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While ovate pontics have traditionally been used as a restorative design following augmentation procedures to enhance esthetics, an alternate <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\u2010pontic design aims to predictably support and maintain the gingival architecture between a single missing anterior tooth adjacent to a natural tooth or an implant that is in harmony with the lip line and face. In addition, the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\u2010pontic design promotes the gingival facial tissue to coronally migrate over the pontic, creating a gingival sulcus. This article describes an innovative new technique and a pontic design that predictably will develop, support, and maintain the gingival architecture to provide a long\u2010term esthetic and functional outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Over the past 14 years, it has been the author's observation that the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\u2010pontic design and conservative surgical technique, when properly performed, will develop, support, and maintain the gingival architecture more predictably than any other pontic design observed. When the goal of tooth replacement is to achieve the optimal esthetic and functional outcome, the utilization of the <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>\u2010pontic design for a fixed partial denture involving either natural teeth or implants is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jerd.12110","type":"journal-article","created":{"date-parts":[[2014,7,2]],"date-time":"2014-07-02T09:43:09Z","timestamp":1404294189000},"page":"13-28","source":"Crossref","is-referenced-by-count":12,"title":["Enhancing Esthetics with a Fixed Prosthesis Utilizing an Innovative Pontic Design and Periodontal Plastic Surgery"],"prefix":"10.1111","volume":"27","author":[{"given":"Robert P.","family":"Korman","sequence":"first","affiliation":[{"name":"Virginia Beach VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,7]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0757.1996.tb00180.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1708-8240.1994.tb00825.x"},{"key":"e_1_2_6_4_1","first-page":"395","article-title":"Reconstruction of the lost interproximal papilla\u2014presentation of surgical and nonsurgical approaches","volume":"19","author":"Blatz MB","year":"1999","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(83)90569-3"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3913(87)90145-4"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1902\/jop.1985.56.4.195"},{"key":"e_1_2_6_8_1","first-page":"260","article-title":"Ridge preservation techniques for implant therapy","volume":"24","author":"Darby I","year":"2009","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1016\/S0011-8532(22)00280-4","article-title":"Treatment of moderate localized alveolar ridge defects. 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