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OVOID PONTIC IN IMPLANT PROSTHESIS

Mazzella M., Prota V., Mazzella A.

Mazzella M.

MDD with honors in Naples University, with specialization in Dental Pathology; Advanced studies in Periodontics and Implantology, Berna University School of Dental Medicine; master in implantology and periodontics at the NYU College. Active member of SIdP, AIOP, SIE. Author of several publications in periodontics and implantology.

Prota V.

Master in Medicine and Surgery and specialization with honors in Maxillo-Facial Surgery at the University of Naples. He worked in the Oncological Surgery Unit of the University Hospital K.U. Luven and in the General Hospital St-Jan in Genk for orthognathic and oral surgery. Advanced studies in Periodontics and Implantology, Bern University School of Dental Medicine, Prof. Niklaus P. Lang; postgraduated in implantology and periodontics, Italian Association of New York University College. Member of SICMF and SidP. Works in the Maxillo Facial Surgery Unit of the A.O.R.N. “A. Cardarelli” in Naples.

Mazzella A.

Dental Hygienist at the University of Naples. Advances in Dental Hygiene and Oral Care with Prof. S. Ciancio at the Buffalo School of Dental Medicine, New York State University. Graduated I level on therapies against addiction to smoking. Member of the Buffalo Dental Hygiene Association, of the SidP and of the AIRA. International patent on a new toothbrush for patients with periodontal diseases. Author of publications on periodontal maintenance and on tooth brightening techniques.

NumeriUno, 6: 6-7, 2009
Implantology now represents a valid alternative to traditional prosthesis with dental support, and is often the only alternative for rehabilitating a fixed prosthesis if there are not a sufficient number of natural posts. It should also be remembered that it is increasingly more common, even in intercalated edentulism, to try to preserve the natural undamaged elements, avoiding the preparation of the post, by inserting fixtures in the adjoining edentulous areas. 
For years, the clinical validity of replacing natural teeth with osseointegrated implantology has been demonstrated to be a valid solution. 
The challenge in the last few years has come from camouflaging the prosthesis on implants between the natural teeth in aesthetic zones. The loss of natural teeth can occur for periodontal, endodontic or traumatic reasons; in all cases, bone reabsorption can occur, and with it the loss of the normal gingival shape. 
This work presents some routine clinical cases, which on one hand, propose a pre-prosthetic method aimed at better integration of implant prosthetic rehabilitation in the oral cavity of patients, and on the other hand, a now more common method aimed at pushing the soft tissues, guiding them with the provisional implant, whether on the teeth or on the implants. 

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