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lüll Cantilevers extending from unilateral implant-supported fixed prostheses: a review of the literature and presentation of practical guidelines Greenstein G; Cavallaro J JrJ Am Dent Assoc 2010[Oct]; 141 (10): 1221-30BACKGROUND: Historically, prostheses involving cantilevered support have resulted in higher complication rates than have fixed dental prostheses (FDPs) without cantilevers. Through the judicious use of contemporary implant protocols, implant-supported cantilevered FDPs (ICFDPs) may provide a method of restoring edentate areas as predictably as do implant-supported FDPs without cantilevers. TYPES OF STUDIES REVIEWED: The authors searched the dental literature for clinical trials in which investigators appraised the survival rates of and complications (physiological and technical) associated with ICFDPs. RESULTS: from workshops have suggested that at least five-year data are needed to enable evaluation of the effectiveness of implant therapy. The authors delineate these data in tables and include additional studies with shorter follow-up periods, as there is a paucity of five-year data addressing survival rates of short-span ICFDPs. Results. The data indicate that unilateral short-span cantilevered prostheses have an overall estimated survival rate at five years of 94.3 percent (95 percent confidence interval, 84.1-98.0 percent). These prostheses may be associated with minor technical problems--such as abutment or screw loosening, loss of retention and veneer chipping--that do not result in the failure of an ICFDP. CONCLUSIONS: and CLINICAL IMPLICATIONS: An ICFDP can be used in a manner that positions a pontic at a site with a dearth of bone or anatomical structures that preclude placement of a dental implant.|*Dental Prosthesis, Implant-Supported[MESH]|*Denture Design[MESH]|*Denture, Partial, Fixed[MESH]|*Practice Guidelines as Topic[MESH]|Biomechanical Phenomena[MESH]|Clinical Trials as Topic[MESH]|Follow-Up Studies[MESH]|Humans[MESH]|Survival Analysis[MESH]|Treatment Outcome[MESH] |