The document discusses the functions and requirements of major connectors for partial dentures. Major connectors provide unification, stress distribution, and cross-arch stabilization. Requirements include rigidity, non-interference with tissues, and being unobtrusive. Different connector designs are described for the mandible and maxilla, including lingual bars, lingual plates, palatal straps, and palatal plates. Factors like rigidity, bulk, stress distribution, and tissue coverage are considered for each type of connector.
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Major Connectors
The document discusses the functions and requirements of major connectors for partial dentures. Major connectors provide unification, stress distribution, and cross-arch stabilization. Requirements include rigidity, non-interference with tissues, and being unobtrusive. Different connector designs are described for the mandible and maxilla, including lingual bars, lingual plates, palatal straps, and palatal plates. Factors like rigidity, bulk, stress distribution, and tissue coverage are considered for each type of connector.
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Major Connectors
Functions of a Major Connector
Unification Partial denture acts as one unit Connects various parts Functions of a Major Connector Stress Distribution Distributes functional loads to both teeth & mucosa Functions of a Major Connector Cross-Arch Stabilization (Counterleverage) Bracing elements on one side of the arch providing stability to the other Requirements of a Major Connector Rigidity Functions as one unit To Increase Rigidity Use a more rigid alloy Chrome-cobalt > gold alloys; cast > wrought Shape 1/2 round > 1/2 pear shaped > flat bars To Increase Rigidity Increase the bulk as the length increases Corrugate linguo-plate or rugae areas Requirements Non-Interference with Tissues Should not enter undercut areas avoid by changing path of insertion or by using blockout Non-Interference With Tissues Avoid terminating on: Free gingival margin Cross abruptly at 90 o
Relief is used to minimize impingement
(Fig 2-17, Stewart's) Non-Interference With Tissues Avoid terminating on: Hard structures such as the mid- palatal suture or mandibular tori Place relief Non-Interference With Tissues Avoid terminating on: Lingual frenum & the movable soft palate Soft tissue movements must also be allowed Careful intraoral exam Minimize Food Impaction Locate margins away from the FGM Eliminate "traps" or large concavities where food can collect Unobtrusive Smooth transition from connector to denture base - butt joint
Unobtrusive Line angles and edges should be smooth and rounded Borders should not interfere with speech
(Fig 2-21, Stewart's) Mandibular Major Connectors Lingual Bar Lingual Plate Continuous Bar Mandibular Major Connectors Lingual Bar Most common in mandibe Use whenever possible Mandibular Major Connectors Lingual Bar Shape Flat on tissue side Convex or tear-drop on tongue side (1/2 pear shape, with thin edge toward teeth)
(Fig 2-35, Stewart's) Mandibular Major Connectors Lingual Bar Size Occluso-gingival width = 4 to 6 mm Thickness = l.5 to 2 mm
Inferior Border Mandible Patient lifts tongue Activates floor of mouth Measure from tip of probe to free gingival margin Inferior Border Mandible Record values in chart, transfer to cast Lingual Bar Position Superior border l.5-2.0 mm or more below FGM As far from gingival margin as possible
(Fig 2-15, Stewart's) Potential Impingement Anterior major connector moves toward tissue as the posterior portion is loaded Space needed more when ridge is less vertical
(Fig 2-33, Stewart's) Mandibular Major Connector Relief Eliminates impingement Wax spacer (relief) placed under major connector one thickness of 30 gauge wax Lingual Plate (Linguoplate) Lingual bar with extension over cingula of anterior teeth Use where a lingual bar cannot be used
Lingual Plate Indications Potential Impingement from lingual bar High floor of the mouth Prominent lingual frenum Lingual tori Lingual Plate Rest at each end of lingual plate Prevents forces being directed facially Easier denture tooth addition than bar Lingual Plate Variations May show through embrasures
(Fig 2-41 & 43, Stewart's) Continuous Bar Retainer (Kennedy Bar, Double Lingual Bar) Lingual bar with secondary bar above cingula Secondary bar acts as indirect retainer
Continuous Bar Retainer Potential food trap between two bars Normally avoid Maxillary Major Connectors Anterior-Posterior Palatal Strap Full Palatal Strap Palatal Strap Anterior Palatal Strap Maxillary Major Connectors Terminate 4.0 mm or more from free gingival margin when possible Anterior-Posterior Palatal Strap Maximum rigidity Minimum bulk Use in most cases Especially torus palatinus Anterior-Posterior Palatal Bar A narrow (A-P) variation of anterior- posterior palatal strap Double palatal bar connector Requires greater bulk for rigidity Anterior-Posterior Palatal Bar More objectionable to the patient Strap connectors provide greater distribution of stresses Full Palatal Plate Maximum tissue support Connector of choice in long distal extension cases Six or less anterior teeth remain Full Palatal Plate Abutments are periodontally involved Maximum stress distribution Flabby tissue Shallow palatal vault Full Palatal Plate Greater stability and stress distribution Not used with torus Increases retention Full Palatal Plate Connector should: Be fabricated of uniformly thin metal Have accurate anatomic reproduction of the ruggae improves strength and rigidity Full Palatal Plate Connector should: Cover same area as complete denture posteriorly Have large surface area of mucosal contact improves potential for retention Full Palatal Plate Generally of cast metal Acrylic resin used in interim prostheses Palatal Strap Usually use for Class III & IV cases Wide anterio-posteriorly Palatal Bar Dont use Narrow anterio-posteriorly Thick occluso-gingivally Palatal bar objectionable due to bulk
(Fig 2-24, Stewart's) Palatal Strap (or Bar) Never use in cases involving distal extensions or replacement of anterior teeth since it must be made bulky for rigidity Relief may be required over bony midline Not used with torus Anterior Palatal Plate (U-Shaped or "Horse-Shoe" Palatal Connector) Poor connector Never use unless absolutely necessary Requires bulk in the rugae area (where the tongue requires freedom) for rigidity Anterior Palatal Plate Too flexible Allows movement at the posterior Traumatic to the residual ridge Use only where torus prohibits other connectors Flexes, impinging on soft tissue Unilateral RPD Dangerous Avoid aspiration