Creation of Gingival Pontic Receptor Sites - Dental Minute with Steven T. Cutbirth, DDS

[@jypmina_penguinprincess6273]

So much respect to you sir! I've learned so much from watching your videos. I hope you continue to share your expertise through informative videos like this 😊

[@centerforard]

Thank you. I am glad you like the videos. I hope you subscribe to DentistryMasterClasses.com. and watch the library of all the DM videos plus many other comprehensive complete cases.

[@ravneetsaini5414]

Your every video is very informative.I love the way you explain your clinical experiences, do’s and dont’s. I watch every video of yours.Thank you Doctor.

[@centerforard]

You are welcome. Glad you like the videos. I hope you subscribe to DentistryMasterClasses.com.

[@ravneetsaini5414]

Dental Minute with Steven T. Cutbirth, DDS. Yes, I did😊

[@YOu-jl2bn]

thank you for making dentistry better around the world

[@centerforard]

You are welcome.

[@nataliemalekkfuri7339]

You are really an outstanding DENTIST and a great TEACHER, Thank you DR STEVEN for sharing with us all your techniques, BEST WISHES FOR 2021.

[@centerforard]

Thank you. I hope you are subscribed to DentistryMasterClasses.com. An organized library of all the DM videos plus many complete comprehensive cases.

[@adnanrihawi9668]

Amaaaazing, the details and the simplicity of the methods used are just amazing ! Thank you for sharing and thank you for keeping it simple . All the love.

[@centerforard]

Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@moderndentalclinic1144]

Salute to you sir... You are sharing valuable and precious knowledge about Dentistry... Lots of respect sir from (state-punjab) INDIA Warm regards 🙏🙏🙏

[@centerforard]

Thank you. I hope you subscribe to DentistryMasterClasses.com. There is an organized library of all the Dental Minute videos plus many complete comprehensive cases.

[@abhishekkumarsingh1563]

U r a star respected sir.. . Thank u for your guidance sir.. . All Regards

[@centerforard]

Thank you. You are welcome.

[@minaashraf6697]

Did you do RCts for the reduced teeth?

[@7peso]

Willi Geller tip, this is gold thanks!

[@centerforard]

I agree. I learned a lot restoring cases with Willi for 10-15 years.

[@drabdullahbaitullah5562]

Respected sir keep teaching us...your videos are helping us improve our skills

[@centerforard]

Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@taniahashemi6166]

Very nice case! Awsom job! On the lab transcript are you mentioned which type of pontic you want?

[@centerforard]

Yes. I always want an ovoid pontic, not a ridge lap. The ridge lap pontics are too difficult to keep clean on the tissue side. Good question! Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@drseemabhandari2698]

Yes doc ..we can use dilute h202 also,to stop bleeding.No chances of dry socket also, As usual ur vdos r very knowledge ful and appreciable .thanks

[@centerforard]

Thank you.

[@orhankisi45]

Thank you for telling this useful information.

[@centerforard]

You are welcome.

[@saitemredogan8167]

Thank you sir. It is an excellent content as always. Question: Do your patients usually wants their crown's colour a bit lighter or you decide in behalf of them? Especially in this case. Thank you very much.

[@centerforard]

Normally lighter than their natural teeth. I hardly ever match the lower teeth shade if we are just restoring the maxillary anterior teeth. If you are lightening the maxillary anterior teeth shade, you should normally include at least 8 maxillary anterior teeth in the restoration. Watch the complete comprehensive cases in DentistryMasterClasses.com library.

[@saitemredogan8167]

@@centerforard Thank you sir. I will.

[@JohnDoe-fb8qj]

Hello doc! LOVING your philosophy! I am about to do a 3 unit anterior for my brother for 9,10,11 - 10 being the pontic. Do you think healing time between provisional and final delivery could be shortened - say, a week or so? He won’t have much time here as he’ll have to catch a flight back to Michigan. Thanks!

[@centerforard]

The only issue is the healing of the soft tissue gingival pontic receptor site. Sometimes you can take the impression the day you create the gingival pontic receptor site, if it is not very deep. I have also taken 3 months for the receptor site to heal perfectly. So it is hard to say. Thee main thing is to be sure to "shave" the stone model in the pontic receptor site so the soft tissue in the receptor site blanches when you seat the fixed bridge. Watch the videos in the library of DMC.com. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@fabiosilvestre5096]

Is there any risk to expose bone when doing this procedure?! And if the patient has a thin gengival tissue what could be the plan ?! Or you should avoide the tecnich ?!

[@centerforard]

"Sound" the gingival depth with a periodontal probe by poking it through the gingival tissue to bone prior to creating the gingival pontic receptor site. Of course you would anesthetize first. In many years of employing this method, I have never exposed bone. If the tissue were thin, then just sculpt a very shallow trough. Normally the tissue is at least 3-4mm thick.

[@yaritahernandez5088]

Que bonito realizó el nicho gingival, se ve la continuidad de la encia y que impecables coronas fijas colocó, mi estimado doctor estamos esperando con ansias más vídeos que valen la pena saludos desde México

[@centerforard]

So glad you like the videos. There will be many more coming. Are you subscribed to DentistryMasterClasses.com? There is an organized library of all the Dental Minute videos plus many comprehensive complete cases. Where are you in Mexico?

