the most coronal section of the bone crest was 2.28 ± 0.53 mm, 1.51 ± 0.30 mm and 1.46 ± 0.41 mm, respectively

Objective: To evaluate the effect of provisional restorations using ovate pontics on the hard and soft tissues of the alveolar ridge after tooth extraction. Methods: Patients with intact buccal bone after extraction of a maxillary incisor underwent a series of treatments. The protocol included. By creating an ovate pontic I can start training the tissue right from the day of surgery. You can even measure the distance to the contacts to make sure you have 5mm. In this case the patient already has punched out papillae so getting a nice tall papillae probably won't happen. Here is the healed site after healing and integration

Ovate pontic

Ovate pontic is defined as : ere replacement of the tooth restricted to an extraction site and modified Ovate pontic Was developed by Abrams does not serve the purpose of by other investigators to include the other in 1980. It has number of advantages compare high esthetic outcome. edentulous ridge before placement of ovate pontic : after extraction - want to maintain the bone - esp buccal and embrassures- make sur not to break cortical bone- then pack with new bone into sockets - and then add to bridge with acrylic material so the material of bridge entered the sockets of the teeth removed - so it looks like its emergenign from the area By inserting an ovate pontic into the extraction socket immediately after extraction, a gingival embrasure forms and the papilla can be maintained . Furthermore, a highly polished ovate pontic stabilizes the fibrin clot, acts as a chamber matrix for the formation of stratified squamous epithelium, and mechanically supports the soft tissue [ 11 ]

The Ovate Pontic - Ramsey Amin DDS of Burbank Explains

The ovate pontic is a design which creates the illusion of the tooth growing out of the gum and thereby, provides with the best aesthetic outcome. The provisional restoration is cemented immediately after extraction and therefore, it also gives immediate aesthetic satisfaction (2). The ovate pontic also helps to create and maintain the. the all convex ovate pontic design in post extraction sockets, to condition the soft tissue and by guiding papilla growth and stabilization.7 Most often the patient presents with a healed socket which has soft and hard tissue deficiency occurring post extraction. The ovate pontic contacted a larger area of the underlying soft tissue and applie A pontic device for preserving soft tissue in a tooth-extraction site includes a generally curved apical end. The apical end has a first perimeter and is configured to rest in a tooth extraction socket and substantially conform to soft tissue of a tooth-extraction site immediately after a tooth has been extracted. The pontic device further includes an opposing, generally concave coronal end

The patient was immediately rehabilitated after extraction with an ovate pontic supported fixed partial interim denture. CASE REPORT A patient aged twenty years reported to Department of Prosthodontics Military Dental Centre (MDC), Secunderabad with a chief complaint of pain and discoloration of maxillary left central and lateral incisor Keywords Immediate Replacement, Esthetic Restoration, Modified ovate Pontic, Interdental Papilla ABSTRACT This article describes a method of immediate replacement of mandibular anterior teeth after extraction, using modified ovate pontic to provide enhanced esthetics and to preserve the soft and hard tissues till the definitive restoration is. Upper central incisor (#9) was extracted with socket preservation and immediately temporized. Final restoration involves a three unit bridge with ovate pontic [8-P-10]. Upper Bridge Replacement - Before, During and After - Old Bridge, Temporary Bridge, Final Porcelain Fused to Gold Bridg A pontic device for preserving soft tissue in a tooth-extraction site includes a generally curved apical end. The apical end has a first perimeter and is configured to rest in a

The ovate pontic fitted at the time of tooth extraction has the advantage of papilla preservation, avoidance of black triangles, creating a natural emergence profile, and preventing the need for site development for the bridge. 12 In cases where immediate replacement was not planned before the extraction, the site development using. An ovate pontic design to be used immediately after an extraction is very effective in supporting the gingival architecture and gives immediate esthetic results. However, it has been the author's observation that over a period of time, the ovate pontic situated on an acceptable alveolar ridge does not consistently maintain adequate support.

