major and minor connectors
DESCRIPTION
RPDTRANSCRIPT
MAJOR AND MINOR CONNECTORS
INTRODUCTION
Major connector may be compared with the frame of an
automobile or with the foundation of a building. The design
details are fundamentals to all major connectors. The importance
of each requirement depends on the type of partially edentulous
arch that it being treated. Therefore the type of major connector
is selected on the basis of individual needs.
Minor connectors are the connecting link between the major
connector and base of a removable partial denture and the other
units of the prosthesis
COMPONENTS OF A REMOVABLE PARTIAL DENTURE
It has the following components namely
Major connectors
Minor connectors
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Rests
Direct retainer
Indirect retainer
One or more denture bases and replacement teeth
DEFINITION
Major connector is that part of an RPD that connect the
parts of the prosthesis located on one side of the arch with those
on the opposite side. All other parts are attached to it either
directly or indirectly.
REQUIREMENTS
All major connectors must
Be rigid
Protect the gingiva and soft tissues
Provide vertical support.
Provide indirect retention when intended.
Provide an opportunity of positioning dentures bases where
needed.
Maintain patient comfort, Speech or phonetics
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MAXILLARY
Two types of major connector
MANDIBULAR
MAXILLARY MAJOR CONNECTORS
All maxillary major connector borders that contact soft
tissues have a specially prepared seal or bonding.
Beading
scribed on the surface of the master cast before duplication
in investment material
Prepared with a small spoon excavator or a cleiod
instrument
Depth and width of 0.5 to 1.0mm.
Fades out approximately 6mm from gingival margin
Prevents food debris under the connector and provides
excellent finish line
Enhances retention and stability
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TYPES OF MAXILLARY MAJOR CONNECTOR
Single posterior palatal bar
Palatal strap
Anteroposterior, or double palatal bar
Horseshoe or ‘U’- shaped
Closed horseshoe or anteroposterior palatal strap
Complete palate
1. SINGLE POSTERIOR PALATAL BAR
Is a narrow half-oval with its thickest point at the centre
Bar is gently curved and should not form a sharp angle at
the juncture with the denture base
Advantages:
Used as an interim partial denture until a definitive
treatment can be rendered.
Disadvantages
Most difficult for the patients to adjust
Derives little support from bony palate
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limited in replacing one or two teeth on each side of the
arch
Teeth should be present anterior and posterior to the
edentulous spaces.
Not placed anterior to the 2 nd premolar because it
interferes with tongue action.
Should never be used in distal extension cases or used
when anterior teeth replacement.
2. PALATAL STRAP : (most versatile maxillary major
connector)
Consists of a wide, thin band of metal that crosses the
palate in an unobtrusive manner.
Width should not be less than 8mm, otherwise its rigidity
is compromised.
Width increases as the edentulous space increase in
length.
Wide palatal strap may be used for a unilateral distal
extension cases, rarely used in a bilateral situation.
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Advantages
Since it is located in 3 planes, if offers great resistance to
bending and twisting forces
Increased patient comfort and less interference to tongue
action.
Distribute stress over a broad area
Enhances retention
Disadvantages
Excessive palatal coverage
Adverse tissue reaction- papillary hyperplasia
3. DOUBLE PALATAL BAR
Is a rigid major connector that receives little vertical
support form hard palate.
Flat anterior bar is narrower than palatal strap and
positioned in the valleys between the rugae.
Posterior bar is half-oval and less bulky
Two bars are joined by flat longitudinal elements on
each side of the lateral slopes of the palate.
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Two bars produce a strong L-beam effect.
Advantages
Most rigid maxillary major connector.
Used when anterior and posterior abutments are widely
separated
In cases of large palatal tori present this is major
connector of choice.
Disadvantages
Derives little from the bony palate.
Cannot use in cases where periodontal health of the
remaining teeth is reduced.
Cannot use in high narrow palate.
Borders of bar often irritates tongue action.
