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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 />

14

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