Immediately after preparation of the extraction site, a carefully shaped interim FDP is placed ; Pontic selection depends primarily on esthetics and oral hygiene. In the anterior region, where esthetics is a concern, the pontic should be well adapted to the tissue to make it appear that it emerges from the gingiva with an ovate pontic at the time of extraction to support the proximal papillae, facial soft tissue, and healing gingival tissue.4 Another option is resin-bonded bridges. 5 Research shows that resin-bonded bridgework has an 84 percent success rate.6 Porcelain materials used in combination with improved bondin A, Atraumatic tooth extraction. B, Cross-section view of the immediate provisional FPD demonstrating ovate pontic form. C, Provisional restoration. Note the 2.5-mm apical extension of the ovate pontic. D, The seated provisional should cause slight blanching of interdental papilla. E, Provisional restoration 12 months after extraction After the completion of the endodontic treatment of tooth 11, the pontic 12 was removed and its Figure 2 (a-d): Fabrication of resin composite pontic using tooth mold (a&b). View immediately after extraction of tooth 12 (c). Cementation of the pontic with adjacent teeth immediately following extraction (d)

First, a piece of fiber-reinforced ribbon was cut and measured for fit to the adjacent teeth. (Fig. 4) Next, the patient's fractured crown was modified in two ways. The intaglio area was filled with a composite resin and polished into the form of an ovate pontic. The crown then had a trough prepared on the lingual to house the ribbon material. condition as pontic for interim duration could offer a plethora of benefits like excellent colour, shape, and size match, positive psychological value, minimal cost, and minimum chair side time with no laboratory procedure involved.[5] Besides, Natural tooth pontic (NTP) suitably modified and bonded to adjacent teet natural tooth as pontic was the selected therapeutic approach; informed consent was obtained. 2.3. Silicone Index and Tooth Extraction. A preliminary pro-phylaxis for supra- and subgingival calculus debridement was scheduled: a single session, full-mouth disinfection with mechanical scaling and root planing was carried out one week before.

appliance with an ovate pontic should be available for insertion after implant placement (26, 37, 90). Tooth extraction and implant placement procedures Various surgical flap procedures can be used to gain access for tooth extraction (4). Figure 1(A-L) repre-sents the authors routine surgical sequence fo

design eliminates the black triangle which is created after loss of tooth and interdental papilla. This allows better plaque control and healthy esthetic gingival tissue. This article describes the technique for placing the modified ovate pontic immediately after extraction of a tooth to preserve the soft and hard tissues for enhancing esthetics Title: Ovate Pontics Shape the Soft Tissue Emergence Profile of Anterior Extraction Sites: Clinical Question: In adult patients, is the use of an ovate pontic immediately after extraction of an anterior tooth superior to no pontic/other pontic designs to shape soft tissue at an anterior extraction site to gain a favorable emergence profile and an esthetic result Ovate pontics after extraction When a tooth is removed,The gingiva recedes 1.5 to 2.0 mm it can be prevented, By inserting the correct pontic form 2.5 mm into the extraction site the day the tooth is removed. At 4 weeks, the 2.5-mm extension can be reduced to a 1.0- to 1.5-mm extension to facilitate hygiene The short answer is yes .An impression can be made but it is likely that the tissue levels at the adjacent teeth and in the missing tooth area in particular will change in the weeks following the extraction as bone and soft tissue resorb. This wil.. The sealed root-end was shaped to obtain an ovate pontic configuration: the surface was finished to have a smooth and convex contour; final polishing was carried out using pumice paste (coarse/fine grit, Kerr). Steps for the preparation of the extracted tooth are illustrated in Figure 8

Here is a fun case I did this morning where I extracted tooth #25 and made an immediate Maryland Bridge with 2 facial wings on #24 and #26. I created an ovate pontic that went a bit down into the extraction site in order to compensate for the healing. Love this technology and what we can do with it. Material was e.max A3 LT with Lustre Paste modified ovate pontic allowed it to be cleansed easily compared to the ovate pontic. This article describes a technique for placing the modified ovate pontics immediately after extraction of a tooth to preserve the soft and hard tissues for enhancing esthetics. CASE REPORT A 25-year-old male patient reported to Department o

