Tissue Replacement Gingival Prosthesis in the Treatment of Esthetic and Functional Deficit: An Atypical Case Report

Growing awareness has led to the understanding that the dental esthetics is based not only on the ‘white component’ of the restoration but also on the ‘pink component’ surrounding the natural teeth and their replacements. Over the years, the gingival prostheses have taken different forms and dimensions and numerous authors have described their various uses and methods of construction.1-10 Removable prosthetic replacements are especially useful, when a large volume of tissue requires replacement, with proper cleaning still feasible. Also, an ideal tissue contour can be created without disturbing the other fixed dental units. Periodontal disease, trauma and congenital defects frequently pose as the etiological factors in effecting both soft tissue and hard tissue defects compounded with esthetic problems.11 An understanding of the form and shade requirements is essential for fabrication of a gingival prosthesis that offers a good intraoral retention and satisfaction for the patient as well as the clinician. This case report presents an unusual clinical scenario which was treated successfully, with the fabrication of a gingival prosthesis to mask the esthetic and functional deficit.