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    Direct Retainers

    Uploaded by

    Muhammad Arif
    1. Direct retainers provide retention to resist movement away from teeth or basal tissue and are a primary component of retention for removable partial dentures. 2. Direct retainers have an occlusal rest for support, a retentive arm for retention, and sometimes a reciprocal arm for stabilization. Basic principles of clasp design include prevention of cervical movement, balanced force transmission, and use of stress breakers. 3. There are two types of direct retainers: intra-coronal, which are within the tooth contour, and extra-coronal, which are outside the tooth contour like clasps. Different clasp designs like RPI, RPA, and bar clasps are used depending on the

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    Direct Retainers

    Uploaded by

    Muhammad Arif
    21 views18 pages
    1. Direct retainers provide retention to resist movement away from teeth or basal tissue and are a primary component of retention for removable partial dentures. 2. Direct retainers have an occlusal rest for support, a retentive arm for retention, and sometimes a reciprocal arm for stabilization. Basic principles of clasp design include prevention of cervical movement, balanced force transmission, and use of stress breakers. 3. There are two types of direct retainers: intra-coronal, which are within the tooth contour, and extra-coronal, which are outside the tooth contour like clasps. Different clasp designs like RPI, RPA, and bar clasps are used depending on the

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    Prosthodontics

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    1. Direct retainers provide retention to resist movement away from teeth or basal tissue and are a primary component of retention for removable partial dentures. 2. Direct retainers have an occlusal rest for support, a retentive arm for retention, and sometimes a reciprocal arm for stabilization. Basic principles of clasp design include prevention of cervical movement, balanced force transmission, and use of stress breakers. 3. There are two types of direct retainers: intra-coronal, which are within the tooth contour, and extra-coronal, which are outside the tooth contour like clasps. Different clasp designs like RPI, RPA, and bar clasps are used depending on the

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views18 pages

    Direct Retainers

    Uploaded by

    Muhammad Arif
    1. Direct retainers provide retention to resist movement away from teeth or basal tissue and are a primary component of retention for removable partial dentures. 2. Direct retainers have an occlusal rest for support, a retentive arm for retention, and sometimes a reciprocal arm for stabilization. Basic principles of clasp design include prevention of cervical movement, balanced force transmission, and use of stress breakers. 3. There are two types of direct retainers: intra-coronal, which are within the tooth contour, and extra-coronal, which are outside the tooth contour like clasps. Different clasp designs like RPI, RPA, and bar clasps are used depending on the

    Copyright:

    © All Rights Reserved
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    of 18

    DIRECT RETAINERS

    Nayab 73

    Compiled by Areeba Irfan 85


    Tehniat Zehra 23
    Dur e Shahwar 20
    Sania Shoaib 34
    Forces on a Prosthesis
    Forces acting on a prosthesis

    1. Towards the tissue


    2. Away from the tissue
    3. Across the tissue
    In Maxilla – Gravity
    In Mandible – adherend foods , chewing

    2
    Direct Retainer

    “Component of Removeable partial denture applied to resist the


    movement away from the teeth or basal tissue” – provides retention

    Primary retention – Direct retainers

    Secondary Retention – Other Components of RPD i.e


    Minor and Major connectors

    3
    Components of a Direct retainer
    1. Occlusal Rest - Support
    2. Retentive Arm – Retention
    3. Reciprocal arm – Stabilization *may act as
    indirect retainer to some degree

    4
    Basic principles of clasp Designing

    Principle Of Prevention of Balanced Force


    Stress Breakers
    encirclement Cervical Movement Transmission

    Encircling More than 180 Occlusal rest must be Each retentive arm Clasp retainers should be
    degrees in the greatest designed to resist should be opposed by a formed in such a way to
    circumference of tooth cervical movement reciprocal arm to resist avoid lingual or tipping
    transient pressure abutment
    movement when distal
    edentulous arch is
    present 5
    Basic principles of clasp Designing

