Prosthodontics & Occlusion · single question

Which pontic design is MOST appropriate for edentulous areas in the posterior maxilla (upper molars)?

  1. Modified ridge lap pontic
  2. Ovate pontic
  3. Hygienic (sanitary) pontic
  4. Saddle/ridge lap pontic
Show answer and explanation

Correct answer: C. Hygienic (sanitary) pontic

The hygienic (sanitary) pontic is the design of choice for maxillary posterior (molar) edentulous areas because esthetics is less critical in this region, and a completely tissue-free design allows maximum cleansability. The convex undersurface does not contact the ridge at all, eliminating plaque retention and tissue inflammation. In anterior or visible areas, a modified ridge lap or ovate pontic is preferred for esthetics.
  • A. ❌ The modified ridge lap is preferred for anterior regions where moderate esthetics is needed without full ridge lap tissue contact.
  • B. ❌ The ovate pontic is ideal for anterior esthetics (sits in a prepared tissue depression) but is not recommended for posterior molars.
  • C. ✅ CORRECT – The hygienic (sanitary) pontic is preferred for maxillary posterior areas where esthetics is secondary to cleanability.
  • D. ❌ The saddle/ridge lap pontic contacts the ridge on both buccal and lingual aspects — the worst design for hygiene and tissue health.

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