RETENTION OFRETENTION OF
REMOVABLEREMOVABLE
PARTIALPARTIAL
DENTURESDENTURES
RETENTION OFRETENTION OF
REMOVABLE PARTIALREMOVABLE PARTIAL
DENTURESDENTURES
Dr. Amal Fathy KaddahDr. Amal Fathy Kaddah
Professor of Prosthodontic,Professor of Prosthodontic,
Faculty of Oral &Dental Medicine,Faculty of Oral &Dental Medicine,
Cairo UniversityCairo University
Retention
Physical Mechanical
Intracoronal attachment Extracoronal
Clasp retainer
Attachment
)The resistance to tissue away movement(
physiologic
Intracoronal attachmentsIntracoronal attachments
Extracoronal attachmentExtracoronal attachment
ExtracoronalExtracoronal
attachmentattachment
Clasp retainerClasp retainer
Retentive arm
Bracing arm
Occlusal
rest
Minor connector
DESIRABLE UNDERCUT
NON DESIRABLE UNDERCUT
REQUIREMENTS OF CLASPREQUIREMENTS OF CLASP
DESIGN.DESIGN.
Bracing arm better located
In the apical portion of the
Middle 1/3
Retentive arm better located
In the gingival 1/3 for better
esthetics & mechanics
UNDERCUT IS BETTER BE FOUND WITHIN THE
GINGIVAL1/3 For mechanical reasons
Post Is More Readily Removed by Application of Force Near Its Top
Than by Applying Same Force Nearer Ground Level
180ENCIRCLING TOOTH
continuous intermittent
Tooth can't move horizontally away from the clasp
Each retentive terminal should be reciprocated as
retentive arm exerts some orthodontic movement
during placement and removal as it flexes about the
height of contour
Amount of retention depends onAmount of retention depends on
The greater the distance we go into the undercut the greater will be the retention
A- depth of undercut
B- flexibility of clasp arm
Increasing arm length increases the
flexibility ,thus decreasing the retention
Round clasps have universal
flexibility thus lowers the
retention than ½ round and flat
clasps
shape of the clasp
Degree of taper , retentive arm should be tapered in
two dimensions
C- Angle of cervical convergence
Occlusally approaching clasp Gingivally approaching clasp
Clasps according to way of approach
to undercut
1-Akers clasp (circlet(
0.01 of an inch
2-DOUBLE AKER (embrasure(
3- Circumferential `C` Clasp3- Circumferential `C` Clasp
4-R.P.A
5- Multiple Clasp5- Multiple Clasp
6-Extended arm clasp
Abutment has no undercut
Adjacent tooth has a reasonable undercut
7- Half & Half clasp7- Half & Half clasp
 2 M.C., 2 O.R. & 22 M.C., 2 O.R. & 2
arms.arms.
 Mainly indicated forMainly indicated for
dual retentiondual retention
commonly incommonly in
unilateral cases.unilateral cases.
7-RING CLASP7-RING CLASP
Provides unilateral bracing. Used for single tilted molars
More flexible than aker because it is one arm clasp.
8-Back action clasp8-Back action clasp
 Single arm claspSingle arm clasp
 Minor connectorMinor connector
starts mesio-starts mesio-
linguallylingually
 It engages mesio-It engages mesio-
buccal undercut.buccal undercut.
 O.R. is locatedO.R. is located
distally.distally.
 Used in free endUsed in free end
saddle.saddle.
99--Reverse Back action claspReverse Back action clasp
M.C.
originating
Mesio-
buccally
Retentive arm
engage
Mesio-lingual
undercut
Reverse Back actionReverse Back action
claspclasp
Back action claspBack action clasp
1010--Mesio-Distal claspMesio-Distal clasp
•Used only in anterior teeth
•Depends on frictional resistance for retention
• A retentive clasp arm
• A rigid reciprocal clasp
arm
• An occlusal rest and a
minor connector The tip
of the retentive arm may
be in the form I, T, U, C or Y.
One
1- The I-bar clasp (Roach clasp arm):
The I - bar clasp consists of
T clasp
Modified T clasp
Different forms of gingivally approaching claspsDifferent forms of gingivally approaching clasps
I clasp
R.P.I
The base of the I bar
Should be 3mm away
From the gingival margin
Provides unilateral bracing.
