Review Article
Volume 19 Issue 11 - 2020
Cantilevered Fixed Partial Denture
Mohamed Hany Ahmad Abd Elghany1*, Waad Ahmed Almazrouie2, Bahyah Zake O Helmy2, Alaa Hisham Abulaban2, Afnan Mohammed Baduwilan2, Hanan Rashad Morya2, Ghadeer Hassan Alshumrani2, Raneem Abdullah Alnashi2, Alaa Ali Bedaiwi2, Sarah Faisal Alhazmi3 and Afnan Fowzi Khalil4
1Cairo University, Giza, Egypt
2Ibn Sina College, Jeddah, Saudi Arabia
3National Guard Hospital, Saudi Arabia
4Ministry of Health, Saudi Arabia
*Corresponding Author: Mohamed Hany Ahmad Abd Elghany, Cairo University, Giza, Egypt.
Received: September 23, 2020; Published: October 28, 2020


Introduction: Because of the growing requests by patients for a fixed prosthesis, to avoid the extensive surgical or restorative procedures that may be involved in an implant or teeth supported fixed prosthesis, many dentists have been using fixed partial dentures with free end pontics. Such prosthesis, called cantilever fixed partial dentures have one or more abutments at one end while the other end remains unsupported [1]. Much controversy surrounds cantilevered FPDs, but despite negative arguments, clinicians still extensively use them. If used non-judiciously, they can lead to complications. The prime disadvantage of cantilever FPDs is the creation of a class one lever. Forces that are transmitted through the unsupported pontics can cause tilting and rotational movements of the abutment, leading to its failure. The success of a cantilever FPD depends on various factors, including abutment selection, the strength of connectors and the control of functional forces. When planned correctly, cantilever prosthesis can be used as an alternative treatment modality.

Aim of the Study: The aim of this paper is to discuss the basic concepts of cantilever fixed partial dentures, the factors that play a role in its planning and success, and their clinical applications.

Methodology: The article is a comprehensive research of PUBMED papers.

Conclusion: When planned carefully and used judiciously, cantilevered fixed partial dentures serve as a good alternative treatment option. It is a compromise when compared to an FPD secured at both ends and an implant, but may serve the primary purpose of rehabilitation in cases where the other options are not feasible due to any reason. However, it requires thorough evaluation and treatment planning, taking biomechanical, stress distribution, and occlusal factors into consideration. Favorable clinical conditions, appropriate design, sound mechanical features and good post insertion hygiene are necessary for the longevity and success of such prosthesis.

Keywords: Cantilever Fixed Partial Dentures; Free Pontics; Anterior Cantilever FPD; Cross Arch Cantilever FPD


  1. Wright WE. “Success with the cantilever fixed partial denture”. The Journal of Prosthetic Dentistry5 (1986): 537-539.
  2. Henderson D., et al. “The cantilever type of posterior fixed partial dentures: a laboratory study”. Journal of Prosthetic Dentistry1 (1970): 47-67.
  3. Wright W E. “Success with the cantilever fixed partial denture”. The Journal of Prosthetic Dentistry5 (1986): 537-539.
  4. Himmel R., et al. “The cantilever fixed partial denture-a literature review”. The Journal of Prosthetic Dentistry4 (1992): 484-487.
  5. Wright K W J and Yettram AL. “Reactive force distributions for teeth when loaded singly and when used as fixed partial denture abutments”. Journal of Prosthetic Dentistry4 (1979): 411-416.
  6. Lundgren D and Laurell L. “Occlusal force pattern during chewing and biting in dentitions restored with fixed bridges of cross‐arch extension: I. Bilateral end abutments”. Journal of Oral Rehabilitation1 (1986): 57-71.
  7. Nyman S., et al. “The role of occlusion for the stability of fixed bridges in patients with reduced periodontal tissue support”. Journal of Clinical Periodontology2 (1975): 53-66.
  8. Laurell L and Lundgren D. “Periodontal ligament areas and occlusal forces in dentitions restored with cross‐arch bilateral end abutment bridges”. Journal of Clinical Periodontology10 (1985): 850-860.
  9. Antonoff SJ. “The status of cantilever bridges”. Oral Health1 (1973): 8-11.
  10. Randow K., et al. “Technical failures and some related clinical complications in extensive fixed prosthodontics: an epidemiological study of long-term clinical quality”. Acta Odontologica Scandinavica4 (1986): 241-255.
  11. Glantz PO., et al. “On functional strain in fixed mandibular reconstructions II. An In vivo study”. Acta Odontologica Scandinavica5 (1984): 269-276.
  12. Randow K and Glantz PO. “On cantilever loading of vital and non-vital teeth an experimental clinical study”. Acta Odontologica Scandinavica 5 (1986): 271-277.
  13. Trapozzano VR. “Selecting the correct restoration”. Dental Clinics of North America (1960): 273.
  14. Ewing JE. “Re-evaluation of the cantilever principle”. Journal of Prosthetic Dentistry 1 (1957): 78-92.
  15. Stein RS. “Pontic-residual ridge relationship: a research report”. Journal of Prosthetic Dentistry 2 (1966): 251-285.
  16. Henry P J., et al. “Tissue changes beneath fixed partial dentures”. Journal of Prosthetic Dentistry 5 (1966): 937-947.
  17. Budtz-Jørgensen E., et al. “Cantilevered fixed partial dentures in a geriatric population: preliminary report”. Journal of Prosthetic Dentistry 4 (1985): 467-473.
  18. Hochman N., et al. “The cantilever fixed partial denture: a 10-year follow-up”. Journal of Prosthetic Dentistry 5 (1987): 542-545.
Citation: Mohamed Hany Ahmad Abd Elghany., et al. “Cantilevered Fixed Partial Denture”. EC Dental Science 19.11 (2020): 122-130.

