Immediate anterior tooth replacement by using an esthetic fixed bridge: A case report

Abstract

IntroductionLoss of teeth due to extraction is often found in some cases. Preserving interproximal soft tissue and preventing alveolar bone from collapse due to tooth extraction is the most challenging issue. 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. ObjectiveTo rehabilitate maxillary anterior tooth loss after extraction with bridge prostheses using ovate pontic design to restore the esthetic. CaseA male aged 26 years came to a Specialist Clinic of Prosthodontics Faculty of Dentistry, University of Indonesia with complaints of the discolored and loosened maxillarry anterior teeth. Intraoral and radiographic examination showed non vital maxillary right central incisor with periapical radiolucency, mobility grade 3, discolored, and cervical caries with crown–root ratio is 2:1. While maxillary right lateral incisor is vital with periapical radiolucency, mobility grade 3, crown–root ratio is 2:1. The treatment performed were extraction of maxillary right central and lateral incisor, and temporary bridge with abutment maxillary right canine, maxillary left central and lateral incisor. ConclusionBridge prostheses with ovate pontic is an alternative treatment in cases of anterior tooth loss post-extraction requiring esthetic restorations.