Commonly used for tooth
mucosa borne partial
dentures. A retentive
clasp arm
Contraindications for the use of
gingivally approaching clasps
Devan clasp
•More esthetic due to interproximal position
•No distortion due to it`s proximity to denture border
Combination clasp
Gingivally app.
Retentive arm
(buccally) &
Occlusally app.
Bracing arm
(lingually)
•Buccal wrought wire retentive arm soldered to
the base
•Lingual casted bracing arm
Another type of combination clasp
Clasps with splinting actionClasps with splinting action
Double Aker claspDouble Aker clasp
Extended arm claspExtended arm clasp
Multiple Aker claspMultiple Aker clasp
Clasps with stress breaking actionClasps with stress breaking action
All gingivally approaching clasps except
Devan clasp
Occlusally approaching clasps
Reverse Aker clasp
Back action clasp
Reverse back action clasp
R.P.A.
Combination clasps
Types of Survey Line
Near the saddle
Away from the saddle
A-MEDUIM SURVEY LINE
Midway between
Occlusal
surface&
Gingival margin
in the
Near zone
Nearer to
gingival margin
In the far zone
We can use occlusally or gingivally approaching clasps
B-DIAGONAL SURVEY LINE
Near occlusal
surface
In the near zone Near gingival
margin
In the far zone
Or Or Or
Back action&
Reverse back
C clasp
Ging.app. With T bar
Ging.app. With L bar
C-HIGH SURVEY LINE
Near to the occlusal surface
Wrought wire occlusally app.
Back action or reverse back action
commonly in inclined teeth
Bracing
Arm
D- LOW SURVEY LINE
Near the gingival margin
Extended arm clasp
• Devan clasp engaging
proximal undercut
• Crowning of the tooth
Tripping action is attributed to clasp arms
that engage the undercut directly from a gingival
direction.
Not all bar clasp arms have tripping action,
since the retentive terminal may actually engage
the undercut from an occlusal direction as is true
with the "T" bar or modified "T" bar.
OcclusallyOcclusally GingivallyGingivally
Retention due todue to tripping actiontripping action
Bracing 2 Arms above2 Arms above
survey line providesurvey line provide
bracingbracing
Esthetics less visible due toless visible due to
gingival positiongingival position
Tolerance Gingivally app.clasp arm relievedGingivally app.clasp arm relieved fromfrom
gingiva creating space accumulating food andgingiva creating space accumulating food and
causing discomfortcausing discomfort
Caries More tooth coverageMore tooth coverage
increasing the risk forincreasing the risk for
cariescaries
Gingival health Trauma may occurTrauma may occur
due to distortion ordue to distortion or
inadequate reliefinadequate relief
SpecialSpecial
ConsiderationsConsiderations
for Clasp designfor Clasp design
in Free Endin Free End
Saddle CasesSaddle Cases
MOVEMENT OF CLASP WITH DISTAL O.R.
Circlet clasp during function: Loading force (F)
causes clasp to rotate at (R). Where minor connector
breaks contact with tooth. Retentive clasp arm tip
moves occlusally during function and directs a distal
torquing force to the tooth.
In function, rotational forces take place
around distal occlusal rest. Cast
circumferential clasp places an extremely
destructive distal tipping or torquing force
on abutment tooth (arrows).
when force is directed against unsupported end of
beam cantilever can act as first class lever Torque
on the abutment tooth
F
A cantileverA cantilever
designdesign
allowsallows
excessiveexcessive
verticalvertical
movementmovement
toward thetoward the
residualresidual
ridgeridge
Reverse Aker Clasp
F
Class ? Lever
Improperly designed RPA clasp located above
survey line. Under occlusal force A, rigid
portion of retentive arm cannot move
gingivally. This moves center of rotation
distally. Mesial rest lifts out of its rest seats.