PubMed Indexed Article

EC Pharmacology and Toxicology
LC-UV-MS and MS/MS Characterize Glutathione Reactivity with Different Isomers (2,2' and 2,4' vs. 4,4') of Methylene Diphenyl-Diisocyanate.

PMID: 31143884 [PubMed]

PMCID: PMC6536005

EC Pharmacology and Toxicology
Alzheimer's Pathogenesis, Metal-Mediated Redox Stress, and Potential Nanotheranostics.

PMID: 31565701 [PubMed]

PMCID: PMC6764777

EC Neurology
Differences in Rate of Cognitive Decline and Caregiver Burden between Alzheimer's Disease and Vascular Dementia: a Retrospective Study.

PMID: 27747317 [PubMed]

PMCID: PMC5065347

EC Pharmacology and Toxicology
Will Blockchain Technology Transform Healthcare and Biomedical Sciences?

PMID: 31460519 [PubMed]

PMCID: PMC6711478

EC Pharmacology and Toxicology
Is it a Prime Time for AI-powered Virtual Drug Screening?

PMID: 30215059 [PubMed]

PMCID: PMC6133253

EC Psychology and Psychiatry
Analysis of Evidence for the Combination of Pro-dopamine Regulator (KB220PAM) and Naltrexone to Prevent Opioid Use Disorder Relapse.

PMID: 30417173 [PubMed]

PMCID: PMC6226033

EC Anaesthesia
Arrest Under Anesthesia - What was the Culprit? A Case Report.

PMID: 30264037 [PubMed]

PMCID: PMC6155992

EC Orthopaedics
Distraction Implantation. A New Technique in Total Joint Arthroplasty and Direct Skeletal Attachment.

PMID: 30198026 [PubMed]

PMCID: PMC6124505

EC Pulmonology and Respiratory Medicine
Prevalence and factors associated with self-reported chronic obstructive pulmonary disease among adults aged 40-79: the National Health and Nutrition Examination Survey (NHANES) 2007-2012.

PMID: 30294723 [PubMed]

PMCID: PMC6169793

EC Dental Science
Important Dental Fiber-Reinforced Composite Molding Compound Breakthroughs

PMID: 29285526 [PubMed]

PMCID: PMC5743211

EC Microbiology
Prevalence of Intestinal Parasites Among HIV Infected and HIV Uninfected Patients Treated at the 1o De Maio Health Centre in Maputo, Mozambique

PMID: 29911204 [PubMed]

PMCID: PMC5999047

EC Microbiology
Macrophages and the Viral Dissemination Super Highway

PMID: 26949751 [PubMed]

PMCID: PMC4774560

EC Microbiology
The Microbiome, Antibiotics, and Health of the Pediatric Population.

PMID: 27390782 [PubMed]

PMCID: PMC4933318

EC Microbiology
Reactive Oxygen Species in HIV Infection

PMID: 28580453 [PubMed]

PMCID: PMC5450819

EC Microbiology
A Review of the CD4 T Cell Contribution to Lung Infection, Inflammation and Repair with a Focus on Wheeze and Asthma in the Pediatric Population

PMID: 26280024 [PubMed]

PMCID: PMC4533840

EC Neurology
Identifying Key Symptoms Differentiating Myalgic Encephalomyelitis and Chronic Fatigue Syndrome from Multiple Sclerosis

PMID: 28066845 [PubMed]

PMCID: PMC5214344

EC Pharmacology and Toxicology
Paradigm Shift is the Normal State of Pharmacology

PMID: 28936490 [PubMed]

PMCID: PMC5604476

EC Neurology
Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

PMID: 28713879 [PubMed]

PMCID: PMC5510658

EC Neurology
Unilateral Frontosphenoid Craniosynostosis: Case Report and a Review of the Literature

PMID: 28133641 [PubMed]

PMCID: PMC5267489

EC Ophthalmology
OCT-Angiography for Non-Invasive Monitoring of Neuronal and Vascular Structure in Mouse Retina: Implication for Characterization of Retinal Neurovascular Coupling

PMID: 29333536 [PubMed]

PMCID: PMC5766278

EC Neurology
Longer Duration of Downslope Treadmill Walking Induces Depression of H-Reflexes Measured during Standing and Walking.

