{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T05:11:08Z","timestamp":1778130668035,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Adhesive cantilever resin\u2010bonded bridges (RBBs) are a minimally invasive option for replacing maxillary lateral incisors in young cleft patients, in whom implant placement is often delayed until completion of craniofacial growth or declined due to surgical burden. Beyond material selection, the outcome depends critically on abutment design and enamel preservation. This technique\u2010focused case report describes a 17\u2010year\u2010old unilateral cleft patient treated with two lithium disilicate veneers (#11, #12) and a cantilever resin\u2010bonded fixed partial dentures (RBFPDs) replacing #22. Tooth #21 received a 270\u00b0 partial\u2010coverage veneer preparation\u2014facial, distal, and most palatal surfaces prepared while intentionally preserving the mesial surface\u2014to maximize enamel bonding, avoid circumferential reduction, and optimize path of insertion and connector geometry. A digitally\u2010assisted, mock\u2010up validated adhesive workflow was used, with evidence\u2010based surface treatments for enamel and lithium disilicate. Short\u2010term review showed functional stability, esthetic integration, and healthy peri\u2010abutment tissues. This report details the step\u2010by\u2010step preparation parameters, finishing lines, surface conditioning, and bonding protocol of the 270\u00b0 abutment design, highlighting its value as a biologically respectful, patient\u2010centered alternative when implants are not feasible in cleft rehabilitation.<\/jats:p>","DOI":"10.1002\/ccr3.72493","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T04:20:34Z","timestamp":1778127634000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally Invasive Cantilever\n                    <scp>RBFPD<\/scp>\n                    Using a 270\u2010Degree Veneer Abutment in a Young Cleft Patient: A Clinical Adhesive Technique"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2236-4345","authenticated-orcid":false,"given":"Aspasia","family":"Pachiou","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, School of Dentistry National and Kapodistrian University of Athens  Athens Greece"},{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aikaterini Maria","family":"Vraka","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, School of Dentistry National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Andritsakis","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, School of Dentistry National and Kapodistrian University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaos Nikitas","family":"Giannakopoulos","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, School of Dentistry National and Kapodistrian University of Athens  Athens Greece"},{"name":"Department of Prosthodontics University Clinic, Julius\u2010Maximilians\u2010Universit\u00e4t W\u00fcrzburg  W\u00fcrzburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,6]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1002\/ajmg.c.31381","article-title":"Genetics of Cleft Lip and Cleft Palate","volume":"163","author":"Leslie E. J.","year":"2013","journal-title":"American Journal of Medical Genetics Part C: Seminars in Medical Genetics"},{"key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1146\/annurev-genom-090711-163729","article-title":"The Evolution of Human Genetic Studies of Cleft Lip and Cleft Palate","volume":"13","author":"Marazita M. L.","year":"2012","journal-title":"Annual Review of Genomics and Human Genetics"},{"key":"e_1_2_13_4_1","doi-asserted-by":"crossref","DOI":"10.1186\/s40510-017-0169-x","article-title":"A Cross\u2010Sectional Analysis of the Prevalence of Tooth Agenesis and Structural Dental Anomalies in Association With Cleft Type in Non\u2010Syndromic Oral Cleft Patients","volume":"18","author":"Konstantonis D.","year":"2017","journal-title":"Progress in Orthodontics"},{"issue":"1","key":"e_1_2_13_5_1","first-page":"S5","article-title":"Treatment Options for Congenitally Missing Lateral Incisors","volume":"9","author":"Kiliaridis S.","year":"2016","journal-title":"European Journal of Oral Implantology"},{"key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/j.bjoms.2019.04.011","article-title":"Dental Implants in Growing Patients: A Systematic Review","volume":"57","author":"Bohner L.","year":"2019","journal-title":"British Journal of Oral and Maxillofacial Surgery"},{"key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"316","DOI":"10.4103\/2231-0746.200332","article-title":"New Bone Formation by Orthodontic Tooth Movement for Implant Placement","volume":"6","author":"Cabbar F.","year":"2016","journal-title":"Annals of Maxillofacial Surgery"},{"key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"384","DOI":"10.11607\/jomi.3303","article-title":"Dental Implants in Cleft Lip, Alveolus, and Palate Patients: A Systematic Review","volume":"29","author":"Wermker K.","year":"2014","journal-title":"International Journal of Oral and Maxillofacial Implants"},{"key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1563\/AAID-JOI-D-11-00186","article-title":"Osseointegrated