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Questions and Answers
Ovate pontic is a design that is less and less used in modern dentistry due to its lack of aesthetics.
Ovate pontic is a design that is less and less used in modern dentistry due to its lack of aesthetics.
False
Hygienic pontics are lifted well off the tissue to make cleaning difficult for the patient.
Hygienic pontics are lifted well off the tissue to make cleaning difficult for the patient.
False
Implants are expected to completely replace fixed bridges in dental practice in the near future.
Implants are expected to completely replace fixed bridges in dental practice in the near future.
False
The ovate pontic design mimics nature the best among all other pontic designs.
The ovate pontic design mimics nature the best among all other pontic designs.
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The hygienic pontic design is known for sitting directly on the tissue, making it difficult to clean.
The hygienic pontic design is known for sitting directly on the tissue, making it difficult to clean.
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The pontic in the dental bridge described is a modified ridge lap design.
The pontic in the dental bridge described is a modified ridge lap design.
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The bottom part of the pontic will be made of porcelain.
The bottom part of the pontic will be made of porcelain.
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Esthetics is a major concern when choosing the design of the dental bridge.
Esthetics is a major concern when choosing the design of the dental bridge.
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Grafting the extraction area is a newer technique compared to years ago.
Grafting the extraction area is a newer technique compared to years ago.
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The Maryland bridge is praised for its high success rate.
The Maryland bridge is praised for its high success rate.
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The porcelain added as a modified ridge lap is primarily used in posterior restorations for perfect esthetics.
The porcelain added as a modified ridge lap is primarily used in posterior restorations for perfect esthetics.
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The patient who repaired televisions came in for an esthetic implant procedure.
The patient who repaired televisions came in for an esthetic implant procedure.
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The ovate pontic, although not esthetically pleasing, was placed to serve as a temporary solution due to financial constraints of the patient.
The ovate pontic, although not esthetically pleasing, was placed to serve as a temporary solution due to financial constraints of the patient.
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The implant placed by the periodontist was lingually positioned due to the lingual position of the ridge.
The implant placed by the periodontist was lingually positioned due to the lingual position of the ridge.
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The use of guide planes is crucial in ensuring the stability of dental restorations.
The use of guide planes is crucial in ensuring the stability of dental restorations.
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Temporary bondings on incisors can achieve a perfect shade due to the nature of the materials used.
Temporary bondings on incisors can achieve a perfect shade due to the nature of the materials used.
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Veneers require the removal of a significant amount of tooth structure in order to be applied.
Veneers require the removal of a significant amount of tooth structure in order to be applied.
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Hygienic pontic designs involve lifting the pontic well off the tissue to facilitate cleaning for the patient.
Hygienic pontic designs involve lifting the pontic well off the tissue to facilitate cleaning for the patient.
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Implants placed lingually require less effort from the patient for flossing and cleaning compared to other placements.
Implants placed lingually require less effort from the patient for flossing and cleaning compared to other placements.
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Veneers have been found to weaken the remaining tooth structure according to some studies.
Veneers have been found to weaken the remaining tooth structure according to some studies.
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The lower molar in the given scenario is set up for a D-clasp.
The lower molar in the given scenario is set up for a D-clasp.
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A distal extension at BU is always set up for a C-claps, never for a combo clasp.
A distal extension at BU is always set up for a C-claps, never for a combo clasp.
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The finish lines in the dental framework are kept subgingival to make them visible without retracting the patient's lower lip.
The finish lines in the dental framework are kept subgingival to make them visible without retracting the patient's lower lip.
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The pontic design described in the scenario is known as an ovate pontic for its natural aesthetics.
The pontic design described in the scenario is known as an ovate pontic for its natural aesthetics.
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In modern dentistry, the use of the hygienic pontic design has declined due to aesthetic concerns.
In modern dentistry, the use of the hygienic pontic design has declined due to aesthetic concerns.
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The patient in the text had to put minimal effort into keeping the restoration clean due to its design.
The patient in the text had to put minimal effort into keeping the restoration clean due to its design.
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The patient's strong bite led to the failure of the restoration and implants multiple times.
The patient's strong bite led to the failure of the restoration and implants multiple times.
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Replacing the porcelain bridge with a temporary bridge helped cushion the biting forces, leading to the success of the implants.
Replacing the porcelain bridge with a temporary bridge helped cushion the biting forces, leading to the success of the implants.
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Grafting the implant area was considered but deemed unnecessary due to the patient's strong bite and the properties of grafted bone.
