lec-8- class/dr. reem retainerscden.tu.edu.iq/images/new/2016/lectures/dr.reem/3new/8.pdf ·...
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Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
RetainersThereare2typesofretainers:
1-directretainer2-indirectretainer
Directretainer
AnyunitofRPDthatengagesanabutmenttoothtoresistdisplacementAnyunitofRPDthatengagesanabutmenttoothtoresistdisplacementoftheprosthesisawayfrombasalseatoftheprosthesisawayfrombasalseattissue.tissue. GreatlyinfluencedbythestabilityandsupportoftheprosthesisprovidedbymajorandGreatlyinfluencedbythestabilityandsupportoftheprosthesisprovidedbymajorandminorconnectors,rests,andtissuebasesminorconnectors,rests,andtissuebases.
Thereare2typesofdirectretainer:
1-extracoronal2-intracoronal
EXTRACORONALDIRECTTRETAINER
A- Retentiveclaspassemblies:-representthemostcommonmethodforextracoronaldirectretention.Eachclaspassembliesconsistfromretentivearm(buccalsurface),reciprocalarm(lingualsurface),rest,anditsminorconnector.
claspscandividedintotwotypesaccordingtothedirectionofapproachofretentivearmtotheundercutareainto:-1- Suprabulgeclasps(occlusallyapproaching,circumferentialorencirclingclasps):Theretentivearmapproachestheundercutareafromthesuprabulgedirection.2-Infrabulgeclasps(gingivallyapproachingorbarclasp)Theretentivearmapproachestheundercutfromtheinfrabulgedirectione.g:barclasp(Ibarclasp)
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
suprabulgeinfrabulgeTounderstandthemechanicsofsucharetainer,thepractitionermustunderstandtwoimportantconcepts-(thepathofinsertionandremovalfortheprosthesis,andheightofcontourforeachabutment).Toproperlydesignaremovablepartialdenture,thepractitionermustconsiderthepathalongwhichtheprosthesiswillbeinsertedandremovedfromitsfullyseatedposition.Uponinsertion,theclasparmswillcontacttheaxialsurfacesoftheabutments.Theclasparmpassoverthegreatestconvexitiesoftheabutments.Oncethepointofgreatestconvexityisreached,allowtheeachretentiveclasptoreturntoitspassivestate.Properuseofadentalsurveyoristheonlyreliablemethodofeffectivelyanalyzingteethfortheirpotentialcontributiontoretentionofremovablepartialdenture.
SUPRABULGECLASPAsuprabulgeclasparmoriginatesfromaminorconnectorocclusalorincisortotheheightofcontour.Theportionofclasparmthatarisesfrom
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
theminorconnectorisknownastheshoulder.Fromtheshoulder,theclasparmfollowsagentlycurvingpathwayonthesurfaceofabutment.Theclasparmpassesovertheheightofcontour,anditstipcontactsapreciselymeasuredundercut.Thisportionoftheclaspisknownasterminus.
Theshouldersegmentisrigid,therigidityrequirethatshoulderbepositionedatorocclusaltotheheightofcontour.Themidsectionoftheclasparmextendsfromtheshoulder.Becauseofthecrosssectionalareaisslightlysmallerthanshoulderanditissomewhatflexible.Theclaspterminus(retentivetip)asmallercrosssectionalareaandthereforepermitagreateramountofflexure.Theclaspterminusistheonlypartofaremovablepartialdenturetocontacttheabutmenttoothapicaltotheheightofcontourwhentheprosthesisisfullyseated.