Dental Implants in Growing Children: A Literature Review","volume":"40","author":"Mankani N.","year":"2014","journal-title":"Journal of Oral Implantology"},{"key":"e_1_2_13_10_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.prosdent.2020.07.015","article-title":"10.9\u2010Year Survival of Pressed Acid Etched Monolithic e.Max Lithium Disilicate Glass\u2010Ceramic Partial Coverage Restorations: Performance and Outcomes as a Function of Tooth Position, Age, Sex, and the Type of Partial Coverage Restoration (Inlay or Onlay)","volume":"126","author":"Malament K. A.","year":"2021","journal-title":"Journal of Prosthetic Dentistry"},{"key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1111\/jopr.12555","article-title":"Anterior Cantilever Resin\u2010Bonded Fixed Dental Prostheses: A Review of the Literature","volume":"27","author":"Mourshed B.","year":"2018","journal-title":"Journal of Prosthodontics"},{"key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1111\/jerd.13432","article-title":"Rehabilitation Strategies and Occlusal Vertical Dimension Considerations in the Management of Worn Dentitions: Consensus Statement From SSRD, SEPES, and PROSEC Conference on Minimally Invasive Restorations","volume":"37","author":"Ioannidis A.","year":"2025","journal-title":"Journal of Esthetic and Restorative Dentistry"},{"key":"e_1_2_13_13_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmbbm.2019.103615","article-title":"Fracture Strength of Lithium Disilicate Cantilever Resin Bonded Fixed Dental Prosthesis","volume":"103","author":"Gresnigt M. M. M.","year":"2020","journal-title":"Journal of the Mechanical Behavior of Biomedical Materials"},{"key":"e_1_2_13_14_1","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1111\/jerd.13289","article-title":"Interdisciplinary Delphi Study by PROSEC North America: Recommendations on Single Indirect Restorations Made From Ceramic and Nonmetallic Biomaterials for Posterior Teeth","volume":"37","author":"Eggmann F.","year":"2025","journal-title":"Journal of Esthetic and Restorative Dentistry"},{"key":"e_1_2_13_15_1","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.1111\/clr.13007","article-title":"A Systematic Review of the Survival and Complication Rates of Resin\u2010Bonded Fixed Dental Prostheses After a Mean Observation Period of at Least 5\u2009Years","volume":"28","author":"Thoma D. S.","year":"2017","journal-title":"Clinical Oral Implants Research"},{"key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"14","DOI":"10.11607\/ijp.6465","article-title":"Clinical Performance of Anterior Full Veneer Restorations Made of Lithium Disilicate With a Mean Observation Time of 8\u2009Years","volume":"33","author":"Liebermann A.","year":"2020","journal-title":"International Journal of Prosthodontics"},{"key":"e_1_2_13_17_1","doi-asserted-by":"crossref","first-page":"1017","DOI":"10.1016\/j.prosdent.2024.12.032","article-title":"Long\u2010Term Outcome of Anterior Cantilever Zirconia Ceramic Resin\u2010Bonded Fixed Dental Prostheses: Influence of the Pontic Location","volume":"133","author":"Kern M.","year":"2025","journal-title":"Journal of Prosthetic Dentistry"},{"key":"e_1_2_13_18_1","doi-asserted-by":"crossref","first-page":"443","DOI":"10.11607\/ijp.3368","article-title":"Retrospective Clinical Study of Single\u2010Retainer Cantilever Anterior and Posterior Glass\u2010Ceramic Resin\u2010Bonded Fixed Dental Prostheses at a Mean Follow\u2010Up of 6\u2009Years","volume":"26","author":"Sailer I.","year":"2013","journal-title":"International Journal of Prosthodontics"},{"key":"e_1_2_13_19_1","doi-asserted-by":"crossref","first-page":"1396","DOI":"10.1111\/jerd.13238","article-title":"Failure and Complication Rates of Different Materials, Designs, and Bonding Techniques of Ceramic Cantilever Resin\u2010Bonded Fixed Dental Prostheses for Restoring Missing Anterior Teeth: A Systematic Review and Meta\u2010Analysis","volume":"36","author":"Alqutaibi A. Y.","year":"2024","journal-title":"Journal of Esthetic and Restorative Dentistry"},{"key":"e_1_2_13_20_1","doi-asserted-by":"crossref","first-page":"2590","DOI":"10.1111\/jerd.70038","article-title":"Clinical Performance and Survival Outcomes of Milled Versus Pressed Lithium Disilicate Veneers: A Systematic Review","volume":"37","author":"Sudharson N. A.","year":"2025","journal-title":"Journal of Esthetic and Restorative Dentistry"},{"key":"e_1_2_13_21_1","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1111\/jerd.13001","article-title":"Single\u2010Retainer All\u2010Ceramic Resin\u2010Bonded Fixed Dental Prostheses: Long\u2010Term Outcomes in the Esthetic Zone","volume":"35","author":"Kern M.","year":"2023","journal-title":"Journal of Esthetic and Restorative Dentistry"},{"key":"e_1_2_13_22_1","first-page":"789","article-title":"Single\u2010Retainer Resin\u2010Bonded Fixed Dental Prostheses as an Alternative to Orthodontic Space Closure (And to Single\u2010Tooth Implants)","volume":"49","author":"Kern M.","year":"2018","journal-title":"Quintessence International"},{"key":"e_1_2_13_23_1","first-page":"16","article-title":"Hypodontia in Children With Various Types of Clefts","volume":"70","author":"Shapira Y.","year":"2000","journal-title":"Angle