In a patient with class II division II and a missing lateral incisor, what is the most suitable fixed bridge option?

In a case involving a patient with Class II Division II malocclusion and a missing lateral incisor, a fixed bridge that utilizes the central incisor and the bicuspid (premolar) as abutments presents the most suitable option. This is primarily due to the stability and support provided by using both teeth to anchor the bridge.

Using the central incisor and a bicuspid as abutments allows for a strong, rigid support system, which is essential for the longevity and proper function of the bridge. The bicuspid has sufficient root structure to bear the occlusal forces that will be transmitted through the bridge, and it provides a secure foundation which effectively distributes the forces encountered during chewing.

In contrast, other options may present issues with stability or could compromise the integrity of surrounding teeth. For example, a rocket bridge relies heavily on a single tooth, which can be less stable, particularly if the abutment tooth is subjected to high occlusal stresses. Similarly, a cantilever bridge using just the central incisor may not provide adequate support for the pontic, as it does not have a second abutment to counteract forces. Lastly, a flexible bridge using adjacent teeth also lacks the durability and permanence that a fixed