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Retainers, Clasp Assemblies and
               Indirect Retainers
                                Ting Ling Chang,
                                Takahiro Ogawa
                                       and
                                John Beumer III
 Division of Advanced Prosthodontics, Biomaterials
                and Hospital Dentistry
This program of instruction is protected by copyright ©. No portion of
this program of instruction may be reproduced, recorded or transferred
by any means electronic, digital, photographic, mechanical etc., or by
any information storage or retrieval system, without prior permission.
Retainers, Clasp Assemblies and
       Indirect Retainers
Retainers, Clasp Assemblies and
                   Indirect Retainers
Direct retainers
     That component of a removable
      partial denture used to retain and
      prevent dislodgment of a clasp
      assembly or attachment.
Retainers, Clasp Assemblies and
            Indirect Retainers
Clasp assembly
    The part of a removable partial denture that acts as a
     direct retainer (clasp) and/or stabilizer (minor
     connectors, proximal plates etc) for a prosthesis by
     partially encompassing an abutment tooth
Types of Retainers (Clasps)
Infra-bulge
   “I”-Bar
       The approach of the
        direct retainer is from
        below the height of         Height
        contour                     of contour
Supra-bulge clasp
   Circumferential
    clasp
         The approach of the
          direct retainer is from
          above the height of
          contour.

                                           Height of contour
“I” Bar Retainers:

 Low retentive value
  compared to other types
 This is due to minimal
  tooth engagement and
  partly to purposeful design
  since support, stability and
  control of tooth position is
  established with positive
  rests, minor connectors
  and proximal plates
“I” Bar Retainers:
 Effectiveness of retention
  is dependent upon the
  stability of the RPD which
  in turn is dependent on
  the presence of properly
  designed minor
  connectors, guide-planes
  and proximal plates
 In particular, properly
  contoured guide planes-
  proximal plates are
  integral to successful use
  of “I” bar retainers
“I” Bar Retainers:
                 Benefits
 Minimal tooth contact
   Allows for easier
    adjustment of the
    retainer
 Enablesexact
 placement of retention
 contact
   Thisvery important in
    extention base RPD’s
 Minimal Interference
 with natural tooth
 contour
“I” Bar Retainers:
                  Benefits
 Maximum    natural
  cleansing action
 Passive functional
  movement of an extension
  prosthesis (when the rest
  is properly positioned)
Better Esthetics
           “I” bars




Only the tips are visible in most patients
“I” Bar Retainers
         Design Principles
   “I” bar should cross tooth tissue
    junction at right angles and parallel to
    long axis of tooth.


   Horizontal portion of the “I” bar is
    placed on attached tissue whenever
    possible


   Connection of “I” bar to RPD casting
    should be in placed in the
    interproximal area between denture
    teeth (arrow).
“I” Bar Retainers
      Design Principles
   A space is created between
    “I” bar and mucosa (it is
    crossing over) to prevent
    tissue hypertrophy (arrows).
   Ideally “I” bar terminates in
    gingival 1/3 of the tooth.
   An active “I” Bar requires
    only 0.25 mm undercut.
“I” Bar Retainers
      Design Principles
                                         Height of
   When properly designed the “I”       contour
    bar engages the undercut down
    into the 0.25 mm region but the
    occlusal-incisal tip terminates at    ..25 mm
    the height of contour

   When designed in this way the
    RPD will slide in out of place
    with a smooth frictional
    resistance
“I” Bar Retainers
      Design Principles
   When properly designed the “I”       Height of contour
    bar engages the undercut down
    into the 0.25 mm region but the
    occlusal-incisal tip terminates at
    the height of contour

   When designed in this way the
    RPD will slide in out of place
    with a smooth frictional
    resistance
“I” Bar Retainers – Design Principles




                   The tip should be
                   positioned at the point
                   of greatest mesial distal
                   curvature on the tooth
“I” Bar Retainers: Reciprocation
An active “I” bar retainer
can be reciprocated by
one of the following:
 Opposing reciprocating
  clasp at 0.00 (“I” bar or
  “C” clasp)
 A combination of rest,
  minor connector and
  proximal plate.
 A lingual or palatal plate
 A combination of the
  above
“I” Bar Retainers
                      Contraindications
   Teeth with short clinical crowns
       Guide planes-proximal plates will be short and in this
        situation the “I” bar may not provide acceptable
        retention
 High frenum attachments will preclude proper
  positioning of the horizontal component
 Severely tilted abutments
       The “I” bar will project into the cheek. This is
        particularly problem with regard to 2nd molars in the
        maxilla
   Lack of attached gingiva
       Buccal of mandibular 2nd molars
Circumferential Clasp
Suprabulge clasp
     The flexible retentive arm originates from a minor connector or a
      proximal plate and its terminal 1/3 crosses the height of contour into
      the undercut (.25mm or 0.1”)
     The rigid reciprocating arm stays at or above the height of contour

