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Video Details
Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery

Description:
This video addresses how to reestablish or maintain papilla height and the facial gingival tissue between a single or multiple missing teeth adjacent to a natural tooth or an implant by using an innovative pontic design termed the E-pontic. The anatomical shape of the E-pontic will predictably support and maintain the facial gingival margin and interdental papillae over an acceptable alveolar ridge. The E-pontic design fulfills the prerequisites for maintaining a healthy periodontium and its ability to achieve a predictable long-term esthetic and functional result. The emergence profile of this pontic design that is similar to that of a natural tooth ensures that no palatal gap forms which could potentially cause phonetic problems. Trapping of food particles does not occur because of its unique adaptive design to the pontic recipient site. Historically, the ovate pontic design has been the gold standard in our dental profession for 33 years. The author’s observation has been that the E-pontic has a more predictable control of papilla shape and height and facial gingival position in comparison with the ovate, modified ovate, and other pontic designs. It predictably develops, supports, and maintains the gingival architecture for the long term. The E-pontic method, when properly performed, will fulfill these expectations in a predictable manner.

Date Added:
7/28/2016

Author(s):

Robert P. Korman, DDS, MAGD Robert P. Korman, DDS, MAGD
Dr. Robert Korman has maintained an esthetically-focused restorative practice in Virginia Beach, Virginia for over 25 years. He is a clinician, educator and p...
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Online Videos / Restorative / Other Restorative / Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery




Questions & Comments
Robert Korman - (8/28/2016 8:00 AM)

Ronni:Yes. That's assuming there is an adequate alveolar ridge along with sufficient volume of soft tissue to prepare for a suitable pontic recipient site.This pontic design works beautifully with an implant supported FPD as well.

Ronni Deniger - (8/24/2016 9:23 PM)

Can this be done on the lower anterior with 4 pontics ,#23,23,25 & #26 with abutments on #22 & #27 ?

FİGEN ÖZÇELEBİ - (8/15/2016 8:27 AM)

Thank you

Robert Korman - (8/2/2016 6:32 AM)

Michael: Please refer to my article on page 3 under the heading "technique and procedure in the fabrication and utilization of the E-pontic" on dental xp site. Hopefully this will address your issue. Robert korman

michael bannan - (7/31/2016 12:34 PM)

I consistently have trouble getting the lab to relieve enough tissue to develop the appropriate E-pontic contours. There is frequently lack of compression into the tissue. Is there a measured parameter, such as "remove 1.5 mm of tissue at facial emergence"?

Robert Korman - (7/31/2016 10:32 AM)

Thank you everyone for your comments. I appreciate them all. Please feel free to contact me with any questions. Robert Korman

Omid Moghaddas - (7/30/2016 12:12 AM)

One of my favourites ever. Very well presented. Thanks so much for sharing Regards ..Dr Moghaddas

snjezana pohl - (7/29/2016 4:27 PM)

Thank you for this valuable lecture. Since I have red your article about E-pontic design I printed it many times for our dental technicians and prosthodontics. It works really predictable and this lecture explains why. I have learned from Robert Lamb to use pontic for implant site developement for socket type 2 with an acute inflammation. It works very well, mostly just an FCTG in tunnel technique is needed to have an excellent result. Snjezana Pohl

Ronald Goldstein - (7/29/2016 4:13 PM)

Dr. Korman gives one of the best historic reviews of biologic width I have seen. His excellent presentation is well worth viewing especially understanding the E-pontic designed by Jimmy Eubank

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