Tooth Extraction | Cosmetic Dentistry

How to Create an Ovate Pontic for Immediate Esthetics

  1. The ovate pontic receptor site is a depression or socket created in the soft tissue that allows the cervical aspect of the pontic to emerge from it, making it appear to emerge from the alveolar ridge. Modified ridge lap pontics have the disadvantage of usually appearing too long when compared to adjacent or contralateral teeth
  2. of an ovate pontic after the endosseous fixture is uncovered. Natural Tooth Pontic as a Provisional Restoration The concept of using the patient's extracted tooth as a natural tooth pon - tic has been reported in the litera - ture.4-6 The benefits of using the patient's natural tooth as an interim pontic, particularly in the anterio
  3. preservation before or directly after extraction, as well as for buccal crown-lengthening procedures and ridge augmentation procedures, leading to an increased frequency of satisfying ridge contours.[8] The ovate pontic was first described by ovate pontic. Scaling and root planing were done befor
  4. Patient getting extractions of teeth #7, 8, 9, and 10 but otherwise healthy condition, broad maxillary ridge. Making immediate FDP of #6-11 and delivering after extraction. Which is the best pontic design? a. Ovate b. Modified ridge lap c. Hygienic d. Ridge la
  5. Gingival Ovate Pontic And Methods Of Using The Same. Publication number: 20200046467 Abstract: A pontic device for preserving soft tissue in a tooth-extraction site includes a generally curved apical end. The apical end has a first perimeter and is configured to rest in a tooth extraction socket and substantially conform to soft tissue of a.
  6. the abutment teeth prior to extraction and provisional FPD can be fabricated indirectly, to be ready for immediate insertion. The tissue-side of the pontic should be an ovate form. After preparation of the extraction site, a carefully shaped provisional FPD is placed and seat it on the abutments. According to Spear's the pontic of the bridge.
  7. Because it is an anterior region that requires esthetics, a pontic is produced as an ovate type. The greatest factor to consider after extraction is the space between gingiva and the cervical region of pontic, along with the resorption of alveolar bone

Modern procedure for the creation of an ovate pontic

  1. imal irritation to the healing extraction site and to enable adequate plaque control
  2. Management of interproximal soft tissue with a resin-bonded prosthesis after immediate implant placement: A clinical report. The Journal of Prosthetic Dentistry, 2012. Erdem Ozdemir. Download PDF. Download Full PDF Package. This paper. A short summary of this paper
  3. After a multidisciplinary discussion, a decision was made to extract the upper right central incisor, augment the defected socket as well as compensating the expected deficient soft tissue with PRF, and then provide the patient with a layered zirconia dental bridge incorporating into design an ovate pontic

Dental bridge before and after images Ovate Pontics in

Sutures were removed after 7 days. After 6 weeks the temporary prosthesis was removed and a cavity was prepared in the gingiva according the shape of a mod-ified ovate pontic (mOP). The temporary prosthesis was adapted to the cavity with light-curing compos-ites and then carefully polished. The profile of the mOP differs from a regular ovate. Ovate Pontic in Area of Healed Extraction Site 1. There is commonly a bony defect in the pontic area. 2. These areas commonly require one or more grafting procedures to develop the ovate pontic site. 3. Wait 6 weeks after soft tissue grafting to create ovate pontic site requires the use of ovate Pontic design in anterior teeth after extraction especially in patient with high smile line. any circumstances4, 5, 2 Fixed partial dentures make oral Bulkiness Percent 1.5mm 12 10mm 10 2.5mm 1 2mm 14 3mm 13 5mm 50 Total 10 The extraction will take place and then particulate bone graft will be placed in the socket and a fixed temporary ovate pontic (PMMA) extending 3mm inside the socket, with minimal occlusal contact (38), will be placed and cemented on the adjacent teet already described 30 years ago.1-4 After its extraction, the immediately bonded natural tooth pontic protects the extraction socket and forms an ovate pontic contact surface.5 However, despite these advantages, this clin-ical approach does not seem to be wide-spread in daily dental practice. The purpose of this case report is t

Pontic Design Considerations: A Comprehensive Review

an Ovate pontic which serves in maintaining the interdental papilla next to abutment teeth after extraction. The ovate pontic helps to create or maintain the interdental papilla. It is also eff ective design for cleansibility and also eliminates 'black triangle' spaces.10 Conclusion Esthetically complex cases especially in th An ovate pontic is recommended to fulfill esthetic and functional requirements. The aim of this study focuses on evaluating the design in FPD. By reviewing various articles through search engines extraction site from collapsing after the removal of a tooth and to limitate the natural emergence of the tooth [13]. After extended periods of. Finally, a composite ovate pontic bonded to the adjacent teeth was placed to both stabilize and optimize the soft tissue architecture 9 On the other hand, the more the implant insertion is postponed after extraction, the greater the bone reduction. 2. A Dental Bridge with a Conventional Pontic. If a dental bridge is used to replace a missing tooth, an ovate pontic design is ideal. However, sometimes the site of the missing tooth is sunken in and there isn't enough ridge to create an ovate pontic. In these cases, a surgeon can augment the ridge, or, in the case illustrated below, an expert.

