Retention of Removable Partial Denture

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A- Retention of Removable Partial

Dentures
By:
Prof. Amal Kaddah
Retention of

Prof. Amal Kaddah


Dr. Mohamed Farouk
Dr. Amro Abdullah
Prosthodontic Department,
Faculty of Oral &Dental Medicine,
Cairo University
Retention
Is the resistance
of the partial
denture to vertical
displacement
away from the
tissues
The effect of physical forces is
less applicable to lower dentures
than upper because:

1. Have less surface area.


2. Are bathed in saliva.
3. Lower major connectors are
relieved.
contrary to upper m. c. that are well adapted and their borders
are beaded against the underlying tissues.

4. Strong movements of the tongue


Retention

Mechanical Physical Physiological


• Direct retainers
1-Adhesion -The physiologic
• Indirect R.
2-Cohesion molding of the
• Frictional fit
tissues around
• Parts of the 3-Interfacial s.t. the polished
denture
4-At. pressure surfaces
engaging tooth
- neuromuscular
and tissue 6-Gravity
control
undercuts.
Mechanical
means of
retention

Intracoronal Extracoronal

Clasp retainer
Attachment

Attachment
Intracoronal attachments
Extracoronal attachments
Mechanical means of
Retention

Parts of the denture


Direct engaging tooth and
retainers tissue undercuts.
Indirect R.

• Frictional fit
• Clasps
• Attachments
Clasp Retainers
Components of a clasp
A minor connector

A rest
A retentive clasp arm

A Reciprocal arm
Clasp Retainer
Retentive arm

Occlusal
rest

Bracing arm Minor connector

Occlusal view
Occlusally
Approaching
clasp

Gingivally
Approaching
clasp
Basic Principles of a Properly
Designed Clasp

1- Encirclement

Each clasp assembly must encircle more than 180 degrees


of abutment tooth
180 ENCIRCLING TOOTH

continuous intermittent

Tooth can't move horizontally away from the clasp


Basic Principles of a Properly Designed Clasp

2- Retention
For a clasp to be
retentive its arm must
flex as it passes over
the height of contour
of tooth and engage
undercut in infrabulge
area of the teeth
DESIRABLE UNDERCUT
UNDESIRABLE UNDERCUT
Basic Principles of a Properly Designed Clasp

3- Support

1- Occlusal rest support prevents clasp from being


displaced in gingival direction. 2- lack of support
Basic Principles of a Properly Designed Clasp

4- Reciprocation

Each retentive terminal should be opposed by a


reciprocal arm to resist any orthodontic pressure
exerted by the retentive arm during placement and
removal as it flexes about the height of contour
Basic Principles of a Properly Designed Clasp

5- Bracing 6-Stabilization
All rigid parts of
clasps contribute
to this property
and resist
displacement of
clasp in horizontal
direction
7- The clasp should be designed on
biologic as well as mechanical bases.

3-4mm

The clasp should not interfere with normal


gingival stimulation and its terminal should be
away from the gingival margin
8- There should be a minimum of 5-mm space between
any two neighboring minor connectors
9- Minor connector (or proximal plate)
must contact a definite guiding plane to
dictate path of insertion
What are the functions of guiding planes
??????

1…. 3……
4…..
2…. 5…..

6….
Post Is More Readily Removed by Application of Force Near Its Top
Than by Applying Same Force Nearer Ground Level

10- Undercut is better be found within the GINGIVAL1/3 for


better esthetics & mechanics
Bracing arm better located In the apical portion
of the Middle 1/3
11- Passivity:

The retentive clasp arm should


be passive and should not
exert any pressure against
the tooth until a dislodging
force is applied.
When you lose, don't
lose the lesson
Factors Determining the
Retentive Force of a Clasp

1- Amount of undercut used


2- Angle of cervical convergence
3-Angle of approach
4- Flexibility of clasp arm
Amount of retention depends on
1-Depth of undercut

The greater the distance we go into the undercut the greater will
be the retention considering the same rigidity.
2- Angle of cervical convergence

Undercut depth depends on cervical convergence of


the tooth rather than on distance below the survey line.
3-Angle of approach

According to the way of approaching the undercut


Gingivally approaching clasp Occlusally approaching clasp
3-Angle of approach

Occ. approaching clasps are pulled up to


move occlusally. Ging. approaching
clasps are pushed up to move occlusally
(Trip action of the clasp)
4- Flexibility of clasp arm
The more flexible the clasp
arm, the less will be the
retention (but don’t forget the trip
action of the clasp !!!!!)

More rigid clasps can be used


in tooth supported partial
dentures
The degree of Flexibility of the clasp
arm depends on the following factors

a. The length of the clasp arm

b. The diameter of the retentive arm

c. Tapering

d. The cross sectional form


e. The material of alloy

f. The type of alloy


Factors affecting the Flexibility of clasp arm

a- The length of the clasp arm


Increasing arm length increases the
flexibility ,thus decreasing the retention
Flexibility of clasp arm:

b. The diameter of the retentive arm

The greater the length and tapering and


the less the diameter, the greater will
be the flexibility of the clasp arm
Flexibility of clasp arm:

C- Tapering

Degree of taper , the retentive arm should be


uniformly tapered in such a way that the diameter at its
origin is twice that at its tip.
d- Cross sectional form
Round clasps are the
most flexible as they flex
in all direction thus
lowers the retention than
½ round and flat clasps
Flexibility of clasp arm:

e- The material of alloy:


Gold alloys are more flexible than
cobalt chrome alloys.

f-The type of alloy


The wrought form is more resilient than
the same alloy of identical diameter in
cast form, because of its internal structure
The wrought form is more
resilient than the same alloy of
identical diameter in cast form,
because of its internal structure
Every moment,
every situation,
every issue and
every concern has a
positive side. Find it
and bring it to life....

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