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DIRECT
RETAINERS
DIRECT
RETAINERS
By
Dr Shebin Abraham
Dept. of Prosthodontics
By
Dr Shebin Abraham
Dept. of Prosthodontics
Contents Contents
Introduction
Defnitions.
Classifcation.
Bar clasp.
Intracoronal retainers.
Conclusion.
Introduction
Defnitions.
Classifcation.
Bar clasp.
Intracoronal retainers.
Conclusion.
Introduction Introduction
Types of retention Types of retention
Primary retention.
!. By clasps
Secondary retention.
". Acting through
polished surface of
the denture.
#. $issue coverage.
Primary retention.
!. By clasps
Secondary retention.
". Acting through
polished surface of
the denture.
#. $issue coverage.
Defnition:- Defnition:-
Direct retainer:-
Direct retention :
Direct retainer:-
Direct retention :
It is the part of the clasp that connects the rest and shoulder
of the clasp to the minor connector.
It must be rigid.
It is the part of the clasp that connects the rest and shoulder
of the clasp to the minor connector.
It must be rigid.
Clasp length
Clasp diameter
Clasp length
Clasp diameter
$he clasp arm should taper from the point of origin to provide its
Ae&ibility.
$he clasp arm should taper from the point of origin to provide its
Ae&ibility.
Cross)sectional form(
8le&ibility may e&ist in any form@ but is limited to only one direction in the case
of the half)round form
Clasp arm should only Ae& a0ay from tooth so half round is used.
'ound shaped clasp arm used only in distal e&tension denture bases so that it
can Ae& in all directions during functional movement and minimi<e stresses.
Cross)sectional form(
8le&ibility may e&ist in any form@ but is limited to only one direction in the case
of the half)round form
Clasp arm should only Ae& a0ay from tooth so half round is used.
'ound shaped clasp arm used only in distal e&tension denture bases so that it
can Ae& in all directions during functional movement and minimi<e stresses.
)t is provided by :-
!. 'eciprocal element.
". $he shoulder1s2 of a cast circumferential retentive
clasp.
#. Kertically oriented minor connectors.
)t is provided by :-
!. 'eciprocal element.
". $he shoulder1s2 of a cast circumferential retentive
clasp.
#. Kertically oriented minor connectors.
Reciprocation Reciprocation
Survey line
?ature of support
%sthetics
Survey line
?ature of support
%sthetics
Advantages()
!. 8ulfls the design re6uirements of support@ stability@
reciprocation@ encirclement@ and passivity.
". Its uncomplicated design features ma4e it easy to
construct and relatively simple to repair.
Disadvantages()
!. If used in distal e&tension base due to fulcrum rotation
of the clasp it can cause damage to teeth.
". Can increase the circumference of teeth and lead to
food accumulation and decalcifcation.
Advantages()
!. 8ulfls the design re6uirements of support@ stability@
reciprocation@ encirclement@ and passivity.
". Its uncomplicated design features ma4e it easy to
construct and relatively simple to repair.
Disadvantages()
!. If used in distal e&tension base due to fulcrum rotation
of the clasp it can cause damage to teeth.
". Can increase the circumference of teeth and lead to
food accumulation and decalcifcation.
Re&erse circlet clasp Re&erse circlet clasp
Desi$n
Ad&anta$es:-
Disad&anta$es:-
Desi$n
Ad&anta$es:-
Disad&anta$es:-
fabrication of unmodifed
Class II or Class III partial
denture situationC
fabrication of unmodifed
Class II or Class III partial
denture situationC
Design()
Disadvantages()
Design()
Disadvantages()
Advantages()
Provides ade6uate
encirclement.
Disadvantages()
Decalcifcation of teeth
Advantages()
Provides ade6uate
encirclement.
Disadvantages()
Decalcifcation of teeth
Consideration()
Consideration()
Co!"ination clasp
Given by C Applegate.
Co!"ination clasp
Given by C Applegate.
'PI@
'PA
DeKan+s Clasp
%uipose clasp
'PI@
'PA
DeKan+s Clasp
%uipose clasp
R(I concept. R(I concept.
;etal free)
!. ?atural)Ae&
". ptiAe&
#. ProAe& clear 0ire
I. Kalplast
F. Cu)sil
;etal free)
!. ?atural)Ae&
". ptiAe&
#. ProAe& clear 0ire
I. Kalplast
F. Cu)sil
Occlusally and $in$i&ally
approacin$ clasps:
Relati&e !erits and de!erits
Occlusally and $in$i&ally
approacin$ clasps:
Relati&e !erits and de!erits
%ar clasp
$he bar clasp approaches
the undercut from belo0 the
height of contour pushes
to0ards the occlusal surface
abutment tooth
%asier to seat and more
diLcult to remove
%ar clasp
$he bar clasp approaches
the undercut from belo0 the
height of contour pushes
to0ards the occlusal surface
abutment tooth
%asier to seat and more
diLcult to remove
Circu!ferential clasp
Above the height of
contour
Pulls to0ards the occlusal
surface from the undercut
to resist dislodgement.
Circu!ferential clasp
Above the height of
contour
Pulls to0ards the occlusal
surface from the undercut
to resist dislodgement.
retention
retention
%ar clasp
It is more Ae&ible because
of 0hich it provides less
bracing or stability against
lateral stresses.
%ar clasp
It is more Ae&ible because
of 0hich it provides less
bracing or stability against
lateral stresses.
