09/13/2025
“ Two implants or One Implant Supported Cantilever” ?
▪️ In the past I have supported the one implant-supported cantilever approach as it better replaced the deficiente papilla that occurred when 2 adjacent teeth are removed ;
▪️ But, I have encountered issue with the prosthesis becoming loose, maybe due to third party abutments, or simple as this is the most common complication in single implant-supported prosthesis;
▪️ still 2 implantable supported splinted prosthesis can become a challenge to hygiene and compliance and could bring about biological complication;
▪️ What about individual implant-supported prosthesis ? The challenge is in the esthetic result as it will be impossible to establish a papilla that symmetrical with contralateral side . But, doing the best we can with Pre-prosthetic surgery and gingival augmentation we can make the esthetic outcome more visually pleasant;
▪️ It all comes to the ERA and the smile line to make sure it is a an acceptable compromise. The provisional phase , bottom photo, is the crucial step in assessing the the final outcome by you and the patients and decide on moving forward with final restoration;
▪️ Have you encountered this situation before? Did you favor an FDP instead of implants, or a single implant with cantilever, of the two-implant supported prosthesis like this case?
▪️ Teamwork with
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