                           Height of contour




                                    Retentive                Reciprocating
                                      arm                        arm
Circumferential Clasp
                             Applications
 Posterior teeth
                                 Note: The portion the retentive
 Tipped teeth
       Maxillary molars         clasp above the height of
                                 contour is relieved with rouge
   Better bracing
       Unilateral defects       and chloroform
Circumferential Clasp
Applications
   Teeth with short clinical crowns in patients with long
    edentulous spans requiring additional retention
   Tipped teeth (maxillary molars)
   High frenum attachments
   Minimal levels of attached gingiva (mandibular 2nd molars)
Circumferential Clasp
 Maxillary 2nd molars
  are frequently tilted to
  the buccal
 If you use an “I” bar to
  engage the buccal
  surface of the tooth it      Courtesy Dr.GE King
  will project into the
  cheek and cause
  irritation
 A “C” clasp is
  therefore preferred in
  this situation             Courtesy Dr.GE King
Circumferential Clasp
 Maxillary 2nd molars
  are frequently tilted to
  the buccal
 If you use an “I” bar to
  engage the buccal
  surface of the tooth it    Courtesy Dr.GE King
  will project into the
  cheek and cause
  irritation
 A “C” clasp is
  therefore preferred in
  this situation             Courtesy Dr.GE King
Circumferential Clasp
 Maxillary 2nd molars are
  frequently tilted to the
  buccal
 If you use an “I” bar to
  engage the buccal
  surface of the tooth it
  will project into the
  cheek and cause
  irritation
 A “C” clasp is therefore
  preferred in this
  situation
       Relieve clasp except at
        its terminius.
Circumferential Clasp
   Maxillary 2nd molars are
    frequently tilted to the
    buccal and the height of
    contour is high on the
    tooth surface
   If you use an “I” bar to
    engage the buccal
    surface of the tooth it will
    project into the cheek and
    cause irritation
   A “C” clasp is therefore
    preferred in this situation
Circumferential Clasp
   In some patients the zone of
    attached gingival around the
    buccal surface of the
    mandibular 2nd molar is
    minimal

   If so, if an “I” bar is used to     Courtesy Dr.GE King

    engage this undercut
    surface, it will project into the
    cheek when the masseter
    muscle is contracted causing
    irritation to the mucosa.

   A “C” clasp is therefore
    preferred in this situation
Circumferential Clasp
   In some patients the zone
    of attached gingival around
    the buccal surface of the
    mandibular 2nd molar is
    minimal

   If so, if an “I” bar is used to
    engage this undercut
    surface, it will project into
    the cheek when the
    masseter muscle is
    contracted causing
    irritation to the mucosa.

   A “C” clasp is therefore
    preferred in this situation
Embrasure clasps
Used when restoring a patient with a
unilateral extension area
 Biomechanically this is a disadvantage.
  However, when the teeth are sound and
  retentive areas are available, retention
  can made to be very effective with this
  design
 Usually employed in association with
  cast restorations
 Use in unprotected abutments is based
  on caries index, oral hygiene, opposing
  occlusion and tooth contours.

    Disadvantage:
    Insufficient space provided will
    predispose to a high rate of fracture
Embrasure clasps




Advantage
     Easy to approach the buccal undercut in the
      maxillary molar region
Risks
     Fracture – It is difficult to obtain a nonporous casting
      throughout the clasp assembly
Embrasure clasps




 Disadvantage when used in virgin teeth
   Frequently, too little tooth reduction is made in the
    proximal area
   As a result these clasps are susceptible to fracture
    because of lack of metal bulk and it is difficult to obtain
    a nonporous casting throughout the clasp assembly
Embrasure clasps