Circu!ferential clasp
Because of its rigidity it
provides very good
stability or bracing
Circu!ferential clasp
Because of its rigidity it
provides very good
stability or bracing
bracing
bracing
%ar clasp
It allo0s a certain degree of
functional movement of the
distal e&tension base
dissipate the stresses and
lessen the load on the
abutment
%ar clasp
It allo0s a certain degree of
functional movement of the
distal e&tension base
dissipate the stresses and
lessen the load on the
abutment
Circu!ferential clasp
Potential to tor6ue abutment
teeth in distal e&tension
based partial denture
situations.
Circu!ferential clasp
Potential to tor6ue abutment
teeth in distal e&tension
based partial denture
situations.
Stress brea4ing
e=ect
Stress brea4ing
e=ect
%ar clasp
;inimal tooth contact
and less damage to
tooth
%ar clasp
;inimal tooth contact
and less damage to
tooth
Circu!ferential clasp
;ore tooth contact
leading to food
accumulation
Circu!ferential clasp
;ore tooth contact
leading to food
accumulation
Contact 0ith tooth
structure
Contact 0ith tooth
structure
%ar clasp
;inimum relief can
lead to tissue damage
to mucosa under the
approach arm
%ar clasp
;inimum relief can
lead to tissue damage
to mucosa under the
approach arm
Circu!ferential clasp
Damage to gingiva can
ta4e place during
improper removal of
clasp
Circu!ferential clasp
Damage to gingiva can
ta4e place during
improper removal of
clasp
Damage to oral
tissues
Damage to oral
tissues
%ar clasp
Kery less metal display
so high aesthetics
%ar clasp
Kery less metal display
so high aesthetics
Circu!ferential clasp
Increased metal display
so poor %sthetics.
Circu!ferential clasp
Increased metal display
so poor %sthetics.
%sthetics
%sthetics
I?$'AC'?A:
'%$AI?%'ST
precision
attachments
I?$'AC'?A:
'%$AI?%'ST
precision
attachments
Defnition()
A retainer consisting of a metal receptacle
(matrix) and a closely ftting part (patrix); the
matrix is usually contained within the normal or
expanded contours of the crown on the
abutment tooth and the patrix is attached to a
pontic or the removable partial denture
framework.
Defnition()
A retainer consisting of a metal receptacle
(matrix) and a closely ftting part (patrix); the
matrix is usually contained within the normal or
expanded contours of the crown on the
abutment tooth and the patrix is attached to a
pontic or the removable partial denture
framework.
INDICATIONS
INDICATIONS
Pier abutments.
Pier abutments.
4I5ITATIONS 4I5ITATIONS
!. :arge pulp si<e 0hich is usually related to the
age of patient.
". :ength of the clinical cro0n@ not used in short
or abraded teeth.1/mm cro0n2
#. %&pensive
I. Distal e&tension denture bases.
!. :arge pulp si<e 0hich is usually related to the
age of patient.
". :ength of the clinical cro0n@ not used in short
or abraded teeth.1/mm cro0n2
#. %&pensive
I. Distal e&tension denture bases.
AD<ANTA>ES AD<ANTA>ES
!. %sthetically acceptable@ because not much of metal
display li4e e&tracoronal retainers.
". It is preferred in many of the situation because of its
vertical support through a rest seat located more
favorable to the hori<ontal a&is of the abutment tooth.
!. %sthetically acceptable@ because not much of metal
display li4e e&tracoronal retainers.
". It is preferred in many of the situation because of its
vertical support through a rest seat located more
favorable to the hori<ontal a&is of the abutment tooth.
#. Stimulation to the underlying tissues greater
0hen internal attachment are used because of
the intermittent vertical massage.
I. It permits proper tooth form to be maintained and
allo0s for control of vertical@ mesiodistal and
buccolingual displacement of the prosthesis.
#. Stimulation to the underlying tissues greater
0hen internal attachment are used because of
the intermittent vertical massage.
I. It permits proper tooth form to be maintained and
allo0s for control of vertical@ mesiodistal and
buccolingual displacement of the prosthesis.
F. It provides for e&cellent retention of the
prosthesis on account of frictional resistance
bet0een opposing parallel vertical 0alls that
serve to limit movement and resist removal of
the partial denture.
F. It provides for e&cellent retention of the
prosthesis on account of frictional resistance
bet0een opposing parallel vertical 0alls that
serve to limit movement and resist removal of
the partial denture.
Disad&anta$es of intra
coronal retainers
Disad&anta$es of intra
coronal retainers
!. $hey re6uire preparation of abutment tooth
and casting.
". DiLcult clinical and laboratory procedure.
#. $hey eventually 0ear@ result in loss of
frictional resistance to denture removal.
!. $hey re6uire preparation of abutment tooth
and casting.
". DiLcult clinical and laboratory procedure.
#. $hey eventually 0ear@ result in loss of
frictional resistance to denture removal.
?. DiLcult to repair and replace.
@. $hey are e=ective in longer teeth and least
e=ective in shorter teeth.
A. DiLcult to place completely in the
abutment teeth.
?. DiLcult to repair and replace.
@. $hey are e=ective in longer teeth and least
e=ective in shorter teeth.
A. DiLcult to place completely in the
abutment teeth.
5ATERIA4 O3 C6OICE 5ATERIA4 O3 C6OICE
Intracoronal retainers
8rictional resistance.
Springs
Studs(
:oc4s
;agnetic resistance.
Intracoronal retainers
8rictional resistance.
Springs
Studs(
:oc4s
;agnetic resistance.
6o# To Coose An
Attac!entB
6o# To Coose An
Attac!entB
$han4 you
$han4 you