PONTIC DESIGN By DR. MUSTAFA I. ELGHOUL B.SC,B.D.S,MS(ORTHO)

1. PONTIC DESIGN By DR. MUSTAFA I. ELGHOUL B.SC,B.D.S,MS(ORTHO) University of Palestine College of Dentistry

2. BRIDGE • A fixed dental prosthesis which cannot be removed by the patient • ABTUMENT : • The tooth which support the bridge or part of the bridge and to which the retainer is cemented. ABTUMENTs

3. Retainer. • is that part of the bridge which is cemented to the abutment tooth retainer

4. The pontic Pontics are the artificial teeth in a fixed partial prosthesis, that replace the lost natural teeth ,and restore function and appearance. Its suspended between cast abutment restorations ,and attached to retainer by a rigid connectors Rigid connector pontic retainer

5. Functions of the pontic 1-mastication – the pontic provides hard surfaces against which food can be chewed by teeth in the opposing arch

6. 2- Speech (phonetics) A space created by the loss of tooth alters the pattern of airflow making normal speech difficult. pontic helps to restrict air passage through edentulous area to aid in the reestablishment of normal sounds

7. 3-maintenance of tooth relationship when missing teeth are not replaced, the teeth posterior to edentulous areas can move forward from their normal position , its also possible for teeth anterior to and opposing edentulous spaces to drift distally and occlusally into open area. .

8. Pontics maintain the integrity • of dental arches by preventing teeth that are adjacent to and opposing an edentulous area • from moving out of their • relationship.

9. 4-esthetics (appearance) Dental esthetics affects personal appearance , the presence of a full complement of teeth with a natural appearance is important to an individual's self image . -Pontics , fill in the empty spaces that would be observed during talking and smiling, provide support for lips and cheeks to allow normal facial form. Pontic space

11. well-aligned teeth and a pleasing smile afford apositive social status! presence of a full complement of teeth with a natural appearance is important to an individual's self-image

12. The requirements of a pontic • 1- Provide esthetics and comfort • 2- Restore function • 3- Biologically acceptable • 4- Permit effective oral hygiene • 5- Preserve underlying residual mucosa

13. RESIDUAL RIDGE CONTOUR • The edentulous edge's contour should evaluated carefully. The ridge should be smooth, regular and free of frenum attachment. • Loss of residual contour may lead to unaesthetic appearance and lead to food impaction.

14. Classification of residual ridges • 1-Class I defects faciolingual loss of tissue width with normal height. • 2-Class II defects loss of ridge height with normal ridge width. • 3- Class III defects a combination of loss in both dimensions.

15. Pontic space • Preventing tilting or drifting of the adjacent teeth into the edentulous space is important function of the fixed partial denture (FBD).

16. TERMINOLGY • SPAN the part of the bridge which covers the edentulous area . Its connected or jointed to retainers at both ends in most of the bridges. but at one end in the case of cantilever bridges. • PIER (Intermediate abutment) • Any abutment other than terminal abutment of abridge.

17. Types of pontics Accordingto design According to material All metal All ceramic With Mucosal contact Without Mucosal contact All acrylic Metal-combination Metal-ceramic – metal-acrylic

18. 1- Pontics with mucosal contact Divided to ; 1- saddle ridge- lap 2- modified ridge-lap

19. 3- conical 4 - ovate

20. 2-Without mucosal contact Sanitary (hygienic)

22. Pontic selection • Pontic selection depends primarily on esthetic and oral hygiene. • In the anterior region where esthetic is a concern the pontic should be well adapted to the tissue to make it appear that emerge from the gingiva • In the posteriors teeth conversely

23. Connectors(JOINTS) For Fixed Partial Denturesconnectors are those parts of a fixed partial denture (FBD) that join retainers and pontics together

24. Types of Connectors • RIGID CONNECTORS • rigid connectors in metal can be made by: a- cast connectors: shaped in wax as apart of the process. • b. Soldering connectors: use of intermediate metal alloy whose melting temperature is lower than that of the parents metal. • .

25. c . Welded connectors: melting adjacent surfaces with heat or pressure • D- loop connectors • Sometimes required when an existing diastema is to be maintained in a planned fixed prosthesis.

26. NON RIGID CONNECTORS • Is indicated when it is not possible to prepare two abutment for an (FPD) with a common path of placement. So segmentally the design of large , complex (FBD); into shorter compartments is easier to replace.

27. PRINCIPLES CONNECTORS DESIGN • 1-size • Connectors must be sufficiently large to prevent distortion or fracture during function. but not too large to prevent interference with plaque, periodontal tissue disturbance over time. • 2-shape • The shape of the tissue surface of the connector should be curved faciolingually and highly polished and smooth to facilitate cleaning and patient should be satisfied with the appeareance.

28. 3-postion • The location of the contact area should be established correctly to influence the success and stability of the prosthesis. • In the anterior teeth • The connector should placed lingually • In the posterior teeth • Located in the occlusal third of the crown and more lingually

29. Thank You دكتور مصطفي ابراهيم الغول ماجستير تقويم الاسنان –جامعة الاسكندريه