Disadvantage when used in virgin teeth
   This
       problem can be avoided by placing full
   veneer crowns on the abutments
Indirect Retainers – Myth or Reality
Definition:
The component of a removable partial denture that assists the direct
retainers in preventing displacement of the distal extension denture bases
by functioning through lever action on the opposite side of the fulcrum line
when the denture base moves away from the tissues in pure rotation around
the fulcrum line.
Indirect Retainers – Myth or Reality
    Frank RP & Nicholls JI. An investigation of the effectiveness of
    indirect retainers. JPD 1976;38:494-506.
   Methods: Tested the following combinations: 1) D rest 2nd PM/canine
    rest, 2) D rest 2nd PM/M rest 1st PM, 3) D rest 2nd PM/no indirect
    retainer, 4) M rest 2nd PM/no indirect retainer, 5) M rest 2nd PM/M rest 1st
    PM, 6) M rest 2nd PM/canine rest. Applied dislodging forces with Instron
    machine unilaterally, bilaterally, anteriorly and posteriorly. A wrought-wire
    clasp was substituted for the bar clasp on both 2nd premolars. Also rested
    with and without guide planes. Attached rests to framework with
    autopolymerizing acrylic resin.
   Conclusions:
        The type of clasp arm used has a much greater influence on the amount of
         denture base displacement than does the presence or location of an indirect
         retainer
        Usefulness of an indirect retainer in preventing occlusal displacement of a
         denture base appears to be very limited. It is probably more effective in
         distributing forces to teeth other than the direct abutments than in preventing
         denture base lifting
        Guiding planes are important in preventing denture base lifting
        Mesial rest placement decreases the distance from the fulcrum line to the indirect
         retainer, but this does not seem to increase denture base dislodgement.
Indirect Retainers – Myth or Reality

   In this example the
    mesial rest on the right
    maxillary premolar acts
    as an indirect retainer.
   The forces of gravity
    tend to displace the
    obturator portion of the
    prosthesis, down and out
    of the defect. The
    indirect retainers resist
    this displacement
Indirect Retainers – Myth or Reality
   The musculature of the lip tends to lift the prosthesis away from
    the tissue bearing surfaces in the anterior region. The indirect
    retainers resist this rotation.
   Indirect retention provided by:
       The rests on the 2nd molars act as indirect retainers
            The longer the rests the more effective the indirect retention




    Axis of
    rotation
    (fulcrum
    line)
Clasp Assemblies and Reciprocation and
            Encirclement
Reciprocation
   Resistance to horizontal forces (primarily in the
    buccal and lingual direction) exerted on a tooth by
    an active retentive element

   Provided by the rigid reciprocating clasp arm
    opposite the retentive arm, minor connectors,
    proximal plates, lingual plates etc.


   Prevents tooth movement that may result from
    over adjustment of a retentive clasp arm (i.e.
    making the I-bar, or the retentive arm too tight)
Clasp assembly
                 Components
 Rest
 Clasp
   Directretainer
   Reciprocating clasp

 Minor   connector
   Proximal   plate
 Major   connector
Retainer (Clasp) Assembly
               Minor connectors              Proximal plates




                      Direct retainer
Rests                 Circumferential type
                                                    Direct retainer,”I”-Bar
A Clasp (retainer) assembly is a combination of several RPD
components that engage an abutment tooth extra-coronally for
support, stability and retention of the partial denture.

        •Direct retainers
        •Rests
        •Minor connectors – proximal plates
        •Reciprocating elements
Encirclement
The clasp assembly must engage more than 180
  degrees of the circumference of the tooth
     Encirclement is achieved with a combination of retainers
      proximal plates, minor connectors and extended rests
Otherwise the abutment tooth may away from the
  clasp assembly
Examples of the methods used to accomplish this
  task are shown
Reciprocation and Encirclement
   The clasp assembly must engage and encircle the tooth
    by more than 180 degrees of its circumference
   Otherwise, the tooth may move out from under the clasp
    assembly during function
Reciprocation and Encirclement
   The clasp assembly must engage and encircle the
    tooth by more than 180 degrees of its circumference


                               This is an example
                               of insufficient
                               encirclement
Reciprocation

   In the classical RPI
    system (UCLA-
    Kratochvil)
    reciprocation is
    provided by the
    proximal plate and
    the minor connector
Reciprocation
   Reciprocation of the “I” bar on the buccal surface
    of the molar is accomplished with the proximal
    plates
Reciprocation
   Reciprocation of the “C” clasp on the lingual surface of the
    molar is accomplished with the proximal plate and the
    circumferential (“C”) clasp on the buccal side




