1 FIXED PARTIAL DENTURES
1 FIXED PARTIAL DENTURES
1 FIXED PARTIAL DENTURES
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SPECIAL PROBLEMS: Cantilever FPD<br />
(Potentially destructive lever arm)<br />
Conventional FPD<br />
Conventional FPD (replacing lateral incisor)<br />
• Replace only 1 tooth, and<br />
have at least 2 abutments<br />
• Criteria for abutment teeth:<br />
– Long root w/ good configuration<br />
– Long clinical crown<br />
– Favorable crown:root ratio and<br />
healthy periodontium<br />
Shillingburg<br />
Shillingburg<br />
Cantilever FPD<br />
Cantilever FPD (replacing lateral incisor)<br />
Cantilever FPD:<br />
Replacement of maxillary lateral incisor<br />
Shillingburg<br />
• Only the canine should be used as a solo abutment<br />
• Rest should be placed on mesial of pontic against a rest<br />
prep in a restoration in the distal of the central incisor<br />
– Good clinical crown length / orthodontic position<br />
Unfavorable Occlusion: deep vertical overlap<br />
(Cantilever FPD or Resin-Bonded FPD)<br />
Unfavorable Central Incisor Cantilever Pontic FPD<br />
Unfavorable Cantilever:<br />
Lateral incisor abutment<br />
Severe vertical overlap<br />
Maximum Intercuspation<br />
Solution:<br />
1) Conventional FPD #8-#10<br />
2) Single implant-retained crown<br />
Lateral Excursive – Canine Guidance<br />
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