Optimalisasi Higienitas dengan Sanitary Pontic pada Gigi Tiruan Jembatan Posterior: Laporan Kasus

Muhammad Nasyikhun Amin; Sri Oetami

doi:10.61132/corona.v3i4.1919

Authors

Muhammad Nasyikhun Amin Universitas Muhammadiyah Surakarta
Sri Oetami Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.61132/corona.v3i4.1919

Keywords:

Bridge, Edentulous, PFM, Posterior Tooth, Sanitary Pontic

Abstract

Background: Posterior tooth loss can impact masticatory function, aesthetics, and quality of life. Bridges are a restorative solution, but conventional pontic designs often make it difficult to maintain periodontal hygiene and health. Sanitary pontics offer a design that minimizes tissue contact, facilitates cleaning, and reduces plaque accumulation. Case report: A 23-year-old male patient lost his mandibular right first molar and sought to restore chewing function. After clinical and radiographic examinations, it was decided to restore the edentulous area of tooth 46 using a PFM bridge with a sanitary pontic design. Teeth 45 and 47 underwent abutment preparation, impressions, and fabrication of the bridge. Discussion: The sanitary pontic design has been shown to facilitate oral hygiene, especially under the pontic. The space between the pontic and the alveolar mucosa facilitates effective brushing or flossing, reducing plaque and the risk of gingival inflammation. PFM materials provide appropriate strength and durability for posterior restorations. Conclusion: A Porcelain Fused Metal (PFM) bridge with a sanitary pontic design is an effective restorative alternative for posterior tooth loss, improving hygiene and supporting long-term periodontal health.

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References

Alenezi, A., & Mehmood, F. (2023). Technical complications with tooth-supported fixed dental prostheses: A long-term observation. BMC Oral Health, 23(1), 9. https://doi.org/10.1186/s12903-023-03121-9

Arifin, R., & Pertiwi, F. C. (2021). Rehabilitation of mastication and lack of space treatment in narrow edentulous with fixed-fixed bridge. Dentino: Jurnal Kedokteran Gigi, 6, 183. https://doi.org/10.20527/dentino.v6i2.12003

Basnyat, S. K. C., Sapkota, B., & Shrestha, S. (2016). Oral hygiene and gingival health in patients with fixed prosthodontic appliances - A six month follow-up. Kathmandu University Medical Journal, 13(52), 328-332. https://doi.org/10.3126/kumj.v13i4.16832

Briggs, P., Ray-Chaudhuri, A., & Shah, K. (2012). Avoiding and managing the failure of conventional crowns and bridges. Dentistry Update, 39, 78-84. https://doi.org/10.12968/denu.2012.39.2.78

Bukhari, M. A., Aldossari, A. M., Alyami, I. M., Al Shari, A. H., Al Huwaidi, A. A., Alzaid, S. Y., et al. (2022). Pontic design and its effects on the health of the gingiva. International Journal of Community Medicine and Public Health, 9, 4725. https://doi.org/10.18203/2394-6040.ijcmph20223238

Dina, M. N., Mǎrgǎrit, R., & Andrei, O. C. (2013). Pontic morphology as local risk factor in root decay and periodontal disease. Romanian Journal of Morphology and Embryology, 54, 361-364.

Gahan, M. J., Nixon, P. J., Robinson, S., & Chan, M. F. W. Y. (2012). The ovate pontic for fixed bridgework. Dentistry Update, 39, 407-415. https://doi.org/10.12968/denu.2012.39.6.407

Geiballa, G. H., Abubakr, N. H., & Ibrahim, Y. E. (2016). Patients' satisfaction and maintenance of fixed partial denture. European Journal of Dentistry, 10, 250-253. https://doi.org/10.4103/1305-7456.178313

Ira, M. N., Farisza, T., & Nasrul, M. (2006). Pengaruh desain pontik terhadap kesehatan jaringan periodontium. Jurnal Gigi Indonesia, 18, 184-188.

Kazmi, S. M. R., Iqbal, Z., Muneer, M. U., Riaz, S., & Zafar, M. S. (2018). Different pontic design for porcelain fused to metal fixed dental prosthesis: Contemporary guidelines and practice by general dental practitioners. European Journal of Dentistry, 12, 375-379. https://doi.org/10.4103/ejd.ejd_232_18

Lam, W. Y. H., Lo, H. P., & Cheung, G. S. P. (2024). Posterior two-unit cantilevered zirconia resin-bonded fixed partial dentures replacing missing posterior teeth: A clinical report. Journal of Prosthetic Dentistry, 132(3), 245-250. https://doi.org/10.1016/S0305-5712(24)00309-9

Mameno, T., Otsuki, N., Wada, M., Yamamoto, R., & Ikebe, K. (2024). Association between posterior occlusal support and tooth loss in a population-based cohort: The OHSAKA study. Journal of Dentistry, 148(May), 1-6. https://doi.org/10.1016/j.jdent.2024.105144

Premalatha, A., Zakkula, S., Janapala, S. R., Varalakshmi, U., Lakshmi, B., & Deena, C. (2024). Comparison of different crowns in maxillary posterior rehabilitation: A comparative study. Journal of Contemporary Clinical Practice, 10.

Rosalin, H., & Kuphasuk, Y. (2017). Different pontic design for porcelain fused to metal fixed dental prosthesis: Contemporary guidelines and practice by general dental practitioners. European Journal of Dentistry, 11, 192-195.

Souto, I. C. C., de Almeida, R. P., Fiorin, L., & Neto, O. M. D. S. (2024). Assessment of oral hygiene and quality of life in rehabilitated patients with fixed partial dentures. Folia Medica Cracoviensia, 64, 97-110. https://doi.org/10.24425/fmc.2024.150146