                        Requires rouge relief to make
                        this design function properly
Reciprocation
   Reciprocation of the “I” b bars on both premolars is
    accomplished with the proximal plates and the lingual plate
Reciprocation

 In this example,
  reciprocation provided
  by the buccal “I” bar
  (the lingual “I” in this
  patient is the retentive
  retainer) and the
  proximal plate
Reciprocation
   Reciprocation for the retainers on the cuspid and
    the molar in this unilateral case is accomplished
    with the proximal plates and lingual plate
Bracing




          Courtesy Dr. T Berg
Bracing (Stability)

Definition:
   Resistance to horizontal lateral or torsional
    components of force generated during
    mastication or eccentric movements of the
    mandible

   It is provided primarily by the rigid portions of a
    clasp assembly such as the rigid reciprocating
    clasp elements, minor connectors, proximal
    plates, lingual plates and extended occlusal
    rests.
Bracing (Stability)


   Guide planes of teeth
    engaged by proximal
                                   a
    plates provide stress
    reduction in several
    areas including
    buttressing (a)
Bracing




 Inthis bilateral extension case, bracing is
  enhanced by the proximal plate, the minor
  connector and the “I” bar retainer
Types of Bracing
   In this patient most of the bracing is provided by
    the distal proximal plates. However the lingual
    plate supplements bracing to significant degree
Bracing
   During mastication significant lateral forces will be generated. In
    patients presenting with unilateral defects such as this, additional
    bracing is necessary in order distribute these forces equitably among
    the remaining teeth
   Here, in addition to the bracing effect of the proximal plates on the 2nd
    molar and the 1st premolar, additional bracing is provided by plating
    the lingual surfaces of the remaining dentition.
Bracing (Resistance to lateral forces)

   Patients with unilateral dentition and large edentulous spaces
    such as in this case, require additional bracing. Here, in
    addition to the bracing effect of the proximal plates on the !st
    and 3rd molars molar additional bracing is provided by plating
    the lingual surfaces of the remaining dentition.
Bracing (Resistance to lateral forces)
More bracing is required in maxillary resection defects because
of the large edentulous extension area and long lever arms.
Lingual plating is frequently employed In these types of defects.
Bracing

   As the defect
    becomes larger and
    with the remaining
    dentition in a linear
    fashion, bracing
    becomes more
    aggressive. In this
    patient the lingual
    plate embraces all of
    the remaining teeth.
Types of Bracing
   Reciprocation and encirclement of the molar in
    this rotational path RPD is accomplished with
    the proximal plate and the extended rest
    engaging its buccal slopes
Passivity
   There should be no active force on any abutment teeth
    when the framework is seated and the retainers are
    engaged. Its retainers should only by activated when a
    dislodging force is applied
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Retainers and Clasp Assemblies Guide

