Prosthodontics & Occlusion · single question

Which pontic design is MOST appropriate for the MAXILLARY FIRST PREMOLAR area (esthetic zone)?

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

Correct answer: D. Modified ridge lap pontic

  • A. Incorrect. The ovate pontic is the most esthetic option (sits in a prepared ridge concavity) but requires surgical ridge modification — the modified ridge lap is the standard esthetic choice without surgery.
  • B. Incorrect. The saddle/full ridge lap pontic has the worst hygiene and is contraindicated despite good esthetics because of plaque accumulation.
  • C. Incorrect. The sanitary pontic does not contact the ridge — while hygienic, it looks unnatural and is inappropriate for the esthetic zone.
  • D. Correct. The MODIFIED RIDGE LAP pontic is the STANDARD CHOICE for the ESTHETIC ZONE (maxillary premolars and anterior teeth). It contacts the BUCCAL ridge only (providing natural appearance from the labial/buccal view) while the LINGUAL surface is concave and accessible for flossing. This balances esthetics with acceptable hygiene access.

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