resorption of the teeth occurred after 2 years because of which the teeth had to be salvaged. The patient was immediately rehabilitated after extraction with an ovate pontic supported fixed partial interim denture. CASE REPORT A patient aged twenty years reported to Department of Prosthodontics Military Denta Hard to imagine your situation however I will make the following comments : * After a tooth is extracted the gum and underlying bone remodels and shrinks. So best to wait for this process to slow and stabilize. After two weeks you will have reason.. low trauma extraction (2) grafting of the extraction socket and (3) the use of the patient's natural tooth crown as an ovate pontic. Although modeling and remodeling will inadvertently occur after tooth extraction, ridge preservation proce-dures have been shown to significantly reduce vertical and horizontal contrac A provisional appliance with an ovate pontic should be available for insertion after implant placement. 44,45,46,47,48,49,50 Tooth extraction and implant placement procedur

However, efforts in preserving the gingival papilla by immediately placing an ovate pontic in the extraction area was not achieved likely due to preexisting periodontitis. CONCLUSIONS In recent years, the desire expressed by many patients for cosmetic and metal-free restoration has led to the development of better performance and truly esthetic. OVATE PONTIC DESIGN. The design of the ovate pontic is a cooperative work between dentists and technicians and largely depends on the patient's ridge, esthetic needs, phonetics, and function. The design process will vary depending on if it is an immediate extraction or a healed edentulous ridge, but the basic principles remain similar Ovate pontic extends subgingivally to support surrounding soft tissues. 6. Top View: Compromised Extraction Socket With Buccal Wall Defect. After extraction, socket presents with a large buccal wall bone defect. Note the partial soft-tissue collapse into the defect area. 7

:: Ovate Pontic - burgart

Thanks guys! After grinding the root down to the desired length, and removing any pulpal tissue, I filled the hole with composite and then tapered and rounded the tip a bit. This would aid in keeping it clean with a floss threader and facilitate an ovate pontic site when healed ovate pontics in the areas of 7,8,9,10 for papillae support after tooth extraction.5 Utilization of smooth surfaced ovate pontics supports the adjacent papillae, and allows for ideal esthetic papillae formation during bone grafting after extraction

Ovate pontic introduced by Abrams to be used in recent extraction cases, creates the best emergence profile, but has the disadvantage of inadequate plaque control and applying pressure on ridge mucosa owing to large contact area . To overcome the disadvantages of ovate pontic, Liu modifie Radiographic evaluation of the titanium bars before the extractions and at 6 and 12 months after the extractions did not show significant changes . Restorative Phase. Final impressions were made to create a master model. The ovate pontic sites were refined and shaped in the stone to reproduce ideal gingival contours After tooth extraction, bundle bone lining the socket is resorbed and eventually remodeled with woven bone. 1 This remodeling results in marked dimensional changes of the alveolus, with reduction in ridge height and width occurring rapidly following extraction. 2-4 In a classic study of postextraction clinical healing events, the loss of ridge. After hearing this podcast, the listener should: Understand the process of constructing a removable ovate pontic for the preservation of gingival architecture in the aesthetic zone. See how to transition from an ovate pontic place holder to a definitive restoration while preserving gingival architecture

Changes in Ridge Dimension with Pontics Immediately Placed

short time after extraction demonstrate slight decreases in crestal bone width. 30,31 It is the purpose of this paper to review the concept of immediate implant placement and to appliance with an ovate pontic should be avail-able for insertion after implant placement. 44-5 Immediate fixed temporization with a natural tooth crown pontic following failure of replantation Smriti Bhargava 1, Ritu Namdev 1, Samir Dutta 1, Rajkumar Tiwari 2 1 Department of Pedodontics, Government Dental College, Rohtak, India 2 Department of Pedodontics, Maulana Azad Institute of Dental Sciences and Research, New Delhi, Indi The ovate pontic extended into the extraction socket approximately 2 mm. Customization of the apical portion of the prosthesis was accomplished with flowable composite mechanically attached to the acrylic meso-abutment, utilizing an undercut. After 6 months of healing regeneration of bone had occurred and the soft tissue papill syringed into the extraction site to the crest of the bone. A provisional restoration is fabricated from a preoper-ative model and an ovate pontic is created that extends 2 mm to 3 mm into the extraction site. The bottom of the pontic is shaped similar to the large end of an egg, which helps support the papillary and marginal gingiva in thei