Retentive portion of clasp arm engages mesial
undercut, torquing tooth distally
Properly designed RPA clasp showing movement
from occlusal forces. Proximal plate, C. drops
gingivally and slightly mesially as rotation occurs
around mesial rest with approximate center of
rotation, B. Rigid portion of retentive arm contacts
tooth only along survey line, A. and moves gingivally
and mesially. Retentive end of clasp arm moves
mesially and slightly gingivally
Laboratory blockout of refractory cast for RPA
clasp. Rigid portion of retentive clasp arm is
waxed for casting over blocked-out distofacial
surface, E, only anterior border will be in
contact with tooth. Cast under retentive end of
clasp arm is not blocked out
Placement of the I bar
at the greatest
prominence (2) or to
the mesial (3) permits
the I bar under
function to move
freely away from the
tooth. The I bar placed
on the distal (1)
cannot move freely
away from the tooth
thereby producing a
torquing action
Combination Ackers and
modified “T” bar clasp with distal
rest and distal undercut
P.P minor connector should contact
approximately 1 mm of the gingival portion of
the g. p. in distal extension cases
Changing the position of the guiding plates changes
the center of rotation (.
) indicates center of rotation
MOVEMENT OF CLASP WITH MESIAL O.R.
The cicumferential clasp arm and proximal plate move in
mesiogingival direction disengaging from the tooth
WROUGHT WIRE CLASP DURING FUNCTION
Wrought wire (WW combination) clasp during function.
Loading force (F) causes clasp to rotate, where minor
connector breaks contact with tooth. WW clasp arm tip
moves occlusally and directs a distal torquing force to the
tooth. Flexibility of WW arm limits torquing.
Placing the occlusal rest away
from the distal extension base has
the following advantage
1- By changing the direction of torque on the abutment
from the distal to the mesial side of the tooth, the
resistance to torque action will be applied from the
neighboring teeth
Reverse Aker Clasp
F
Class ? Lever
Depression of the base does not exert a distal
stress (the pump handle effect) on the
abutment but rather a mesial one
2- Clasp disengagement from the tooth
1- Class II Lever
4 - lever arm, represented by distance
from rest to denture base, is increased.
This increase in length makes rotational
action caused by up-and down movement
of denture base in function more vertical.
A vertical force in better tolerated by ridge
than is a horizontal oblique force
5- As rest is moved anteriorly more
of residual ridge will resist rotation
THANK YOUTHANK YOU

Direct Retainers

  • 1.
  • 4.
    RETENTION OFRETENTION OF REMOVABLEPARTIALREMOVABLE PARTIAL DENTURESDENTURES Dr. Amal Fathy KaddahDr. Amal Fathy Kaddah Professor of Prosthodontic,Professor of Prosthodontic, Faculty of Oral &Dental Medicine,Faculty of Oral &Dental Medicine, Cairo UniversityCairo University
  • 6.
    Retention Physical Mechanical Intracoronal attachmentExtracoronal Clasp retainer Attachment )The resistance to tissue away movement( physiologic
  • 7.
  • 8.
  • 9.
  • 10.
    Clasp retainerClasp retainer Retentivearm Bracing arm Occlusal rest Minor connector
  • 11.
  • 12.
    REQUIREMENTS OF CLASPREQUIREMENTSOF CLASP DESIGN.DESIGN. Bracing arm better located In the apical portion of the Middle 1/3 Retentive arm better located In the gingival 1/3 for better esthetics & mechanics
  • 13.
    UNDERCUT IS BETTERBE FOUND WITHIN THE GINGIVAL1/3 For mechanical reasons Post Is More Readily Removed by Application of Force Near Its Top Than by Applying Same Force Nearer Ground Level
  • 14.
    180ENCIRCLING TOOTH continuous intermittent Toothcan't move horizontally away from the clasp
  • 15.
    Each retentive terminalshould be reciprocated as retentive arm exerts some orthodontic movement during placement and removal as it flexes about the height of contour
  • 16.
    Amount of retentiondepends onAmount of retention depends on The greater the distance we go into the undercut the greater will be the retention A- depth of undercut
  • 17.
    B- flexibility ofclasp arm Increasing arm length increases the flexibility ,thus decreasing the retention
  • 18.
    Round clasps haveuniversal flexibility thus lowers the retention than ½ round and flat clasps shape of the clasp
  • 19.
    Degree of taper, retentive arm should be tapered in two dimensions
  • 20.
