Restoring Esthetics In The Anterior Zone: A Case Report On Modified Ovate Pontic Design In Fixed Partial Dentures

Abstract

Restoration of missing teeth in the anterior esthetic zone presents unique challenges in restorative dentistry. This case report details the management of a 32-year-old female patient with a discolored maxillary anterior tooth resulting from a traumatic injury. Radiographic evaluation indicated the need for extraction of tooth 22 due to root resorption, while tooth 21 had a calcified root canal, precluding endodontic treatment. A fixed partial denture (FPD) with a modified ovate pontic design was planned to restore esthetics and function. The digital workflow involving scanning and designing the provisional FPD using CAD/CAM technology, facilitating precise fabrication was followed. Further modifications to the pontic undersurface and gingival contouring via laser gingivoplasty enhanced the esthetic outcome prior to definitive restoration. This case highlights the effectiveness of a modified ovate pontic in achieving optimal esthetic results while emphasizing the importance of digital workflows and meticulous tissue management in anterior tooth restorations. The integration of patient involvement and innovative techniques proved essential in achieving a successful functional and esthetic restoration.