4. HORSE-SHOE OR U-SHAPED CONNECTOR
Consists of a thin band of metal extending over the
lingual surface of teeth and then on the palatal tissue
upto 6-8mm (covers rugae area).
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Lateral palatal borders should be at the junction of
vertical and horizontal slopes.
Connector should be symmetric with the palatal borders
extending into same height on both sides.
Advantages
Useful for replacement of anterior teeth.
Can be used in conditions of inoperable tori or the
presence of hard median suture.
Disadvantages
Tends of spread apart as force applied to artificial teeth-
can damage the abutment teeth.
Cannot use in distal extension cases, if where cross arch
stabilization is required.
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5. CLOSED HORSE SHOE OR ANTEREOPOSTERIOR
PALATAL STRAP :
Is a rigid major connector that is indicated for class I or
II arches when anterior teeth to be replaced and tori is
present.
Borders are kept 6mm away from gingival margin or
extended on to gingival surfaces of the teeth.
If anterior teeth not be replaced the anterior strap should
not cover the rugae area.
Posterior strap should be as posterior as possible not
contacting the soft palate.
Advantages
The circle effect of the anterior and posterior straps
provides rigidity of a definite L-beam effect.
Disadvantages
Interferences in speech/phonetics causes discomfort for
some patients.
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6. COMPLETE PALATE
Most rigid major connector when maximum support from
palate is needed.
Connector can be made in 3 forms
i) All acrylic resin - entire connector is made of acrylic
ii) Combination of metal and acrylic resin
Anterior portion covering rugae – in metal
Posteriorly covered by acrylic to the junction of
hard and soft palate
iii) All cast metal: - entire palate covered by a thin metal
casting.
Advantages
Indicated when posterior teeth to be replaced bilaterally,
and when anterior teeth require replacement with
bilaterally, and also when anterior teeth require
replacement with bilateral distal extension cases
In individuals with well developed muscles of
mastication and full set of lower teeth present.
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When flat ridges or a shallow vault present – provides best
stabilization.
In cleft patients cast complete palate is most often the
connector of choice.
They enhance transfer of temperature changes to produce
more natural sensation during eating and drinking.
Disadvantages
Adverse soft tissue reaction in the form of inflammation or
hyperplasia.
Occasional problem with phonetics encountered.
DESIGN
In 1953 , Blaterfein described a systematic approach in designing.
It involves 5 basic steps which is applicable in most cases. They
are:
Outline of primary bearing areas
Outline of nonbearing areas
Outline of strap areas
Selection of strap areas
Unification
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STRUCTURAL REQUIREMENTS
Borders are placed a minimum of 6mm from gingival
Margin or positioned on the lingual surfaces of the teeth.
Relief normally not required, is directly proportional in
displace ability of tissues.
Anterior borders follow the valleys between the crests of
rugae
Posterior component is half-oval in AP palatal bar or a
closed horse shoe; or strap-like should have a minimal
width of 8mm.
All borders should taper towards the soft tissue
Anterior/Posterior border should cross the midline at right
angels, never diagonally
The lateral borders are positioned at the junction of the
vertical and horizontal surfaces of the palate.
Thickness of metal should be uniform throughout the
palate.
The finished borders of metal should be gently curved,
never angular.
Metal should be smooth but never polished on tissue side.
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The borders of the soft tissue are beaded.
INDICATIONS
If periodontal support of remaining teeth is weak a wide
palatal strap or a complete palate indicated.
If remaining teeth has adequate periodontal support a palatal
strap or double palatal bar indicated.
For long-span distal extension bases – a closed horseshoe or
complete palate indicated.
When anterior teeth must be replaced – horseshoe, closed
horseshoe or complete palate indicated.
If torus present and not removed – a horse shoe closed
horseshoe or AP palatal bar may be used.
MANDIBULAR MAJOR CONNECTORS
TYPES
1. Lingual bar
2. Lingual plate
3. Double lingual bar of Kennedy bar
4. Labial bar.
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LINGUAL BAR:- Most frequently used due to its simplicity.
