This case report presents the successful aesthetic rehabilitation of the anterior maxilla using a fixed partial denture with integrated gingival porcelain to address both white and pink aesthetics in a patient with significant ridge defects. A 23-year-old patient presented with missing maxillary left central and lateral incisors (21,22) and mobile right central and lateral incisors (11,12), along with a Siebert's Class III ridge defect characterized by both vertical and horizontal bone loss. Following extraction of the compromised mobile teeth and complete tissue healing, maxillary canines (13,23) were prepared as abutments for a fixed partial denture. Gingival porcelain was incorporated into the prosthetic design to compensate for the ridge defect and achieve optimal aesthetics. The prosthesis successfully masked the ridge defect while providing natural-appearing tooth contours and gingival architecture. Post-operative evaluation revealed good tissue response and patient satisfaction. Fixed partial dentures incorporating gingival porcelain represent a viable and cost-effective alternative to implant-supported prostheses for anterior maxillary rehabilitation when significant ridge defects are present. This treatment modality can achieve predictable aesthetic outcomes through meticulous treatment planning and precise clinical execution.
Kidwai et al. (Sat,) studied this question.