Grafting the implant area was considered but deemed unnecessary due to the patient's strong bite and the properties of grafted bone.
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The implant on tooth #9 was ideally placed, with no need for any further adjustments.
The implant on tooth #9 was ideally placed, with no need for any further adjustments.
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The modified ridgelap pontic design is recommended for patients who have already healed tissues and do not want minor surgery to modify tissue shape for a more natural-looking ovate pontic.
The modified ridgelap pontic design is recommended for patients who have already healed tissues and do not want minor surgery to modify tissue shape for a more natural-looking ovate pontic.
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On the buccal surface, the modified ridgelap pontic design has a convex shape to facilitate cleaning.
On the buccal surface, the modified ridgelap pontic design has a convex shape to facilitate cleaning.
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Recurrent decay on abutment teeth is a common cause of bridge work failure.
Recurrent decay on abutment teeth is a common cause of bridge work failure.
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The height of the pontic in relation to the ridge should be adjusted to make the tooth appear longer after extraction.
The height of the pontic in relation to the ridge should be adjusted to make the tooth appear longer after extraction.
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The ovate pontic design promotes tissue irritation and decay due to food debris accumulation underneath it.
The ovate pontic design promotes tissue irritation and decay due to food debris accumulation underneath it.
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In modern dentistry, ovate pontic design is favored over other designs due to its superior aesthetics.
In modern dentistry, ovate pontic design is favored over other designs due to its superior aesthetics.
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Hygienic pontic design requires minimal effort for patients to maintain cleanliness due to its direct contact with tissues.
Hygienic pontic design requires minimal effort for patients to maintain cleanliness due to its direct contact with tissues.
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Facial surface of the pontic in the modified ridgelap design appears curved in to avoid making the tooth seem too long.
Facial surface of the pontic in the modified ridgelap design appears curved in to avoid making the tooth seem too long.
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Implants are expected to completely replace fixed bridges in dental practice in the near future.
Implants are expected to completely replace fixed bridges in dental practice in the near future.
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Maryland bridge is well-known for its high success rate in dental restorative procedures.
Maryland bridge is well-known for its high success rate in dental restorative procedures.
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Study Notes
Pontic Designs in Dentistry
- Ovate pontics mimic natural aesthetics but are declining in use due to aesthetic issues.
- Hygienic pontics are elevated off the tissue, complicating cleaning for patients.
- The modified ridge lap pontic design is designed for optimal aesthetics and is typically constructed from porcelain.
- Each pontic design serves different purposes; the ovate pontic can serve as a temporary solution despite its aesthetics.
Implant and Grafting Considerations
- Implants are anticipated to fully replace fixed bridges in the near future.
- Grafting the extraction area is a newer practice to enhance healing and aesthetics.
- Lingually positioned implants facilitate easier flossing and cleaning for patients compared to other placements.
Bridge Design and Functionality
- The finish lines in dental frameworks are strategically kept subgingival to enhance visibility without lip retraction.
- Distal extensions at the buccal side are set up with C-clasps, while lower molars utilize D-clasps for secure fittings.
- Porcelain utilized in modified ridge lap pontics is especially common in posterior dental restorations.
Maintenance and Esthetics
- Temporary bonding on incisors can achieve excellent shade matching due to material properties.
- Veneers compromise remaining tooth structure significantly and require careful tooth preparation.
- The facial surface of the modified ridge lap design is curved to avoid making the tooth appear excessively long.
Restoration Stability and Challenges
- The implementation of guide planes is essential for the stability of dental restorations.
- Recurrent decay on abutment teeth frequently leads to bridge failure.
- Patients with strong bites may experience challenges leading to multiple restoration and implant failures.
Treatment Adjustments
- Replacing a porcelain bridge with a temporary bridge may provide cushioning against biting forces, enhancing implant success.
- Modified ridge lap pontics are advisable for patients who have healed tissues and prefer to avoid surgery for improved aesthetics.
- It’s crucial to adjust the height of the pontic relative to the ridge to create proper visual esthetics after extraction.
Dental Techniques and Trends
- The Maryland bridge is renowned for its high success rate in restorative procedures.
- With a decline in hygienic pontic designs due to aesthetic concerns, they require minimal maintenance from patients given their direct tissue contact.
- The ovate pontic design can promote tissue irritation and decay because of food debris accumulation underneath.
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Description
Test your knowledge on dental restoration and implant failures. Explore cases where restorations failed multiple times due to patients' strong bites and learn about the challenges of maintaining clean and functional restorations.
