Surgical procedures to reconstruct ridge deformities can be unpredictable and unsatisfactory. Creating a prosthetic gingiva with fixed partial dentures can be an alternative treatment for predictably reconstructing ridges, especially for patients who do not want surgery. The case presented involved a fixed partial denture with gingival ceramic to replace missing anterior teeth in a 26-year old female patient.

1. RESTORING THE PINK
ESTHETICS WITH GINGIVAL
CERAMICS
Surgical procedures to re-establish the three
dimensional architecture, in some cases are still
unpredictable and unsatisfactory in terms of
esthetics and function.
Creating a prosthetic gingiva can represent an
esthetic and functional alternative for the
predictable reconstruction of ridge deformities in
fixed partial restorations, particularly in patients
who do not want to undergo any surgical
procedure.
Slide No. 1 Dr. RAGINI SANAYE Poster No.23

2. Pre-operative pictures
• A 26 year old female
patient, came to the
Department of
Prosthodontics of MGM
Dental College and
Hospital, with a chief
complaint of missing lower EXTRA-ORAL
five anterior teeth.
INTRA-ORAL
Slide No. 2 Dr. RAGINI SANAYE. Poster No.23

3. CLINICAL FINDING
• The patient gave a history of
a cyst in the anterior
mandible. The teeth 31,32,
33,41 and 42 were extracted
along with bone during the
excision of the cyst
Slide No. 3 Dr. RAGINI SANAYE. Poster No.23

4. Diagnosis and Treatment plan
• A Metal-
Ceramic Fixed
Partial Denture
with gingival
ceramic, using Tooth preparation for metal ceramic FPD
34 and 43 as
abutments was
planned since
the patient
refused any
Metal trial
surgical Acrylic temporary FPD
procedures
Slide No. 4 Dr. RAGINI SANAYE Poster No.23

5. • Metal- Ceramic Fixed Partial Denture with
Gingival Ceramic- Final cementation
PRE-OPERATIVE POST-OPERATIVE
Slide No. 5 Dr. RAGINI SANAYE Poster No.23

6. Conclusion
•In spite of all the recent developments in periodontal and peri-
implant surgical regenerative procedures, comprehensively
and esthetically re-establishing the hard and soft tissue
contours still represents a challenge.
•The prosthetic restoration of the pink esthetics offers a
reliable and consistent alternative to resolving cases with
uncertain surgical outcome or cases in which patients do not
want to undergo regenerative surgical procedures.
•The understanding of the indications and procedures involved
in this technique requires a paradigm shift for the whole
interdisciplinary team to maximize the biological, functional and
esthetic results and to surpass the patients’ expectations
Dr. RAGINI SANAYE Poster No.23
Slide No. 6

7. Conclusion
•In spite of all the recent developments in periodontal and peri-
implant surgical regenerative procedures, comprehensively
and esthetically re-establishing the hard and soft tissue
contours still represents a challenge.
•The prosthetic restoration of the pink esthetics offers a
reliable and consistent alternative to resolving cases with
uncertain surgical outcome or cases in which patients do not
want to undergo regenerative surgical procedures.
•The understanding of the indications and procedures involved
in this technique requires a paradigm shift for the whole
interdisciplinary team to maximize the biological, functional and
esthetic results and to surpass the patients’ expectations
Dr. RAGINI SANAYE Poster No.23
Slide No. 6