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February 6, 2026Journal of Orthodontics0 citations

Blocks of pontics to replace missing teeth: A clinical pearl

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KAKinda AwadMDMaria DillonSHSue Howard

Key Points

  • The study aims to evaluate the effectiveness of blocks of pontics as a solution for missing teeth in patients with hypodontia during orthodontic treatment.
  • Assessing common issues with single tooth pontics in orthodontic applications
  • Implementing blocks of pontics to enhance prosthetic replacement
  • Creating wax-up models and finishing them in acrylic before intraoral ligation
  • Blocks of pontics provide better stability compared to single tooth pontics
  • They are effective in restoring aesthetics and function for patients with large edentulous spans
  • The intervention supports multidisciplinary approaches for restorative management

Abstract

Patients with hypodontia often undergo orthodontic treatment, with single tooth pontics often used to replace missing teeth. However, single tooth pontics can often rotate on the archwire, leading to compromised stability. ‘Blocks of pontics’ can provide prosthetic replacement during orthodontic treatment for hypodontia patients, overcoming common issues with large edentulous spans. After impression taking, blocks of pontics can be waxed up and finished in acrylic, and can then be ligated to the archwire intraorally. Blocks of pontics can be life-changing, restoring adequate aesthetics and function, before multidisciplinary restorative management.

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Cite This Study

Awad et al. (2026) studied this question.

synapsesocial.com/papers/698586118f7c464f23009e69https://doi.org/10.1177/14653125251391433
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