  • 1. Retainers, Clasp Assemblies and Indirect Retainers Ting Ling Chang, Takahiro Ogawa and John Beumer III Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry This program of instruction is protected by copyright ©. No portion of this program of instruction may be reproduced, recorded or transferred by any means electronic, digital, photographic, mechanical etc., or by any information storage or retrieval system, without prior permission.
  • 2. Retainers, Clasp Assemblies and Indirect Retainers
  • 3. Retainers, Clasp Assemblies and Indirect Retainers Direct retainers  That component of a removable partial denture used to retain and prevent dislodgment of a clasp assembly or attachment.
  • 4. Retainers, Clasp Assemblies and Indirect Retainers Clasp assembly  The part of a removable partial denture that acts as a direct retainer (clasp) and/or stabilizer (minor connectors, proximal plates etc) for a prosthesis by partially encompassing an abutment tooth
  • 5. Types of Retainers (Clasps) Infra-bulge  “I”-Bar  The approach of the direct retainer is from below the height of Height contour of contour Supra-bulge clasp  Circumferential clasp  The approach of the direct retainer is from above the height of contour. Height of contour
  • 6. “I” Bar Retainers:  Low retentive value compared to other types  This is due to minimal tooth engagement and partly to purposeful design since support, stability and control of tooth position is established with positive rests, minor connectors and proximal plates
  • 7. “I” Bar Retainers:  Effectiveness of retention is dependent upon the stability of the RPD which in turn is dependent on the presence of properly designed minor connectors, guide-planes and proximal plates  In particular, properly contoured guide planes- proximal plates are integral to successful use of “I” bar retainers
  • 8. “I” Bar Retainers: Benefits  Minimal tooth contact  Allows for easier adjustment of the retainer  Enablesexact placement of retention contact  Thisvery important in extention base RPD’s  Minimal Interference with natural tooth contour
  • 9. “I” Bar Retainers: Benefits  Maximum natural cleansing action  Passive functional movement of an extension prosthesis (when the rest is properly positioned)
  • 10. Better Esthetics “I” bars Only the tips are visible in most patients
  • 11. “I” Bar Retainers Design Principles  “I” bar should cross tooth tissue junction at right angles and parallel to long axis of tooth.  Horizontal portion of the “I” bar is placed on attached tissue whenever possible  Connection of “I” bar to RPD casting should be in placed in the interproximal area between denture teeth (arrow).
  • 12. “I” Bar Retainers Design Principles  A space is created between “I” bar and mucosa (it is crossing over) to prevent tissue hypertrophy (arrows).  Ideally “I” bar terminates in gingival 1/3 of the tooth.  An active “I” Bar requires only 0.25 mm undercut.
  • 13. “I” Bar Retainers Design Principles Height of  When properly designed the “I” contour bar engages the undercut down into the 0.25 mm region but the occlusal-incisal tip terminates at ..25 mm the height of contour  When designed in this way the RPD will slide in out of place with a smooth frictional resistance
  • 14. “I” Bar Retainers Design Principles  When properly designed the “I” Height of contour bar engages the undercut down into the 0.25 mm region but the occlusal-incisal tip terminates at the height of contour  When designed in this way the RPD will slide in out of place with a smooth frictional resistance
  • 15. “I” Bar Retainers – Design Principles The tip should be positioned at the point of greatest mesial distal curvature on the tooth
  • 16. “I” Bar Retainers: Reciprocation An active “I” bar retainer can be reciprocated by one of the following:  Opposing reciprocating clasp at 0.00 (“I” bar or “C” clasp)  A combination of rest, minor connector and proximal plate.  A lingual or palatal plate  A combination of the above
  • 17. “I” Bar Retainers Contraindications  Teeth with short clinical crowns  Guide planes-proximal plates will be short and in this situation the “I” bar may not provide acceptable retention  High frenum attachments will preclude proper positioning of the horizontal component  Severely tilted abutments  The “I” bar will project into the cheek. This is particularly problem with regard to 2nd molars in the maxilla  Lack of attached gingiva  Buccal of mandibular 2nd molars
  • 18. Circumferential Clasp Suprabulge clasp  The flexible retentive arm originates from a minor connector or a proximal plate and its terminal 1/3 crosses the height of contour into the undercut (.25mm or 0.1”)  The rigid reciprocating arm stays at or above the height of contour Height of contour Retentive Reciprocating arm arm
  • 19. Circumferential Clasp Applications  Posterior teeth Note: The portion the retentive  Tipped teeth  Maxillary molars clasp above the height of contour is relieved with rouge  Better bracing  Unilateral defects and chloroform
  • 20. Circumferential Clasp Applications  Teeth with short clinical crowns in patients with long edentulous spans requiring additional retention  Tipped teeth (maxillary molars)  High frenum attachments  Minimal levels of attached gingiva (mandibular 2nd molars)
