Implant Reconstruction · Beverly Hills

The FP-2 Reconstruction

FP-2 begins where the gum starts to go. As more teeth are lost the gum keeps shrinking back, and restoring the teeth alone would leave them looking too long. So the tooth is made with a little of its root in ceramic — sometimes with a little pink between — meeting the gum beneath the lip, where the extra length is never seen.

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Dr. Mamaly Reshad
Dr. Mamaly Reshad · Prosthodontist
Former USC Chairman · 30+ years · The dentist that dentists trust
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FP-2

A Tooth, and a Little of the Root

FP-2 is the situation where the patient may still have their own teeth, but the bone underneath them has already gone. Certain patterns of bone loss simply do not let you rebuild the tooth in full, and the minute the teeth are extracted the gum collapses and what you are left with looks long.

So an FP-2 is the eleven millimetre tooth plus another two or three millimetres of root shape, meeting the gum underneath and closing the spaces. That is the design.

Sometimes, because of earlier damage or bone loss or teeth that have been missing for years, the space is longer than eleven millimetres — eleven to thirteen, or fourteen. The extra three or four millimetres can be done as root forms: ceramic shaped into the form of a root, sometimes with a little pink between them, but generally just the root form itself.

It makes a very long tooth, and it gives the illusion of a tooth with its root showing beneath the lip. It is hidden under the lip, so it is not unattractive; lift the lip and you see root structure, like a longer tooth.

It is an option, and it is a conversation to have with Dr. Reshad — whether you would be comfortable with an FP-2 design, or whether you would prefer more pink ceramic. You can always ask whether your ridge can be rebuilt far enough to reach the FP-1 option instead, which is not available to every patient, because of long-term damage. These are the things that become clear during your consultation.

An FP-2 in the mouth
Retracted view of finished upper and lower full-arch fixed restorations: long teeth carrying a little root form at the neck, meeting the gum without prosthetic pink
A good, natural FP-2
Retracted front view of a finished upper full-arch FP-2 restoration: long teeth with a little root form at the neck, meeting the gum naturally, above the patient's own lower teeth in orthodontic brackets
Before and after, the full arch
Retracted front view before treatment: broken, worn and displaced teeth with a gap where the bite should close
Before
The same view after treatment, the finished restorations in place and the bite closed
After
Before and after, the full mouth
Retracted front view before treatment: an upper denture in place over worn, uneven lower teeth
Before
The same view after treatment, the finished fixed restorations in both arches
After

FP-1, FP-2 and FP-3

When a reconstruction is fixed to implants, what it has to replace depends on how much was lost before treatment began — and the thing that matters most is not the teeth, it is the gum. Dentistry describes that in three classes, FP-1 through FP-3. They are not grades of quality; one is not better than another. They describe how much of the tooth and how much of the surrounding pink tissue the new teeth are standing in for.

Which class a case belongs to is settled at the planning stage, before anything is placed, because it changes where the implants go. That is the whole argument for planning the finished teeth first and working backwards to the surgery — the classification is a consequence of the plan, not a label applied afterwards.

FAQ

Frequently Asked Questions

FP-2 is the class where the patient may still have teeth but the bone beneath them has already gone, so the tooth cannot be rebuilt in full. The restoration is the eleven-millimetre tooth plus two or three millimetres of root shape in ceramic, meeting the gum underneath and closing the spaces.

The extra length sits beneath the lip, so it is not seen in a smile. Lift the lip and you see root structure, like a longer tooth — the illusion of a tooth with its root showing, which is what a natural tooth does when gum has receded.

Sometimes. It depends on whether the ridge can be rebuilt far enough to let the teeth emerge from natural tissue, and that is not available to every patient because of long-term damage. It is one of the things that becomes clear during the consultation, along with whether you would prefer root forms or a little more pink ceramic.

Medically reviewed by Dr. Mamaly Reshad, BDS (Lond), MSc (Lond), Cert Pros (USC), Prosthodontist — Last reviewed July 2026

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