Characteristic features and location
Half-pear shaped with bulkiest portion inferiorly located
Superior border tapered to soft tissue 4mm inferior to
gingival margins.
Inferior border located at the ascertained height of the
alveolar lingual sulcus when the patients tongue is slightly
elevated.
Two clinically acceptable method to determine the relative
height of floor of the mouth to locate the inferior border.
In 1 s t method, patient’s tongue tip touches the upper
vermillion border which raises the anterior floor of mouth.
Then a periodontal probe is used to measure lingual to
canines and between the central incisors. The readings are
taken at the most inferior point of the gingival tissues. The
readings are transferred to the diagnostic/master cast.
In 2nd method, individualized impression tray having
lingual borders about 3mm short of the elevated floor of
mouth of an impression is made as a patient licks the lips.
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The inferior border can then be located at the height of
lingual sulcus on the resulting cast.
Indications
When sufficient space exists between elevated alveolar
lingual sulcus of the lingual gingival tissue.
Block out and relief
- All tissue undercuts parallel to path of placement and
additional 32- gauge wax sheet to block out lingual
undercuts.
- One thickness of base plate wax over basal seat areas.
Working specifications
6 gauge, half- pear shaped wax, reinforced by 22-24-
guage sheet wax, cross –sectional shape unchanged.
Finishing lines
Butt-type joints with minor connectors for retention of
denture bases.
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Modification: Sublingual bar
Bar remains the same as lingual bar, but placement is
inferior and posterior lying over and parallel to the
anterior floor of the mouth
Used along with a lingual plate if the lingual frenum
does not interfereor in the prescence of an anterior
lingual undercut
Contraindicated in lingual tori present, high lingual
frenal attachment and high elevation of mouth during
functional movements
LINGUAL PLATE
Characteristics and location
Half-pear shaped with bulkiest portion located inferiorly.
Thin metal apron extending superiorly to contact cingula
of the anterior teeth and lingual surfaces of posterior teeth
at their height of contour.
Apron extended interproximaly to height of contour
closing interproximal spaces.
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Superior border finished to continuous plane with
contacted teeth.
Inferior border at the ascertained height of lingual sulcus
when patients tongue elevated slightly.
Indications
inadequate lingual space present
high lingual frenum present
class I arch with vertical resorption of ridge offering little
resistance to horizontal rotations
future replacement of one or more incisor teeth to an
existing linguoplate
Blockout and relief
All undercuts of contacted teeth, gingival crevices,
parallel to the path of placement
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Waxing specifications
Inferior border -6-guage half pear shaped reinforced with
24-guage wax sheet.
Apron – 24 guage wax sheet.
Finishing lines :
- Butt-type joint with minor connector for retention of
denture bases.
Modifications
In wide spacing/diastemas or large interproximal
embrasures – a series of step-backs of lingual plate design
effectively prevent unnecessary metal display
Incisal rests added to mandibular anterior teeth to prevent
over eruption of these teeth.
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DOUBLE LINGUAL BAR OR KENNEDY BAR
Characteristics and location
The lower bar is same as lingual bar
It differs from lingual plate in that it has no sheet of
metal extending from below the superior border of the
plate to the pear-shaped lingual bar.
Thin, narrow (3mm) metal strap located on cingula of
anterior teeth, scalloped to follow inter proximal
embrasures with inferior and superior borders tapered to
tooth surfaces.
Originates bilaterally from incisal, lingual or occlusal
rests of adjacent principal abutments.
Indications
When excessive blackout of inter proximal undercuts
required in lingual plate.
When wide diastemas exist between mandibular anterior
teeth.
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Block out and relief
Lingual surface of alveolar ridge and basal seat areas.
No relief for continuous bar retainer except blockout of
inter proximal spaces parallel to path of placement.
Working specifications
6-guage – half – pear wax reinforced with 24-guage
2 strips (3mm) of 28-guage wax sheet over the cingula
and into inter proximal embrasures.
Modifications
A step-back can be designed for upper bar of double lingual
bar if anterior teeth are spaced widely.