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
Thecomponentofaclaspassembliesthatbracesanabutmentduringprosthesisinsertionandremovaliscalledareciprocalelement.Topreventlateraldisplacementoftheabutmentandsignificantdamagetothesupportingperiodontiumreciprocalarmshouldbepresent.Thereciprocalarmmustcontacttheabutmenttoothatorocclusaltotheheightofcontour.REQUIREMENTOFACLASPASSEMBLY1- Retention2-support3-stability4-reciprocation
5-encirclement6-passivity.1- RETENTION:-Isthequalityoftheclaspassemblythatresistsforcesactingtodislodgecomponentsawayfromthesupportingtissues.Retentionisprovidedbytheretentivearmwhichpreventsthepartialdenturefromdisplacementawayfromthetissuestowardtheocclusal.Whilethepartialdentureisseatedtheretentivetipmustbepassive.However,itshouldtouchthetoothintheundercutarea.2-STABILITY:-Isthequalityofaclaspassemblythatresistsdisplacementoftheprosthesisinahorizontaldirection.Thisprovidedbytherest,minorconnectorandbracingarm.Actually,thebracingarmmainlyprovidesreciprocationwhichisresistancetoforceappliedbyretentivetip.3-SUPPORT:-Isthequalityofaclaspassemblythatresistsdisplacementofaprosthesisinanapicaldirection.Supportinaclaspisgenerallyprovidedbytherest.Thus,whilechewingfoodtherestpreventstissuewardmovementoftheclaspassembly,plus
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
directstheforcealongthelongaxisofthetooth,thusreducesperiodontaltissuedamage.4-RECIPROCATION:-Isthequalityofaclaspassemblybythatcounteractslateraldisplacementofanabutmentwhentheretentiveclaspterminuspassesovertheheightofcontour.Lateralforcesmustbeoffsetbycomponentsoftheclaspassembly.5-ENCIRCLEMENT:-Isthecharacteristicofclaspassemblythatpreventsmovementofanabutmentawayfromtheassociatedclaspassembly.Eachclaspassemblymustbedesignedtoprovidedirectcontactoveratleast180degreeofthetooth,scircumference.Thiscontactprovideencirclementandpreventsmovementoftheabutmentawayfromtheclaspassembly.
6-PASSIVITY:-Isthequalityofaclaspassemblythatpreventsthetransmissionofadverseforcestotheassociatedabutmentwhentheprosthesisiscompletelyseated. Theretentiveclasparmshouldbepassive(noactiveforce)untiladislodgingforceisapplied.Flexibilityofclasparmdependon:1- thelengthofclasparm.2- thediameterofclasparm.
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
3- thecrosssectionalform.4- thetypeofmetalused(wroughtwireismoreflexiblethancastmetal).
Typesofclasps:1.SimpleCircletclasp(circumferential).2.Half&halfclasp.3.Fishhookorhairpinclasp.4.Reversecircletclasp.5.Embrasureclasp.6.Ringclasp.7.Backactionandreversebackactionclasp.1- SIMPLECIRCLETCLASP(circumferential):-
-Isthemostcommonclaspusedforremovablepartialdenture-Theleastcomplexdesign,ithasarigidreciprocalarm,arest,proximalplateapproximatingtheedentulousarea,andaflexibleretentivearm.-itmaybeusedoncanines,premolarsandmolars.
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
disadvantages:
1-difficultadjustment 2-increasetoothcoverage 3-moremetalcoverage
2- RINGCLASPTheringclaspisusedonmolars.Somedesignersadvocateitsusefortippedmandibularmolarswherethereisonlyamesialundercutonthetooth.Ithasmesialanddistalrestsandthereciprocalarmiscontinuousconnectingthetworests.Asupportingstrutmightbeusedtoprovidearigidreciprocationareafromtheprincipalocclusalresttothestrut.
3- EMBRASURECLASPORBUTTERFLYCLASP:Theembrasureclaspisusedwhenthereisnomodificationspacesintheportionofthearchthatneedsretention.Theclaspisinfacttwocircletclaspsback-to-back.Itmaybeusedontwomolars,amolarandpremolarortwopremolars.Preparationofthedoublerestandchannelgoingfrom
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
thelingualtothebuccaloftheteethneedstobedeepenoughforstrengthandnotcompromisedbytheopposingocclusion.
EMBERASSURECLASP
4- THEREVERSECIRCLETCLASPThereversecircletclaspisusedwhentheretentiveundercutislocatedonthesurfaceoftheabutmenttoothadjacenttotheedentulousspace.ItisindicatedinclassI&classIIdistalextensionpartialdentureswheredeeptissueundercutprecludestheuseofinfrabulgeclasp.
disadvantages:-
1-itmaybedifficulttoprovideadequateroomforclaspneedremovingasignificantamountoftoothstructure.
Tikrit University College of Dentistry Lec-8- prosthetic 3rdclass/Dr.Reem
2-pooresthetic3-lackofdistalrestmayallowtheprosthesistodamagetheassociatedstructureandovercomebyplacingdistalrest.5- hairpinclasporfishhook:
Thefishhookorhairpinclaspisanothermodificationofthecircletclasp.Itismostlyusedonteethwithlongcrowns.Itisrarelyusedbecausesomuchoftheteethiscoveredbytheretentivearm.Theotherdifficultyislackofflexibilityoftheretentivetipbecauseofthebulkoftheclasp.
6- thehalfandhalfclasp:
Thehalfandhalfclaspisamodificationofthecircletclaspwiththereciprocalarmcomingfromonedirectionandtheretentivearmfromtheother.Tworestsareusedforthisclasp.Itisusedonmolarsandpremolars.