The document discusses different types of direct retainers used in removable dental prostheses, including suprabulge clasps like Aker's clasps, infrabulge clasps like bar clasps, and combination clasps. It provides details on the design and use of various circumferential clasps, continuous clasps, embrasure clasps, ring clasps, and other less commonly used modifications.
The document discusses different types of direct retainers used in removable dental prostheses, including suprabulge clasps like Aker's clasps, infrabulge clasps like bar clasps, and combination clasps. It provides details on the design and use of various circumferential clasps, continuous clasps, embrasure clasps, ring clasps, and other less commonly used modifications.
The document discusses different types of direct retainers used in removable dental prostheses, including suprabulge clasps like Aker's clasps, infrabulge clasps like bar clasps, and combination clasps. It provides details on the design and use of various circumferential clasps, continuous clasps, embrasure clasps, ring clasps, and other less commonly used modifications.
The document discusses different types of direct retainers used in removable dental prostheses, including suprabulge clasps like Aker's clasps, infrabulge clasps like bar clasps, and combination clasps. It provides details on the design and use of various circumferential clasps, continuous clasps, embrasure clasps, ring clasps, and other less commonly used modifications.
According to direction of approach of clasp terminal to undercut: I- Suprabulge clasp (Occlusally approaching, circumferential or encircling clasps : Any partial removable dental prosthesis retentive clasp that approaches the retentive undercut from an occlusal or Suprabulge direction. 1- Circumferential clasp (Aker's clasp 2- Extended clasp 3- Combination clasp-wrought wire 4- Ring clasp II- Infrabulge clasp (Gingivally approaching, projection or bar clasps): Any partial removable dental prosthesis retentive clasp approaches the undercut from a cervical or Infrabulge direction 1- Bar clasp 2- I bar 3- L clasp 4- T Clasp 5- Other designs III- Combination clasps a. Infrabulge clasp arm facially and Suprabulge clasp arm lingually b. Combination of two types of metals-Chrome-cobalt and wrought wire Circumferential clasps (Occlusally approaching clasps) suprabulge Circumferential clasps : a retainer that encircles a tooth by more than 180 degrees, including opposite angles, and which generally contacts the tooth throughout the extent of the clasp, with at least one terminal located in an undercut area. Aker’s clasp (Suprabulge or encircling clasp) - It consists of: - A minor connector that attaches the clasp to the metal framework. - An occlusal rest either mesial or distal of a molar or a premolar. - Two arms originating from a common body. One retentive clasp arm opposed by a non retentive reciprocal arm on the opposite side. - It is the most commonly used clasp with all tooth supported partial dentures because of its retentive and stabilizing ability. - It utilizes 0.01 inch of an undercut. - It is contraindicated in distal extension cases except with a stress breaker device Aker's on premolar and Molar Aker's on Molar Reverse position Aker's Aker's family Continuous clasp (Extended clasp): in removable prosthodontics, a circumferential retainer (clasp) whose body emanates from an occlusal rest and extends across the buccal or lingual surface of more than on tooth (hence continuing on) before engaging an undercut on the proximal wall farthest from the occlusal rest Continuous clasp (Extended clasp) Embrasure Clasp • Combining two single circumferential arms produces an embrasure or "crib" type clasp. 2 Akers claps clasp • 2 occlusal rest + 2 retentive arm + 2 reciprocal arm • Indication: Used mainly when there is a space between the supporting teeth, when no space exists, interproximal tooth reduction is necessary Embrasure Clasp Combination clasp a circumferential retainer for a removable dental prosthesis that has a cast reciprocal arm and wrought wire retentive clasp. One of several possible combinations may be of circumferential and bar clasp arms Combination clasp Ring clasp A ring clasp is a complicated device that is designed to engage an undercut that no other design can handle. A mesially inclined molar that is rotated and tilted lingually, presents an undercut on the mesiolingual surface that only a retentive arm from the distal will engage. This requires a clasp that originates on the mesial and encircles the tooth almost completely. A ring clasp requires a distal rest, a mesial rest, and a buccal strut to support the system and to prevent its fracture. A ring clasp should only rarely be included in the design because it requires so much handwork. Frequently it is misused, particularly in places where a reverse action arm can as easily be used Ring clasp Back-action clasp It is not commonly used; the back-action clasp is modification of the ring, which has all of the same disadvantages and no apparent advantages. Other less commonly used modifications of the cast circumferential clasp are the multiple clasps, half- and half- clasp, and the reverse-action clasp A- Multiple clasps: It is simply two opposing circumferential clasps joined at the terminal end of the two reciprocal arms. Used when additional retention and stabilization are needed, usually in tooth supported partial dentures. Its disadvantage is that two embrasure approaches are necessary rather than a single common embrasure for both clasps. Multiple clasps B-Half and half clasp: The half and half clasp consists of a circumferential retentive arm arising from one direction and a reciprocal arm arising from another. The second arm must arise from a second minor connector, and this arm is used with or without an auxiliary occlusal rest. C- reverse-action clasp: The reverse action or hair-pin, clasp arm is designed to permit engaging a proximal undercut from an occlusal approach. The survey line lies in lower third of the tooth that the Aker's arm will be traumatic to the gingiva