HOME - Clinical cases - Prosthodontics
 
 
25 September 2019

Is Implant cantilevered fixed dental prostheses a successful treatment in partially edentulous?

Co-authors: Storelli S, Del Fabbro M, Scanferla M, Romeo E

Giulia Palandrani


Implant placement can be limited by anatomical conditions that may be overcome with different solutions: reduced dimension implants, bone regeneration procedures or different prosthetic designs. One of the prosthetic solutions is the use of cantilevered prostheses. This is an option in areas with an unfavorable anatomy, or in patients that have limited financial means to afford complex treatments. The major risk in this type of rehabilitations is biomechanical, in fact the occlusal overload can lead to implant and/or prosthetic failure.  

In this systematic review, divided in two parts and pulished in November 2018 on the Cinical Oral Implants Research, the focused question was: “In what clinical situations and with what implant systems are cantilevers a successful treatment modality?” 

 RESULTS 
In the part I of this systematic review after an electronic search a total of nine papers were selected for partially edentulous patients. The estimated survival rate for 5–10 years was calculated to be 98.4% for the implants and 99.2% for the rehabilitations. Mechanical, technical and biological complications were reported with a cumulative 5–10 years complication rate of 28.66% and 26.57% for the patients and for the prosthesis, respectively. For single implant supporting 2-unit cantilever only two papers were included, therefore it was not possible to draw conclusions.   

CONCLUSIONS
Based on these results it is possible to acknowledge the use of cantilevered rehabilitations in partially edentulous patients. Implant cantilevered fixed dental prosthesis appear to have a high survival rate in partially edentulous patients. Conversely single implant supporting 2-unit cantilever appear to have scarce evidence concerning the survival and rate of complications.


For additional informations:
Implant‐supported cantilevered fixed dental rehabilitations in fully edentulous patients: Systematic review of the literature. Part II

Related articles

The cementation of zirconia crowns is always the subject of considerations; the inability to have an adhesive bond with the material makes the fixing process always problematic. Many authors have...


Crown decementation are the most frequent failures in restorations using zirconia as an infrastructure. Increasing the roughness of the zirconia surface has been...


Nowadays, the material of choice for single tooth full crowns restorations are lithium disilicate ceramic and zirconia. Both materials are very popular and could be veneered with feldspathic ceramic...


The conventional manufacturing protocols for the realization of removable complete dental prostheses (CRDP) are well established and are still...


The types of prosthetic preparations in the anterior teeth have always raised more or less heated debates. Regardless of the line or end of preparation area, it has always seemed of great...


Read more

From October 1st to 5th the annual meeting of the Academy of Dental Materials (ADM) was held in Jackson Hole (Wyoming, USA), entitled: "Materials to...


From October 1st to 5th the annual meeting of the Academy of Dental Materials was held in Jackson Hole (Wyoming, USA), entitled: "Materials to Enable the Evolution/Revolution of Digital...


Authors: M. Gobbo, G. Ottaviani, K. Rupel, M. Biasotto

A female patient was sent to the Medicine and Oral Pathology clinic of the Dental Clinic of Trieste for the evaluation of an intensely radiopaque foreign body...


Root caries results from the dissolution of minerals in dentine by the acids produced by bacteria, since dentine have a much lower mineral content when compared...


Tooth autotransplantation is the transplantation of one's own tooth from one site of the mouth to another edentulous site. This technique is possible only when a donor tooth is available....


 
 

Newsletter

 
 
 
 

Most popular

 
 

Events