    Best Possible
    Resist dislodging component
    Cross arch stability Clasp Engagement
    forces locations
    Retentive clasp should Different path of Amount of retention Reciprocal arm – junc of
    be bilaterally opposed in escapement for clasp atleast enough to resist middle and gingival third
    class 2 or class 3 cases terminal and path of dislodging forces
    removal for prosthesis Retentive arm (2/3rd) -
    middle third over HOC

    terminal End of retentive


    arm – gingival third 6
    Types of Direct Retainers
    Extra Coronal
    Intra Coronal 1. Outside tooth
    contour margins
    Retains on
    1. Within the tooth abutment tooth
    contour through
    2. Follows Key and 2. Clasps - most
    key way common
    mechanism for 3. Spring loaded
    interlocking device
    4. Flexible clips or
    rings
    7
    Clasps designed - accommodate
    functional movement
    Address the concerns of class 1 lever which can result in harmful tipping and
    torquing of abutment tooth

    Two strategies

    1 Mesial rest Concept


    2 use of a flexible arm

    Extra Coronal Retainers 8


    RPI Clasp
    Extends up to Triangular fossa in premolars
    Extends up to central fossa in molars
    Rounded outline
    Mesial Rest Allow ball and socket movement

    Distal Proximal Plate Guide plane contacts proximal plate


    Put forces on abutment in horizontal direction

    I Bar Retainer
    Located in midfacial part pf gingival 3rd
    Tapering end
    Involve0.01 inch undercut
    Arm is atleast 4mm from gingival margin
    Less torque but also less retention

    9
    RPI
    modification
    approaches
    Approach 1 Approach 2 Approach 3
    (Healthy Abutment) (Compromised Abutment)
    Proximal plate minor Proximal plate Proximal plate
    connector contacts entire minor connector minor connector only
    length of proximal tooth extends from marginl contacts 1mm of gingival
    surface ridge to junction of portion of guiding plane
    middle and gingival
    third
    10
    RPA Clasp
    Mesial Rest

    Distal Proximal Plate

    Indications​
    Circumferential Aker's Clasp 1. exaggerated buccal or lingual tilts
    Retainer (Wrough wire) 2. severe tissue undercut
    3. shallow buccal vestibule

    PRESENTATION TITLE 11
    Bar Clasp / Roach's Clasp
    • Mechanically and functionally effective
    • Covers little tooth surface
    • Good aesthetics
    • Have rigid clasp
    • Retentive arm approaches from gingival third

    Indications​
    1.small degree of undercut in cervical third
    2. for tooth supported PD or tooth support Mod
    areas
    3. Esthetic considerations are important

    PRESENTATION TITLE 12
    Combination Clasp
    Advantages Disadvantages
    1. Greater degree of flexibility 1. Extra steps in fabrication
    2. Esthetic advantage 2. Distort easily
    3. Less accurately adapted to tooth

    Indications​
    1.Large tissue undercut
    2.Abutment tooth with mesiobuccaol undercut
    3. Esthetic considerations are important

    PRESENTATION TITLE 13
    Circumferential Clasp
    Advantages Disadvantages

    1. Easiest to make and repair 1. Covers large surface area


    2. Derives excellent support 2. Food accumulation
    and retention

    Indications​
    1.Tooth supported partial dentures
    2.in cases of moderate to severe mobility
    3. Esthetic considerations are important

    PRESENTATION TITLE 14
    Intra Coronal Retainers
    1 -Consist of a metal receptacle
    (Matrix)
    15

    2 – closely fitting part (Patrix)

    PRESENTATION TITLE
    Intra coronal retainers
    Advantages Disadvantages

    1. Elimination of visible 1. Required preparation of abutments


    retentive and support 2. Complicated fabrication
    componenets 3. Wear resulting in loss of frictional
    2. Provides horizontal resistance
    stabilization 4. Diifficult to repair and replace
    3. Stimulates underlying
    tissues

    Contra Indications​
    1.Large pulp
    2.Short Crown

    PRESENTATION TITLE 16
    Reference:-
    McCracken's Removable Partial Prosthodontics

    17
    Thank you

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