The life of a fixed partial denture depends largely on how well the partial denture is able to maintain the health of the periodontium. Periodontal breakdown of any sort due to a prosthesis means the failure of the restoration. This is applicable to a normal and healthy abutment. Some situations like pier abutment require special attention and understanding of the biomechanics of occlusion. We present a clinical case of a female patient who had a pier abutment situation in the mandibular arch. A fixed fixed partial denture was cemented in place since the patient was not able to afford the cost of a precision attachment that was necessary to fabricate a fixed movable bridge for such case. The patient reported to be satisfied after one year follow up.

Keywords: abutment, lever, decementation, precision attachment, long span bridge.

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Kavita Raj

Lecturer, Department of Prosthodontics, Chandra Dental College, RMLA University