Assessment of various factors for feasibility of fixed cantilever bridge: a review study

Cantilever fixed partial dentures are defined as having one or more abutments at one end of the prosthesis while the other end is unsupported. Much controversy without documentary evidence has surrounded this prosthesis. Despite negative arguments, the cantilever prosthesis has been used extensively by the clinicians. If used nonjudiciously without following proper guidelines these might lead to some complications. Although complications may be an indication that clinical failure has occurred, this is not typically the case. It is also possible that complications may reflect substandard care. Apart from the substandard care, the unique arrangement of the abutments and pontic also accounts for the prime disadvantage: the creation of a class I lever system. When the cantilevered pontic is placed under occlusal function, forces are placed on the abutments. There are various criteria and factors necessary for a successful cantilever fixed partial denture (FPD). The purpose of this paper is to discuss briefly various factors involved in the planning of a cantilever fixed partial denture.