Abstract

DREY, Sandra Eloisa  and  FREITAS, Fernando Furtado Antunes de. Gingival conditioning technique in prosthetic rehabilitation: a case report. RFO UPF [online]. 2013, vol.18, n.3, pp. 386-391. ISSN 1413-4012.

Introduction: procedures made in the treatment planning stage aiming to achieve a satisfactory prosthetic treatment and improve smile esthetics must forego procedures that will allow the conditioning of soft tissues with the aid of temporary prostheses, in order to form a gingival concave arch, and hence, interdental papillae. Thus, the emergence profile of pontics prevents the creation of so-called "black holes", and reestablishes the accumulation of food in the oral environment. The goal of selecting a margin conditioning technique in a concave shape which allows the fabrication of more esthetic and functional fixed prostheses is for the patient, properly instructed, to perform a correct hygiene. Objective and case report: this paper shows a clinical case where the technique of conditioning by cervical pontic augmentation, known as gradual increase in pressure was performed and compared to the technique of gingival scarification, in order to obtain the expected conditioning. Conclusion: it is concluded that, regardless of the technique applied, the temporary prosthesis must be set in the correct position because, either a slight displacement or its release or loss will result in gingival accommodation to a new position, quickly changing it to an unwanted shape of "gingival conditioning". Therefore, the entire temporary prosthesis considered essential to the success of the final treatment must be properly adjusted, polished, and cemented without any traces of cement, as well as permanent prostheses, although in the clinical case hereby reported an Adhesive Prosthesis in Composite Resin was made on a glass fiber tape.

Keywords : Gingival conditioning; Fixed prosthesis; Pontic; Esthetics.