Rehabilitation of partial edentulous spaces using abutment on either side is one of the ideal treatment in the field of fixed Prosthodontics. Using an abutment that is distant from the missing tooth, has peculiar conditions which have not been much reported in the literature. This article presents a case of an adult male patient whose maxillary right central incisor was missing. The maxillary first premolar on the same side was rotated due to loss of adjacent tooth contact. In order to restore the balance of entire dentition, it was important to restore lost proximal contact of the maxillary first premolar utilizing a full restoration. Using a bar as a spring connector, the crown on the maxillary right premolar served as an abutment to replace the missing central incisor on the same side. This form of bridge is relatively less done in clinical practice. The patient was extremely satisfied with the outcome of the fixed partial denture design.

Keywords:  cast restoration, cantilever, fixed partial denture, pontic, retainer.

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Jacob John H

Assistant Professor, Department of Prosthodontics, CIIDSRC, KUHS, India