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ORIGINAL STUDY NON-COMPETITION
Year : 2018  |  Volume : 18  |  Issue : 5  |  Page : 31

OSNC6: Assessment of the level of gum lines of filipino: A basis for anterior fixed partial denture material selection


Date of Web Publication31-Oct-2018

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DOI: 10.4103/0972-4052.244646

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How to cite this article:
. OSNC6: Assessment of the level of gum lines of filipino: A basis for anterior fixed partial denture material selection. J Indian Prosthodont Soc 2018;18, Suppl S1:31

How to cite this URL:
. OSNC6: Assessment of the level of gum lines of filipino: A basis for anterior fixed partial denture material selection. J Indian Prosthodont Soc [serial online] 2018 [cited 2018 Nov 20];18, Suppl S1:31. Available from: http://www.j-ips.org/text.asp?2018/18/5/31/244646



Vivian Carlos, Frederick Guanzon, Consuelo Hebron, Nancy Garcia T

Centro Escolar Unuversity, Manila, Philippines

This study determined the average level of gum line of Filipinos and corresponding fixed partial denture material that could satisfy esthetic requirement.

Materials and Methods: Descriptive method utilizing both observation and survey were conducted. Observation of participants at fullest smile to determine the level of gum lines were performed. The level of gum lines were assessed below, above and in level with the intercommisure line. Verbal query regarding age of participants was also done. The average level of gum line was used as a basis for appropriating material for anterior fixed partial denture.

Results: There were two thousand fifty one participants, one thousand five hundred sixty six (76.35%) were female and four hundred eighty five (23.65%) were male with an age range of 18 to 37 years. Assessment of both female and male at fullest smile revealed that one thousand five hundred sixty two (76.16%) have gum line below the intercommisure line, three hundred two (14.72%) have gum line in level with the intercommisure line and one hundred eighty seven (9.12%) have gum line above the intercommisure line.

Discussion: With wider array of materials to choose from, clinical judgment plays an important role in providing the best restoration for varying clinical conditions. Understanding that the level of gum line has a significant effect on esthetics, the use of metal ceramic for anterior fixed partial denture despite of its time-tested durability should be limited to those with gum line located above the intercommisure line. Metal ceramics although tooth colored had an opaque layer along cervical area, impaired translucency and gray shadow shade effect could causes esthetic problem. For those with gum line located below and in level with the intercommisure line an esthetically superior all ceramics either pressed or fully sintered is best.

Conclusion: With three hundred two (14.72%) of participants having gum lines in level with the intercommisure line and one thousand five hundred sixty two (76.16%) below the intercommisure line showing cervical third of anterior prosthesis at fullest smile, all ceramics instead of metal ceramics is the most appropriate material for anterior fixed partial denture of Filipinos. For the remaining one hundred eighty seven (9.12%) whose gum lines were above the intercommisure line, metal ceramic and all ceramics may be used without compromising esthetics.






 

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