Minor connector joining upper bar to lower bar must be
rigid and positioned in interproximal spaces usually
between canine and 1 s t premolar.
Rests placed at each end of upper bar no farther posterior
than mesial fossae of 1 s t premolar to prevent orthodontic
movement of anterior teeth.
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LABIAL BAR
Characteristics of location
Half – pear shaped with bulkiest portion inferiorly
located on the labial or buccal aspects.
Superior border located 4mm inferior to buccal or labial
gingival margins and tappered to soft tissue.
Labial border located at the juncture of attached and
unattached mucosa.
Block out and relief
- All tissue undercuts blocked parallel to path of placement.
Waxing specifications
6-guage half-pear shaped reinforced with 22-24-guage
wax sheet, cross-sectional shape unchanged.
Minor connectors joined with superior and base
components by a labial or buccal approach.
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Modifications
* Hinged labial arm of swing lock is less bulky.
* Swing –lock partial denture is a variation of labial bar.
Design
A systematic approach to designing lingual bar and lingual
plate connectors are
Outline of the basal seat areas on the diagnostic cast
Outline of the inferior border of the major connector
Outline of the superior border of the major connector
Unification
STRUCTURAL REQUIREMENTS
They are relatively long and narrow because of space
limitations.
Relief is routinely required between connector and soft
tissue, especially for distal extension partial dentures
because it tends to rotate during function.
Beading is never indicated.
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INDICATIONS
For tooth-supported RPD- Lingual bar is the choice.
For long span edentulous ridge with no posterior abutment
teeth and indirect retention required- lingual plate is the
choice.
Anterior teeth with reduced periodontal support – Lingual
plate or double lingual bar used.
When floor of mouth are active with less then 8mm
available, high lingual frenum with inoperable lingual tori
is present – lingual plate used.
Large anterior interproximal spaces / diastemas -double
lingual bar indicated.
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MINOR CONNECTORS
Minor connector (gpt-7)
The connecting link between the major connector and base
of a removable partial denture and the other units of the
prosthesis, such as the class assembly, indirect retainers,
occlusal rests or cingulum rests.
Functions
The primary function is to join other units of the prosthesis
such as clasps, rests, indirect retainers and denture bases to
the major connector.
It distributes the stresses that occur against certain
components of the partial denture to other components.
Types
There are four types. They are which
Join the clasp assembly to the major connector
Join indirect retainers or auxiliary rests to the major
connector
Join the denture base to the major connector
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Serve as an approach arm for a vertical projection or bar-
type clasp
I. Join the clasp assembly to the major connector
1. It should be rigid as it supports the
Active component of the prosthesis
Component of the prosthesis which prevents the vertical
movement toward the tissue, the rest.
It should be sufficiently bulk to be rigid
2. Minor connectors that support the clasp assembly are located
on proximal surfaces of teeth adjacent to edentulous area.
They are broad buccolingually and thin mesiodistally. The
thickest portion buccolingually is at the lingual line angle of
the tooth and it taper evenly to its thinnest point at the buccal
line angle of the tooth.
3. Minor connector is sometimes placed in the embrasure
between two teeth, using the triangular space to give bulk for
the minor connector.
4. It is never placed on the convex lingual surface of the tooth.
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II. Join indirect retainers or auxiliary rests to the major
connector
It arises from the major connector. It forms a right angle
junction with smooth curve and beveled where it contacts the
tongue. The relief is given for marginal gingiva.
III. Join the denture base to the major connector
Minor connectors that join the denture base to the major
connector may be
Lattice work construction
Mesh construction
Beads, wire or nail-head minor connectors
Requirements
Strong enough to anchor the denture base secure
Rigid enough to resist breakage or flexing
It should not interfere with arrangement of artificial teeth
In class I situation the minor connector extends to the
entire length of the residual ridge to cover the tuberosity in
maxilla and it extends two-thirds the length of the
edentulous ridge in mandibular arch.