    C- Angle ofcervical convergence
  • 21.
    Occlusally approaching claspGingivally approaching clasp Clasps according to way of approach to undercut
  • 23.
  • 24.
  • 25.
    3- Circumferential `C`Clasp3- Circumferential `C` Clasp
  • 26.
  • 27.
    5- Multiple Clasp5-Multiple Clasp
  • 28.
    6-Extended arm clasp Abutmenthas no undercut Adjacent tooth has a reasonable undercut
  • 29.
    7- Half &Half clasp7- Half & Half clasp  2 M.C., 2 O.R. & 22 M.C., 2 O.R. & 2 arms.arms.  Mainly indicated forMainly indicated for dual retentiondual retention commonly incommonly in unilateral cases.unilateral cases.
  • 30.
    7-RING CLASP7-RING CLASP Providesunilateral bracing. Used for single tilted molars More flexible than aker because it is one arm clasp.
  • 31.
    8-Back action clasp8-Backaction clasp  Single arm claspSingle arm clasp  Minor connectorMinor connector starts mesio-starts mesio- linguallylingually  It engages mesio-It engages mesio- buccal undercut.buccal undercut.  O.R. is locatedO.R. is located distally.distally.  Used in free endUsed in free end saddle.saddle.
  • 32.
    99--Reverse Back actionclaspReverse Back action clasp M.C. originating Mesio- buccally Retentive arm engage Mesio-lingual undercut
  • 33.
    Reverse Back actionReverseBack action claspclasp Back action claspBack action clasp
  • 34.
    1010--Mesio-Distal claspMesio-Distal clasp •Usedonly in anterior teeth •Depends on frictional resistance for retention
  • 36.
    • A retentiveclasp arm • A rigid reciprocal clasp arm • An occlusal rest and a minor connector The tip of the retentive arm may be in the form I, T, U, C or Y. One 1- The I-bar clasp (Roach clasp arm): The I - bar clasp consists of
  • 37.
    T clasp Modified Tclasp Different forms of gingivally approaching claspsDifferent forms of gingivally approaching clasps I clasp
  • 38.
    R.P.I The base ofthe I bar Should be 3mm away From the gingival margin Provides unilateral bracing. Commonly used for tooth mucosa borne partial dentures. A retentive clasp arm
  • 39.
    Contraindications for theuse of gingivally approaching clasps
  • 40.
    Devan clasp •More estheticdue to interproximal position •No distortion due to it`s proximity to denture border
  • 42.
    Combination clasp Gingivally app. Retentivearm (buccally) & Occlusally app. Bracing arm (lingually)
  • 43.
    •Buccal wrought wireretentive arm soldered to the base •Lingual casted bracing arm Another type of combination clasp
  • 44.
    Clasps with splintingactionClasps with splinting action Double Aker claspDouble Aker clasp Extended arm claspExtended arm clasp Multiple Aker claspMultiple Aker clasp
  • 45.
    Clasps with stressbreaking actionClasps with stress breaking action All gingivally approaching clasps except Devan clasp Occlusally approaching clasps Reverse Aker clasp Back action clasp Reverse back action clasp R.P.A. Combination clasps
  • 46.
    Types of SurveyLine Near the saddle Away from the saddle
  • 47.
    A-MEDUIM SURVEY LINE Midwaybetween Occlusal surface& Gingival margin in the Near zone Nearer to gingival margin In the far zone We can use occlusally or gingivally approaching clasps
  • 48.
    B-DIAGONAL SURVEY LINE Nearocclusal surface In the near zone Near gingival margin In the far zone Or Or Or Back action& Reverse back C clasp Ging.app. With T bar Ging.app. With L bar
  • 49.
    C-HIGH SURVEY LINE Nearto the occlusal surface Wrought wire occlusally app. Back action or reverse back action commonly in inclined teeth Bracing Arm
  • 50.
    D- LOW SURVEYLINE Near the gingival margin Extended arm clasp • Devan clasp engaging proximal undercut • Crowning of the tooth
  • 51.
    Tripping action isattributed to clasp arms that engage the undercut directly from a gingival direction. Not all bar clasp arms have tripping action, since the retentive terminal may actually engage the undercut from an occlusal direction as is true with the "T" bar or modified "T" bar.