(PDF) Aesthetic and patient preference using a bone

Nonsurgical management of interdental papillae loss

into the extraction socket perfectly (fig.4). The provisional restoration is placed into the extraction socket without interfering the implant beneath it and it is stabilized by splinting to the adjacent tooth (fig 5). Pontic design chosen was ovate to form gingival cuff. The patient was recalled after 2 days The ovate pontic receptor site is of great value when trying to create a natural maxillary anterior fixed bridge. It also serves an important periodontal function by maintaining the interdental papilla next to the abutment teeth after extraction A 1-wing resin bonded ovate pontic can provide satisfactory long-term stability in combination with good functional and esthetic performance during adolescence and young adulthood . In patients with high smile line and vertical maxillary excess, a 1-wing FDP might even be a better alternative to an implant-borne crown in the esthetic zone when. After verifying the esthetics and occlusion of the provisionals, the final impressions were taken. The purpose of the final impression is not only to transfer the position of the implant fix - tures and the prepared teeth to the technician but also to transfer accu-rately the position of the soft tissue architecture and the ovate pontic Because the soft tissues of the socket will begin to collapse immediately after the tooth extraction, the pontic will result in tissue blanching as it supports the papillae and facial/palatal gingiva. The contour of the ovate tissue-side of the pontic is critical and must conform to within 1 mm of the interproximal and facial bone contour to.

Ovate pontics: Phoenixing the gingival contour Bhuskute MV

After completing his dental training at the University of Witwater- Pontic Shield Technique 10 Partial Extraction Therapy(PET) Kit From a CBCT, measure the length of the root from the level of the gingiva ovate pontic is used with light pressure to form the soft tissue Sinus Atrophy after Extraction Movie Sinus Lift Internal Bump Condensation Movie Sinus Lift Internal with 3 Implants Movie Ridge Preservation - Bone and Membrane - Movie Acid Etch Bridge With Ovate Pontic Porcelain Wings - Movie Acid Etch Bridge With Ovate Pontic Metal Wings - Movie Lower Overeruption Movie Normal Upper Over Eruption - Movi month after extractions and delivery of the provisionals. Figure 8. BioTemps Provisionals, after one Figure 9. Final bridge and crowns month of healing. retracted view with ovate pontic site. barium sulfate markers in her treat­ ment partial to locate the implant positions, the implant positions were transferred intraorally (Figure I I). Im prosthesis with ovate pontics can be placed immedi-ately after tooth extraction, thereby supporting the soft tissue surrounding the extraction socket.14 Ini-tial treatment planning required determination of the extraction sites that were most favorable for dental implants. Relevant considerations include

Immediate implant placement with buccal wall missing inThe Ovate Pontic – Ramsey Amin DDS of Burbank ExplainsSteinerBio™ | Immediate implant placement with buccal wallModern procedure for the creation of an ovate ponticPontic Design at University Of Michigan Medical School

After allowing six months for healing, transition provisional from tooth supported to implant supported, extract #21 and graft socket with non-resorbable biomaterial (Bio Oss) and develop ovate form for future pontic (Figs. 48, 49 & 50-56). It was decided to delay extraction of #12 for two months to allow soft tissue healing and restore blood. Final shaping of the ovate pontic on the temporary bridge is done after the tooth has been extracted (Figs. 6 and 7). Temporary resin is added to the underside of the pontic, and the bridge is reseated so that resin flows into the socket. The bridge is then removed and the pontic shaped so that it is narrower and shorter than the permanent. that the extraction site was not treated as an ovate pontic receptor site. The ridge has completely healed over and there are no interdental papilla adjacent to the edentulous space. FIGURE 12. Viewed occlusally, it is evident that there is insufficient faciolingual ridge width for the clinician to proceed with an ovate pontic receptor site