  • 21. Circumferential Clasp  Maxillary 2nd molars are frequently tilted to the buccal  If you use an “I” bar to engage the buccal surface of the tooth it Courtesy Dr.GE King will project into the cheek and cause irritation  A “C” clasp is therefore preferred in this situation Courtesy Dr.GE King
  • 22. Circumferential Clasp  Maxillary 2nd molars are frequently tilted to the buccal  If you use an “I” bar to engage the buccal surface of the tooth it Courtesy Dr.GE King will project into the cheek and cause irritation  A “C” clasp is therefore preferred in this situation Courtesy Dr.GE King
  • 23. Circumferential Clasp  Maxillary 2nd molars are frequently tilted to the buccal  If you use an “I” bar to engage the buccal surface of the tooth it will project into the cheek and cause irritation  A “C” clasp is therefore preferred in this situation  Relieve clasp except at its terminius.
  • 24. Circumferential Clasp  Maxillary 2nd molars are frequently tilted to the buccal and the height of contour is high on the tooth surface  If you use an “I” bar to engage the buccal surface of the tooth it will project into the cheek and cause irritation  A “C” clasp is therefore preferred in this situation
  • 25. Circumferential Clasp  In some patients the zone of attached gingival around the buccal surface of the mandibular 2nd molar is minimal  If so, if an “I” bar is used to Courtesy Dr.GE King engage this undercut surface, it will project into the cheek when the masseter muscle is contracted causing irritation to the mucosa.  A “C” clasp is therefore preferred in this situation
  • 26. Circumferential Clasp  In some patients the zone of attached gingival around the buccal surface of the mandibular 2nd molar is minimal  If so, if an “I” bar is used to engage this undercut surface, it will project into the cheek when the masseter muscle is contracted causing irritation to the mucosa.  A “C” clasp is therefore preferred in this situation
  • 27. Embrasure clasps Used when restoring a patient with a unilateral extension area  Biomechanically this is a disadvantage. However, when the teeth are sound and retentive areas are available, retention can made to be very effective with this design  Usually employed in association with cast restorations  Use in unprotected abutments is based on caries index, oral hygiene, opposing occlusion and tooth contours. Disadvantage: Insufficient space provided will predispose to a high rate of fracture
  • 28. Embrasure clasps Advantage  Easy to approach the buccal undercut in the maxillary molar region Risks  Fracture – It is difficult to obtain a nonporous casting throughout the clasp assembly
  • 29. Embrasure clasps  Disadvantage when used in virgin teeth  Frequently, too little tooth reduction is made in the proximal area  As a result these clasps are susceptible to fracture because of lack of metal bulk and it is difficult to obtain a nonporous casting throughout the clasp assembly
  • 30. Embrasure clasps Disadvantage when used in virgin teeth  This problem can be avoided by placing full veneer crowns on the abutments
  • 31. Indirect Retainers – Myth or Reality Definition: The component of a removable partial denture that assists the direct retainers in preventing displacement of the distal extension denture bases by functioning through lever action on the opposite side of the fulcrum line when the denture base moves away from the tissues in pure rotation around the fulcrum line.
  • 32. Indirect Retainers – Myth or Reality Frank RP & Nicholls JI. An investigation of the effectiveness of indirect retainers. JPD 1976;38:494-506.  Methods: Tested the following combinations: 1) D rest 2nd PM/canine rest, 2) D rest 2nd PM/M rest 1st PM, 3) D rest 2nd PM/no indirect retainer, 4) M rest 2nd PM/no indirect retainer, 5) M rest 2nd PM/M rest 1st PM, 6) M rest 2nd PM/canine rest. Applied dislodging forces with Instron machine unilaterally, bilaterally, anteriorly and posteriorly. A wrought-wire clasp was substituted for the bar clasp on both 2nd premolars. Also rested with and without guide planes. Attached rests to framework with autopolymerizing acrylic resin.  Conclusions:  The type of clasp arm used has a much greater influence on the amount of denture base displacement than does the presence or location of an indirect retainer  Usefulness of an indirect retainer in preventing occlusal displacement of a denture base appears to be very limited. It is probably more effective in distributing forces to teeth other than the direct abutments than in preventing denture base lifting  Guiding planes are important in preventing denture base lifting  Mesial rest placement decreases the distance from the fulcrum line to the indirect retainer, but this does not seem to increase denture base dislodgement.
  • 33. Indirect Retainers – Myth or Reality  In this example the mesial rest on the right maxillary premolar acts as an indirect retainer.  The forces of gravity tend to displace the obturator portion of the prosthesis, down and out of the defect. The indirect retainers resist this displacement
  • 34. Indirect Retainers – Myth or Reality  The musculature of the lip tends to lift the prosthesis away from the tissue bearing surfaces in the anterior region. The indirect retainers resist this rotation.  Indirect retention provided by:  The rests on the 2nd molars act as indirect retainers  The longer the rests the more effective the indirect retention Axis of rotation (fulcrum line)