  • 52.
    OcclusallyOcclusally GingivallyGingivally Retention duetodue to tripping actiontripping action Bracing 2 Arms above2 Arms above survey line providesurvey line provide bracingbracing Esthetics less visible due toless visible due to gingival positiongingival position Tolerance Gingivally app.clasp arm relievedGingivally app.clasp arm relieved fromfrom gingiva creating space accumulating food andgingiva creating space accumulating food and causing discomfortcausing discomfort Caries More tooth coverageMore tooth coverage increasing the risk forincreasing the risk for cariescaries Gingival health Trauma may occurTrauma may occur due to distortion ordue to distortion or inadequate reliefinadequate relief
  • 53.
    SpecialSpecial ConsiderationsConsiderations for Clasp designforClasp design in Free Endin Free End Saddle CasesSaddle Cases
  • 54.
    MOVEMENT OF CLASPWITH DISTAL O.R. Circlet clasp during function: Loading force (F) causes clasp to rotate at (R). Where minor connector breaks contact with tooth. Retentive clasp arm tip moves occlusally during function and directs a distal torquing force to the tooth.
  • 55.
    In function, rotationalforces take place around distal occlusal rest. Cast circumferential clasp places an extremely destructive distal tipping or torquing force on abutment tooth (arrows).
  • 56.
    when force isdirected against unsupported end of beam cantilever can act as first class lever Torque on the abutment tooth F
  • 57.
  • 58.
  • 59.
    Improperly designed RPAclasp located above survey line. Under occlusal force A, rigid portion of retentive arm cannot move gingivally. This moves center of rotation distally. Mesial rest lifts out of its rest seats. Retentive portion of clasp arm engages mesial undercut, torquing tooth distally
  • 60.
    Properly designed RPAclasp showing movement from occlusal forces. Proximal plate, C. drops gingivally and slightly mesially as rotation occurs around mesial rest with approximate center of rotation, B. Rigid portion of retentive arm contacts tooth only along survey line, A. and moves gingivally and mesially. Retentive end of clasp arm moves mesially and slightly gingivally
  • 61.
    Laboratory blockout ofrefractory cast for RPA clasp. Rigid portion of retentive clasp arm is waxed for casting over blocked-out distofacial surface, E, only anterior border will be in contact with tooth. Cast under retentive end of clasp arm is not blocked out
  • 62.
    Placement of theI bar at the greatest prominence (2) or to the mesial (3) permits the I bar under function to move freely away from the tooth. The I bar placed on the distal (1) cannot move freely away from the tooth thereby producing a torquing action
  • 63.
    Combination Ackers and modified“T” bar clasp with distal rest and distal undercut
  • 64.
    P.P minor connectorshould contact approximately 1 mm of the gingival portion of the g. p. in distal extension cases
  • 65.
    Changing the positionof the guiding plates changes the center of rotation (. ) indicates center of rotation
  • 67.
    MOVEMENT OF CLASPWITH MESIAL O.R. The cicumferential clasp arm and proximal plate move in mesiogingival direction disengaging from the tooth
  • 68.
    WROUGHT WIRE CLASPDURING FUNCTION Wrought wire (WW combination) clasp during function. Loading force (F) causes clasp to rotate, where minor connector breaks contact with tooth. WW clasp arm tip moves occlusally and directs a distal torquing force to the tooth. Flexibility of WW arm limits torquing.
  • 69.
    Placing the occlusalrest away from the distal extension base has the following advantage 1- By changing the direction of torque on the abutment from the distal to the mesial side of the tooth, the resistance to torque action will be applied from the neighboring teeth
  • 70.
  • 71.
    Depression of thebase does not exert a distal stress (the pump handle effect) on the abutment but rather a mesial one 2- Clasp disengagement from the tooth 1- Class II Lever
  • 72.
    4 - leverarm, represented by distance from rest to denture base, is increased. This increase in length makes rotational action caused by up-and down movement of denture base in function more vertical. A vertical force in better tolerated by ridge than is a horizontal oblique force
  • 73.
    5- As restis moved anteriorly more of residual ridge will resist rotation
  • 74.