[@yaritahernandez5088]

@@centerforard Hi, I'm from the State of Mexico. I really enjoy watching your videos and i look forward to the next one.I appreciate very much that you share your techniques and knowledge, thanks for your recommendation :)

[@wassefhaidar7447]

All respect for you sir

[@centerforard]

Thank you.

[@mukeshadwani4695]

Thankyu master❤...

[@centerforard]

Glad the videos are helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@davidstein606]

Why not use a bonded Maryland bridge? Still could utilize your Pontic technique.

[@centerforard]

I find that Mland bridges in the maxillary anterior or for replacement of posterior teeth is not a predictable procedure long term due to the biting stress direction. I have certainly placed Mland bridges in the maxilary anterior, but found they loosen if the patient has anterior "coupling" occlusion, if they bite something hard or if they are a teeth clincher. I do not like to perform procedures that do not hold up and I have to be replacing them. I explain this to the patient preoperatively so they are in on the type procedure decision. I am giving a series of Webinars, the second one is next Friday morning, on important principles of the comprehensive dental practice. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@mahdiomidvar564]

i just thank you with all my heart

[@centerforard]

You are welcome. I hope you are subscribed to DentistryMasterClasses.com for the best videos.

[@hanifullah8655]

I recently extracte upper first premolar and take a flap.i want to make bridge immediately within a week what will be design

[@centerforard]

I would let the tissue heal for 6 weeks to 3 months and create a gingival pontic receptor site so the pontic has intimate contact with the tissue and the fixed bridge will "blanch" the tissue when placed. This method helps prevent food and plaque from accumulating beneath the pontic. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $39.95/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@hanifullah8655]

@@centerforard thank you sir

[@manavkalra]

With so much keratinized gingiva around the edentulous area, implants would be ideal for this case. Of course, a CT would be helpful.

[@centerforard]

It's not the amount of keratinized gingiva that is the issue, it is achieving a predictable gingival line and papillae and ideally matching the adjacent teeth with implants. It is not a problem placing an implant and getting it to integrate. If you are dealing with aesthetically demanding patients with high lip lines, the issues with implants in the aesthetic zone are: 1) ending up with an accurate, symmetrical gingival line, 2) retaining nice, natural papillae with no black holes and 3) not having any darkness from the implant shadowing through the gingiva and thin facial alveolar crest and matching the shade of the adjacent teeth with an implant crown. Almost impossible if the patient is aesthetically demanding. I place a lot of implants and love implants, but normally not in the aesthetic zone, especially if the patient is aesthetically demanding and has a high lip line. You look young in your profile photo. Let's speak again in about 10 years after you have experienced a number of implant placements in the aesthetic zone.. The stress of trying to match adjacent teeth and also have a natural looking gingival line and papillae in the aesthetic zone when the patient is an attractive woman with a high lip line is too great, not to mention the possibility of placing a great implant only to have the dark metal implant shine through the thin alveolar bone and gingiva. I have a seminar on "Implant Failures in the Aesthetic Zone." Certainly it is not impossible to achieve a nice, acceptable result placing an implant in the aesthetic zone, especially if the patient is male, not too aesthetically demanding and they have a low lip line, but it is not predictable at the highest aesthetic level. I can achieve a very nice result with fixed bridges and veneers every time.

[@rianerac8956]

well i wish i was student😢🥺 thank you doctor .....mes remerciements ✨👏

[@centerforard]

Glad the video was helpful. Take your practice to the Top Tier. Subscribe to DentistryMasterClasses.com for an organized library of all the Dental Minute videos plus many complete comprehensive cases and many very important articles. New cases are added weekly. Only $20/month. Click here to subscribe: membership.dentistrymasterclasses.com/purchase/?plan=513

[@bengyingneoh5298]

What do you think about cantilever bridges for the above case for example from 13 to 12 and 23 to 22? Or resin bonded bridges?

[@centerforard]

Cantilever bridges work in the anterior region as do Maryland bridges in certain situations. The issue with a pontic cantilevered off a cuspid is the chance of fracturing the cuspid if the patient bit something hard directly on the lateral incisor pontic. Remember, you have to be able to stand behind your work, sometimes even if the patient does something they should not have done. I am not in favor of cantilevering distally because there is more stress on the restoration as you move distally and the abutment tooth is more likely to be fractured. I like Maryland bridges when replacing mandibular anterior teeth.

[@moderndentalclinic1144]

@@centerforard if patient preferred Maryland Bridge instead of bridge on 41 31 32 in case of missing 31 mandibular anterior tooth do your treatment charges remains the same???

[@masoud_s5430]

vry very useful tnks dok

[@centerforard]

Glad you like it. Subscribe to DentistryMasterClasses.com and access the organized library of all the Dental Minute videos plus many complete comprehensive cases not shown in DM videos.

[@dr.parthkapadia5010]

loved ths

[@centerforard]

Thank you.