Rev Med UAS
Vol. 13: No. 2. Abril-Junio 2023
ISSN 2007-8013

Optimización de tejidos blandos con pónticos ovoides y prótesis adhesiva en paciente con agenesia de incisivos laterales superiores

Soft tissue optimization with ovoid pontics and adhesive prosthesis in a patient with agenesis of maxillary lateral incisors

Laura Isabel Duarte-Chávez1, Ana Delia Larrinúa-Pacheco1, Mercedes Bermúdez-Cortés1, Carlos Esteban Villegas-Mercado1, Claudia Ivette Bujanda-Ríos1, Marvin Elco Estrada-Macías1, Manuel Antonio Luján-Aguilar1,*

  1. Facultad de Odontología, Universidad Autónoma de Chihuahua. Circuito Universitario Campus I, C.P. 31000 Chihuahua, Chih., México.

*Autor de Correspondencia: Manuel Antonio Luján-Aguilar
Correo electrónico: malujan@uach.mx. Facultad de Odontología, Universidad Autónoma de Chihuahua. Circuito
Universitario Campus I, C.P. 31000 Chihuahua, Chih., México.

DOI http://dx.doi.org/10.28960/revmeduas.2007-8013.v13.n2.009

Texto Completo PDF

Recibido 26 de noviembre 2023, aceptado 12 junio de 2023

RESUMEN
Las ausencias de un solo diente pueden presentarse por trauma, caries o alteraciones congénitas. La prótesis implanto-soportada se ha vuelto un tratamiento común para restaurar dientes ausentes. Sin embargo, no todos los pacientes son aptos para el tratamiento o no pueden adquirirlo. Existen diversas opciones de tratamiento, la más conservadora es la prótesis adherida o Maryland. La prótesis Maryland totalmente cerámica tiene mejor apariencia estética, hay menor acúmulo de biopelícula dental y es biocompatible. La conformación de un póntico ovoide, provee mayor estética a la restauración, ya que simula el perfil de emergencia de un diente natural. Su diseño permite una limpieza adecuada para evitar acúmulo de biopelícula dental e inflamación en los tejidos blandos. En el presente artículo se reporta el caso clínico de un paciente femenino, con ausencia congénita de ambos laterales superiores. Se optimizaron los tejidos blandos por medio de una gingivoplastía, y pónticos ovoides para la colocación de la prótesis de manera exitosa obteniendo mayor estética en el sector anterior, ya que imita un perfil de emergencia de un diente natural, además, permite tener una limpieza adecuada..
Palabras clave: prótesis Maryland, pónticos ovoides, optimización de tejidos blandos, agenesia.

ABSTRACT
The absence of a single tooth can occur due to trauma, cavities or congenital alterations. The implant-supported prosthesis has become a common treatment to restore an absent tooth, however, not all patients are eligible to receive it. There are several treatment options, the most conservative is the resin bonded bridge or Maryland. The all-ceramic Maryland prosthesis has a better aesthetic appearance, less accumulation of dental biofilm and is biocompatible. The conformation of an ovate pontic, provides major esthetic to the restoration, because it simulates the emergence profile of a natural tooth. Its design allows proper cleaning to prevent accumulation of dental biofilm and soft tissue inflammation. In this article, we report the clinical case of a female patient with congenital absence of both upper laterals. Soft tissues were optimized by gingivoplasty, and ovoid pontics for the successful placement of the prosthesis, obtaining greater aesthetics in the anterior sector, since it imitates an emergence profile of a natural tooth, in addition, it allows for adequate cleaning.
Keywords: Maryland prosthesis, ovate pontic, soft tissues optimization, agenesia.

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