  • 35. Clasp Assemblies and Reciprocation and Encirclement
  • 36. Reciprocation  Resistance to horizontal forces (primarily in the buccal and lingual direction) exerted on a tooth by an active retentive element  Provided by the rigid reciprocating clasp arm opposite the retentive arm, minor connectors, proximal plates, lingual plates etc.  Prevents tooth movement that may result from over adjustment of a retentive clasp arm (i.e. making the I-bar, or the retentive arm too tight)
  • 37. Clasp assembly Components  Rest  Clasp  Directretainer  Reciprocating clasp  Minor connector  Proximal plate  Major connector
  • 38. Retainer (Clasp) Assembly Minor connectors Proximal plates Direct retainer Rests Circumferential type Direct retainer,”I”-Bar A Clasp (retainer) assembly is a combination of several RPD components that engage an abutment tooth extra-coronally for support, stability and retention of the partial denture. •Direct retainers •Rests •Minor connectors – proximal plates •Reciprocating elements
  • 39. Encirclement The clasp assembly must engage more than 180 degrees of the circumference of the tooth  Encirclement is achieved with a combination of retainers proximal plates, minor connectors and extended rests Otherwise the abutment tooth may away from the clasp assembly Examples of the methods used to accomplish this task are shown
  • 40. Reciprocation and Encirclement  The clasp assembly must engage and encircle the tooth by more than 180 degrees of its circumference  Otherwise, the tooth may move out from under the clasp assembly during function
  • 41. Reciprocation and Encirclement  The clasp assembly must engage and encircle the tooth by more than 180 degrees of its circumference This is an example of insufficient encirclement
  • 42. Reciprocation  In the classical RPI system (UCLA- Kratochvil) reciprocation is provided by the proximal plate and the minor connector
  • 43. Reciprocation  Reciprocation of the “I” bar on the buccal surface of the molar is accomplished with the proximal plates
  • 44. Reciprocation  Reciprocation of the “C” clasp on the lingual surface of the molar is accomplished with the proximal plate and the circumferential (“C”) clasp on the buccal side Requires rouge relief to make this design function properly
  • 45. Reciprocation  Reciprocation of the “I” b bars on both premolars is accomplished with the proximal plates and the lingual plate
  • 46. Reciprocation  In this example, reciprocation provided by the buccal “I” bar (the lingual “I” in this patient is the retentive retainer) and the proximal plate
  • 47. Reciprocation  Reciprocation for the retainers on the cuspid and the molar in this unilateral case is accomplished with the proximal plates and lingual plate
  • 48. Bracing Courtesy Dr. T Berg
  • 49. Bracing (Stability) Definition:  Resistance to horizontal lateral or torsional components of force generated during mastication or eccentric movements of the mandible  It is provided primarily by the rigid portions of a clasp assembly such as the rigid reciprocating clasp elements, minor connectors, proximal plates, lingual plates and extended occlusal rests.
  • 50. Bracing (Stability)  Guide planes of teeth engaged by proximal a plates provide stress reduction in several areas including buttressing (a)
  • 51. Bracing  Inthis bilateral extension case, bracing is enhanced by the proximal plate, the minor connector and the “I” bar retainer
  • 52. Types of Bracing  In this patient most of the bracing is provided by the distal proximal plates. However the lingual plate supplements bracing to significant degree
  • 53. Bracing  During mastication significant lateral forces will be generated. In patients presenting with unilateral defects such as this, additional bracing is necessary in order distribute these forces equitably among the remaining teeth  Here, in addition to the bracing effect of the proximal plates on the 2nd molar and the 1st premolar, additional bracing is provided by plating the lingual surfaces of the remaining dentition.
  • 54. Bracing (Resistance to lateral forces)  Patients with unilateral dentition and large edentulous spaces such as in this case, require additional bracing. Here, in addition to the bracing effect of the proximal plates on the !st and 3rd molars molar additional bracing is provided by plating the lingual surfaces of the remaining dentition.
  • 55. Bracing (Resistance to lateral forces) More bracing is required in maxillary resection defects because of the large edentulous extension area and long lever arms. Lingual plating is frequently employed In these types of defects.
  • 56. Bracing  As the defect becomes larger and with the remaining dentition in a linear fashion, bracing becomes more aggressive. In this patient the lingual plate embraces all of the remaining teeth.
  • 57. Types of Bracing  Reciprocation and encirclement of the molar in this rotational path RPD is accomplished with the proximal plate and the extended rest engaging its buccal slopes
  • 58. Passivity  There should be no active force on any abutment teeth when the framework is seated and the retainers are engaged. Its retainers should only by activated when a dislodging force is applied
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