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Removable Partial Dentures

     Direct Retainers


             Dr.Mohammad Al Sayed
                   19l4/2008
There are two types of direct retainers

Intra-coronal.1
Within the contour of the crown e.g. precision attachment


Extra-coronal.2
Outside the contour of the crown of the tooth e.g. clasp
Intracoronal retainer
consists of a key and
       keyway
Extracoronal circumferential direct retainer
Basic Requirements
All clasps must be designed so that they satisfy the
:following six basic requirements

Retention.1
Support.2
Stability.3
Reciprocation.4
Encirclement.5
Passivity.6
Retention.1

Retention is provided by the retentive arm
which prevents the partial denture from
displacement away from the tissues
toward the occlusal.While the partial
denture is seated the retentive tip must be
passive. However, it should touch the
. tooth in the undercut area
Support.2

Support in a clasp is generally provided by
the rest. Thus, while chewing food the rest
prevents tissueward movement of the
clasp assembly, plus directs the force
along the long axis of the tooth, thus
. reduces periodontal tissue damage
Bracing.3

.Bracing is the resistance to horizontal forces
This provided by the rest, minor connector and
bracing arm. Actually, the bracing arm mainly
provides reciprocation which is resistance to
. force applied by retentive tip
Encirclement.4
There must be more than 180 degrees
crown coverage otherwise, the clasp can
.slip-off the abutment tooth


Passivity.5
The retentive clasp arm should be passive
(no active force) until a dislodging force is
.applied
Factors that determine the amount of retention
provided by a particular clasp arm
.The size of the angle of the cervical convergence.1
How far into the cervical convergence the clasp terminal is .2
.placed
.Flexibility of the clasp arm.3

:Flexibility of the clasp arm

.The length of the clasp arm.1
.The diameter of the clasp arm.2
.The cross-sectional form.3
.The type of metal used.4
:Other factors about clasp design
In a clasp only the tip of the retentive arm should be flexible, the other .1
components are rigid
Selection of clasp will depend on the survey line (height of contour), .2
retention area available, type of partial denture i.e. whether it is tooth-
.supported or distal extention removable partial denture
Flexibility of clasp arm can be increased by curving and/or lengthening the .3
.arm
The thickness of the retentive clasp arm tip should be ½ the thickness at its .4
attachment to the body of the clasp arm
The greater the diameter of the clasp arm, the lesser will be the flexibility .5
.and vice versa
.Wrought metal is more flexible than cast metal.6
If buccal retention is used on the left side of the arch, buccal retention must .7
be used on the right side of the arch
:Classification of extra-coronal retainers
 Supra bulge clasps (occlusally approaching,.1
 ).circumferential or encircling clasps
 The retentive arm approaches the undercut area from the
 .suprabulge direction

 Infrabulge clasps (gingivally approaching, projection or.2
 )bar clasps
 The retentive arm approaches the undercut from the
 .)infrabulge direction,e.g.Bar clasp arm (I-Bar etc

 Combination clasps.3
 a. ½ clasp is circlet and ½ clasp is Bar type or
 b. Combination of two types of metals-Chrome-cobalt an
 wrought wire
Types of circumferential clasps
.Circlet clasp.1
.Half & half clasp.2
.Fish hook or hairpin clasp.3
.Reverse circlet clasp.4
.Embrasure clasp.5
.Ring clasp.6
Back action and reverse back action .7
.clasp
.Circlet clasp.1
Is the most common clasp used for          -
. removable partial dentures
.The least complex in design-
It has a rigid reciprocal arm, a rest, a  -
 proximal plate approximating the
edentulous area, and a flexible retentive
.arm ending in an undercut of 0.01 inch
It may be used on canines, premolars, and -
. molars
:Variations of circlet clasp are

a) Back action clasp: Provides poor bracing due to
  its length. It is used on premolars (use .02
)      inch undercut
b) Reverse back action: Minor connector is on
. buccal, otherwise similar to back action
c) Ring clasp: Variation of back action clasp
  usually used on upper buccally tilted and
.        lower lingually tilted molars
d) Other variations of simple circlet clasp “ C ” clasp
.      or hair-pin clasp
.The half and half clasp: 2
The half and half clasp is a modification of
the circlet clasp with the reciprocal arm
coming from one direction and the
retentive arm from the other. Two rests
are used for this clasp. It is used on
molars and premolars. The retentive tip is
.placed into a 0.01 inch undercut
The fish hook or hair-pin clasp. 3

The fishhook or hairpin clasp is another
modification of the circlet clasp. It is mostly
used on teeth with long crowns. It is rarely
used because so much of the teeth is
covered by the retentive arm. The other
difficulty is lack of flexibility of the retentive
.tip because of the bulk of the clasp
:The reverse circlet clasp. 4

The reverse circlet clasp is used when the
retentive undercut is located on the
surface of the abutment tooth adjacent to
.the edentulous space
It is indicated in class I & class II distal
extension partial dentures where deep
tissue undercut precludes the use of
.infrabulge clasp
.Embrasure clasp. 5

The embrasure clasp is used when there is
no modification spaces in the portion of
the arch that needs retention. The clasp is
in fact two circlet clasps back-to-back. It
may be used on two molars, a molar and
premolar or two premolars. Preparation of
the double rest and channel going from
the lingual to the buccal of the teeth needs
to be deep enough for strength and not
. compromised by the opposing occlusion
.The ring clasp. 6

The ring clasp is used on molars. Some
designers advocate its use for tipped
mandibular molars where there is only a
mesial undercut on the tooth. It has mesial
and distal rests and the reciprocal arm is
. continuous connecting the two rests
Removable partial dentures(direct retiner) (1)
Removable partial dentures(direct retiner) (1)