PMID: 31032493 [PubMed]

PMCID: PMC6483108

EC Microbiology
Onchocerciasis in Mozambique: An Unknown Condition for Health Professionals.

PMID: 30957099 [PubMed]

PMCID: PMC6448571

EC Nutrition
Food Insecurity among Households with and without Podoconiosis in East and West Gojjam, Ethiopia.

PMID: 30101228 [PubMed]

PMCID: PMC6086333

EC Ophthalmology
REVIEW. +2 to +3 D. Reading Glasses to Prevent Myopia.

PMID: 31080964 [PubMed]

PMCID: PMC6508883

EC Gynaecology
Biomechanical Mapping of the Female Pelvic Floor: Uterine Prolapse Versus Normal Conditions.

PMID: 31093608 [PubMed]

PMCID: PMC6513001

EC Dental Science
Fiber-Reinforced Composites: A Breakthrough in Practical Clinical Applications with Advanced Wear Resistance for Dental Materials.

PMID: 31552397 [PubMed]

PMCID: PMC6758937

EC Microbiology
Neurocysticercosis in Child Bearing Women: An Overlooked Condition in Mozambique and a Potentially Missed Diagnosis in Women Presenting with Eclampsia.

PMID: 31681909 [PubMed]

PMCID: PMC6824723

EC Microbiology
Molecular Detection of Leptospira spp. in Rodents Trapped in the Mozambique Island City, Nampula Province, Mozambique.

PMID: 31681910 [PubMed]

PMCID: PMC6824726

EC Neurology
Endoplasmic Reticulum-Mitochondrial Cross-Talk in Neurodegenerative and Eye Diseases.

PMID: 31528859 [PubMed]

PMCID: PMC6746603

EC Psychology and Psychiatry
Can Chronic Consumption of Caffeine by Increasing D2/D3 Receptors Offer Benefit to Carriers of the DRD2 A1 Allele in Cocaine Abuse?

PMID: 31276119 [PubMed]

PMCID: PMC6604646

EC Anaesthesia
Real Time Locating Systems and sustainability of Perioperative Efficiency of Anesthesiologists.

PMID: 31406965 [PubMed]

PMCID: PMC6690616

EC Pharmacology and Toxicology
A Pilot STEM Curriculum Designed to Teach High School Students Concepts in Biochemical Engineering and Pharmacology.

PMID: 31517314 [PubMed]

PMCID: PMC6741290

EC Pharmacology and Toxicology
Toxic Mechanisms Underlying Motor Activity Changes Induced by a Mixture of Lead, Arsenic and Manganese.

PMID: 31633124 [PubMed]

PMCID: PMC6800226

EC Neurology
Research Volunteers' Attitudes Toward Chronic Fatigue Syndrome and Myalgic Encephalomyelitis.

PMID: 29662969 [PubMed]

PMCID: PMC5898812

EC Pharmacology and Toxicology
Hyperbaric Oxygen Therapy for Alzheimer's Disease.

PMID: 30215058 [PubMed]

PMCID: PMC6133268

News and Events

July Issue Release

We always feel pleasure to share our updates with you all. Here, notifying you that we have successfully released the July issue of respective journals and the latest articles can be viewed on the current issue pages.

Submission Deadline for upcoming Issue

Ecronicon delightfully welcomes all the authors around the globe for effective collaboration with an article submission for the upcoming issue of respective journals. Submissions are accepted on/before August 09, 2021.

Certificate of Publication

Ecronicon honors with a "Publication Certificate" to the corresponding author by including the names of co-authors as a token of appreciation for publishing the work with our respective journals.

Best Article of the Issue

Editors of respective journals will always be very much interested in electing one Best Article after each issue release. The authors of the selected article will be honored with a "Best Article of the Issue" certificate.

Certifying for Review

Ecronicon certifies the Editors for their first review done towards the assigned article of the respective journals.

Latest Articles

The latest articles will be updated immediately on the articles in press page of the respective journals.

Immediate Assistance

The prime motto of this team is to clarify all the queries without any delay or hesitation to avoid the inconvenience. For immediate assistance on your queries please don't hesitate to drop an email to