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I. Lattice work construction
It consists of two struts of metal 12 – 16 gauge thick
extending longitudinally along the edentulous mandibular arch,
positioned buccal and lingual to the ridge crest (not on the ridge
to avoid interference with artificial teeth placement).
In the maxillary arch the lingual strut is replaced by the
border of the major connector. Smaller struts 16-gauge thick
connects the struts and forms the lattice work. One smaller strut
between each tooth is recommended.
Placing the longitudinal strut will interfere with the
placement of artificial teeth and fracture of denture base is a
common finding.
The space formed between the struts or mesh and the
underlying ridge due to provision of relief space will be filled by
the acrylic denture base and the locking mechanism of the acrylic
resin around and through the lattice work provides the retention.
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Advantages
It is used when multiple teeth are to replaced
It provides the strongest attachment
Easiest denture base retainer to reline
Gives more space for placement of artificial teeth
Recommended for routine use
II. Mesh construction
It is a thin sheet of metal with multiple small holes that
extends over the crest of the residual ridge.
Used when multiple teeth are used
Used only when abundant inter ridge space is available (as
it is bulkier)
Disadvantages
It does not provide strong attachment (smaller the openings
weaker the attachment)
It needs more pressure while packing the resin
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Tissue stops
A provision made to stabilize the frame work during the
acrylic resin packing and processing procedure
It is made by removing approximately 2 sqmm of the relief
wax (used to create space between lattice and edentulous
ridge) at a point where the posterior end of the minor
connector crosses the center of the ridge
During waxing of the framework the depression is waxed as
a projection and in the framework after casting the
projection contact the cast and it prevents the distortion of
framework during resin packing.
III. Bead, wire, nail head retention minor connectors
It is used with metal denture base which fits directly to the
ridge without relief.
The denture base is attached only on the outer or superior
surface and the retention is gained by beads (acrylic beads
waxed, invested, burned out and casting these beads) wire
projecting from metal base, nail heads.
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Advantages
Hygienic – due to better soft tissue response
Disadvantages
Difficult to reline
Weakest attachment
Indication
Used on tooth supported, well healed ridges when the inter-
arch is limited and acrylic resin is not sufficient to
withstand the forces of occlusion.
Attachment to major connector
It should be bulk at the joint (to avoid breakage due to
occlusal forces)
It should be as smooth joint and a butt joint
These butt joints are called finish lines. It is classified into
External finish line
Internal finish line
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a. Internal finish line
The relief wax usually 24 – 26 gauge creates the space that
is needed for the acrylic resin denture base under lattice work or
mesh minor connectors.
Too much metal thinning is also avoided
The margins of the relief wax become the internal finish
line. The ledge created by the margin of the wax must be sharp
and definite.
b. External finish line
It is sharp, definite and should be slightly undercut to help
lock the acrylic resin securely to the major connector. The finish
line is less than 90 0.
It is formed by placement of the wax during the waxing and
carving procedure.
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It begins at the lingual extent of the rest seat and continues
down the lingual aspect of the minor connector on the proximal
surface of the tooth. It has to avoid metal fracture or overlapping
feather edge of acrylic.
IV. Serve as an approach arm for a vertical projection or bar-
type clasp
It supports a direct retainer which is gingivally approaching
It is not required to be rigid (rigidity is needed for bracing)
It should have a smooth, even taper from its origin to its
terminus. It must not cross a soft tissue undercut.
The flexibility of the clasp depends on taper and length of
approach arm (increased length, increased taper
increased flexibility)
One tooth extension base is not recommended
The approach arm extends up to the height of contour on
the abutment teeth
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REFERENCES
1. Clinical removable partial, prosthodontics 2 nd Edition
K.L. Stewart, K.P. Rudd & William A. Kubekar. Pg:19-42.
2. Mc Crakens removable partial prosthodontics, 8 t h edition.
G.P. McGiveney , D.J. Castleberry.
3. Removable partial prosthodontics, 2 nd Edition,
EL miller, JE Grasio
4. Advanced removable partial dentures.
JS Brudvik, Quintessence publishing co.
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