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Removable partial dentures(direct retiner) (1)

  • 1. Removable Partial Dentures Direct Retainers Dr.Mohammad Al Sayed 19l4/2008
  • 2. There are two types of direct retainers Intra-coronal.1 Within the contour of the crown e.g. precision attachment Extra-coronal.2 Outside the contour of the crown of the tooth e.g. clasp
  • 5. Basic Requirements All clasps must be designed so that they satisfy the :following six basic requirements Retention.1 Support.2 Stability.3 Reciprocation.4 Encirclement.5 Passivity.6
  • 6. Retention.1 Retention is provided by the retentive arm which prevents the partial denture from displacement away from the tissues toward the occlusal.While the partial denture is seated the retentive tip must be passive. However, it should touch the . tooth in the undercut area
  • 7. Support.2 Support in a clasp is generally provided by the rest. Thus, while chewing food the rest prevents tissueward movement of the clasp assembly, plus directs the force along the long axis of the tooth, thus . reduces periodontal tissue damage
  • 8. Bracing.3 .Bracing is the resistance to horizontal forces This provided by the rest, minor connector and bracing arm. Actually, the bracing arm mainly provides reciprocation which is resistance to . force applied by retentive tip
  • 9. Encirclement.4 There must be more than 180 degrees crown coverage otherwise, the clasp can .slip-off the abutment tooth Passivity.5 The retentive clasp arm should be passive (no active force) until a dislodging force is .applied
  • 10.
  • 11. Factors that determine the amount of retention provided by a particular clasp arm .The size of the angle of the cervical convergence.1 How far into the cervical convergence the clasp terminal is .2 .placed .Flexibility of the clasp arm.3 :Flexibility of the clasp arm .The length of the clasp arm.1 .The diameter of the clasp arm.2 .The cross-sectional form.3 .The type of metal used.4
  • 12. :Other factors about clasp design In a clasp only the tip of the retentive arm should be flexible, the other .1 components are rigid Selection of clasp will depend on the survey line (height of contour), .2 retention area available, type of partial denture i.e. whether it is tooth- .supported or distal extention removable partial denture Flexibility of clasp arm can be increased by curving and/or lengthening the .3 .arm The thickness of the retentive clasp arm tip should be ½ the thickness at its .4 attachment to the body of the clasp arm The greater the diameter of the clasp arm, the lesser will be the flexibility .5 .and vice versa .Wrought metal is more flexible than cast metal.6 If buccal retention is used on the left side of the arch, buccal retention must .7 be used on the right side of the arch
  • 13. :Classification of extra-coronal retainers Supra bulge clasps (occlusally approaching,.1 ).circumferential or encircling clasps The retentive arm approaches the undercut area from the .suprabulge direction Infrabulge clasps (gingivally approaching, projection or.2 )bar clasps The retentive arm approaches the undercut from the .)infrabulge direction,e.g.Bar clasp arm (I-Bar etc Combination clasps.3 a. ½ clasp is circlet and ½ clasp is Bar type or b. Combination of two types of metals-Chrome-cobalt an wrought wire
  • 14. Types of circumferential clasps .Circlet clasp.1 .Half & half clasp.2 .Fish hook or hairpin clasp.3 .Reverse circlet clasp.4 .Embrasure clasp.5 .Ring clasp.6 Back action and reverse back action .7 .clasp
  • 15. .Circlet clasp.1 Is the most common clasp used for - . removable partial dentures .The least complex in design- It has a rigid reciprocal arm, a rest, a - proximal plate approximating the edentulous area, and a flexible retentive .arm ending in an undercut of 0.01 inch It may be used on canines, premolars, and - . molars
  • 16. :Variations of circlet clasp are a) Back action clasp: Provides poor bracing due to its length. It is used on premolars (use .02 ) inch undercut b) Reverse back action: Minor connector is on . buccal, otherwise similar to back action c) Ring clasp: Variation of back action clasp usually used on upper buccally tilted and . lower lingually tilted molars d) Other variations of simple circlet clasp “ C ” clasp . or hair-pin clasp
  • 17. .The half and half clasp: 2 The half and half clasp is a modification of the circlet clasp with the reciprocal arm coming from one direction and the retentive arm from the other. Two rests are used for this clasp. It is used on molars and premolars. The retentive tip is .placed into a 0.01 inch undercut
  • 18.
  • 19. The fish hook or hair-pin clasp. 3 The fishhook or hairpin clasp is another modification of the circlet clasp. It is mostly used on teeth with long crowns. It is rarely used because so much of the teeth is covered by the retentive arm. The other difficulty is lack of flexibility of the retentive .tip because of the bulk of the clasp
  • 20.
  • 21. :The reverse circlet clasp. 4 The reverse circlet clasp is used when the retentive undercut is located on the surface of the abutment tooth adjacent to .the edentulous space It is indicated in class I & class II distal extension partial dentures where deep tissue undercut precludes the use of .infrabulge clasp
  • 22. .Embrasure clasp. 5 The embrasure clasp is used when there is no modification spaces in the portion of the arch that needs retention. The clasp is in fact two circlet clasps back-to-back. It may be used on two molars, a molar and premolar or two premolars. Preparation of the double rest and channel going from the lingual to the buccal of the teeth needs to be deep enough for strength and not . compromised by the opposing occlusion
  • 23.
  • 24. .The ring clasp. 6 The ring clasp is used on molars. Some designers advocate its use for tipped mandibular molars where there is only a mesial undercut on the tooth. It has mesial and distal rests and the reciprocal arm is . continuous connecting the two rests