We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Cantilever in Implant.
- Authors
Mousavi, A.; Rezaie, F.; Khorramdel, A.; Aienfar, A.
- Abstract
Objective: The prosthodontic literature has documented the use of cantilever restorations on teeth. The specific guidelines for the use of cantilevers in conventional fixed prosthodontics can be found in traditional prosthodontic text books (Schillenburg, etc). The use of a single cantilevered tooth off of a natural tooth is permitted from a maxillary canine to replace a maxillary lateral incisor. Other cantilevers require either double or triple abutting in order to provide adequate support. The considerations are: The arch, the tooth, the length and diameter of the supporting endosseous implant, the opposing occlusion, the edentulous ridge morphology, soft tissue profiles, the esthetic and overall expectations of the patient. In some instances the motivating factor for the cantilever is cost, the patient does not wish to pay. Methods: An electronic literature search was conducted in the PubMed database by 2 reviewers (LTM and AM) for articles written in English from June 2003 to January 2013 that were prospective human clinical trials with the clear purpose of appraising the effect of implant-supported fixed partial prostheses on peri-implant bone level and prosthetic complications. Data from the selected studies were extracted to carry out the statistical analysis. Conclusion: In the anterior maxilla or mandible the use of cantilevers also requires careful attention to the occlusion. The cantilevered tooth should be kept out of centric occlusion contact and not be utilized in any excursive movements for discussion. Lateral forces on the cantilevered tooth will serve to torque or rotate the supporting implant and result in the complications mentioned above. In instances where there is insufficient room for a second implant or the patient is not amenable to a three unit fixed partial denture, the cantilevered restoration will provide years of service if the careful attention to the aforementioned criteria are followed incisors off of each other. Posterior cantilevers should be avoided at all costs if they are single abutted.
- Publication
Journal of Advanced Periodontology & Implant Dentistry, 2018, Vol 10, Issue 1, p39
- ISSN
2645-5390
- Publication type
Academic Journal
- DOI
10.15171/japid.2018.s1-80