Orthodontist"},{"key":"e_1_2_13_24_1","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1080\/00016350410006572","article-title":"Dental Abnormalities in Permanent Dentition in Children With Submucous Cleft Palate","volume":"62","author":"Heli\u00f3vaara A.","year":"2004","journal-title":"Acta Odontologica Scandinavica"},{"key":"e_1_2_13_25_1","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.prosdent.2023.07.023","article-title":"Replacement of Missing Lateral Incisors for Patients With Cleft Lip and Palate: A Decision\u2010Making Tree Based on a Systematic Review of the Literature","volume":"134","author":"Clerc M. M.","year":"2025","journal-title":"Journal of Prosthetic Dentistry"},{"key":"e_1_2_13_26_1","doi-asserted-by":"crossref","first-page":"799","DOI":"10.11607\/prd.5742","article-title":"Minimally Invasive Prosthetic Procedure (MIPP): Up to 12\u2010Year Survival of Full\u2010Mouth Rehabilitations in Patients With Severely Worn Dentition (Managed With Lithium Disilicate Ceramic Restorations)","volume":"41","author":"Fradeani M.","year":"2021","journal-title":"International Journal of Periodontics & Restorative Dentistry"},{"key":"e_1_2_13_27_1","doi-asserted-by":"crossref","first-page":"e259","DOI":"10.1111\/jopr.12684","article-title":"Fracture Resistance of Monolithic Glass\u2010Ceramics Versus Bilayered Zirconia\u2010Based Restorations","volume":"28","author":"Hamza T. A.","year":"2019","journal-title":"Journal of Prosthodontics"},{"key":"e_1_2_13_28_1","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.prosdent.2024.06.031","article-title":"Over 14\u2010Year Survival of Pressed e.Max Lithium Disilicate Glass\u2010Ceramic Complete and Partial Coverage Restorations in Patients With Severe Wear: A Prospective Clinical Study","volume":"133","author":"Margvelashvili\u2010Malament M.","year":"2025","journal-title":"Journal of Prosthetic Dentistry"},{"key":"e_1_2_13_29_1","article-title":"Investigation of Connector Parameters for Fracture Strength of Zirconia and Lithium Disilicate Resin\u2010Bonded Fixed Dental Prosthesis","volume":"7","author":"Ab Ghani S. M.","year":"2025","journal-title":"PRO"},{"key":"e_1_2_13_30_1","doi-asserted-by":"crossref","DOI":"10.3389\/fbioe.2024.1501815","article-title":"Biomechanical Analysis of Stress Distribution and Failure Risk in Mandibular Incisors Restored With Resin\u2010Bonded Fixed Partial Dentures Using CAD\/CAM Materials and Restoration Designs","volume":"12","author":"Wang H.","year":"2024","journal-title":"Frontiers in Bioengineering and Biotechnology"},{"key":"e_1_2_13_31_1","doi-asserted-by":"crossref","DOI":"10.3390\/biomimetics10070413","article-title":"Adhesive Performance of Zirconia and Lithium Disilicate Maryland Cantilever Restorations on Prepared and Non\u2010Prepared Abutment Teeth: An In\u00a0Vitro Comparative Study","volume":"10","author":"Hajaj T.","year":"2025","journal-title":"Biomimetics (Basel)"},{"key":"e_1_2_13_32_1","doi-asserted-by":"crossref","first-page":"e431","DOI":"10.4317\/jced.61279","article-title":"Microleakage of Lithium Disilicate Veneers Bonded to Different Substrates With Light\u2010Cure and Dual\u2010Cure Resin Cements","volume":"16","author":"Albaheli B.\u2010I.","year":"2024","journal-title":"Journal of Clinical and Experimental Dentistry"},{"issue":"6","key":"e_1_2_13_33_1","first-page":"460","article-title":"Resin\u2010Bonded Fixed Partial Dentures\u2014A Literature Review With Presentation of a Novel Approach","volume":"13","author":"el\u2010Mowafy O.","year":"2000","journal-title":"International Journal of Prosthodontics"},{"key":"e_1_2_13_34_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0220466","article-title":"Enhanced Bonding Strength Between Lithium Disilicate Ceramics and Resin Cement by Multiple Surface Treatments After Thermal Cycling","volume":"14","author":"Li R.","year":"2019","journal-title":"PLoS One"},{"key":"e_1_2_13_35_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2025.105571","article-title":"Minimally Invasive Glass\u2010Ceramic Restorations: Clinical and Patient\u2010Reported Outcomes in Full\u2010Mouth Rehabilitations","volume":"154","author":"Hjerppe J.","year":"2025","journal-title":"Journal of Dentistry"},{"key":"e_1_2_13_36_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.jdent.2017.07.003","article-title":"Ten\u2010Year Outcome of Zirconia Ceramic Cantilever Resin\u2010Bonded Fixed Dental Prostheses and the Influence of the Reasons for Missing Incisors","volume":"65","author":"Kern M.","year":"2017","journal-title":"Journal of Dentistry"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72493","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.72493","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.72493","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T04:20:39Z","timestamp":1778127639000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.72493"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":35,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/ccr3.72493"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.72493","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-12-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e72493"}}