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Esthetics, Use of Attachments and Rotational Path RPD’s ,[object Object],[object Object],[object Object],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.
Esthetics, Use of Attachments and rotational path RPD’s
“ I” bar vs Circumferential clasp ,[object Object]
Esthetics “ I” bars vs Circumferential
Esthetics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Esthetics – I” bars   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],5 year post delivery followup.
Esthetics-”I” Bars
Esthetics – “I” Bars   ,[object Object],[object Object],[object Object],[object Object]
RPD Attachments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Attachment Classification ,[object Object],[object Object],[object Object],[object Object]
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment The ERA attachment permits the RPD to be displaced into the edentulous extension area by up to .4 mm
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment Plastic burnout pattern Metal housing ERA attachment Various levels of  retention
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment ,[object Object],[object Object],[object Object],[object Object],ERA Attachment
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment ERA ERA + splinting ,[object Object],[object Object],[object Object],[object Object],Berg and Caputo et al
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment ERA ERA+splinting ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Attachments - Resilient ERA attachment – Extra-coronal resilient attachment
Overlay denture attachments ,[object Object],[object Object],[object Object],[object Object]
Overlay denture attachments   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment ,[object Object]
Surveyor used to determine the path of insertion for the attachments
Surveyor used to prepare the path of insertion for the attachments
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment Note the bracing arm through the proximal of #5 and #6. It is non- retentive but keeps the RPD framework from being displaced lingually in this region and with the cingulum rest on #8, keeps the framework centered over the ERA attachment. ERA attachment Cingulum rest Bracing arm Rest
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment The two central incisors have been splinted together.  A cingulum rest is positioned on the mesial side of #8.  The ERA attachment is incorporated within the crown of #9. High smile Bracing arm
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment Note the attachment associated with third molar.  This serves as an occlusal stop and has a retentive attachment incorporated within.  The ERA should not be used  unless a positive occlusal stop is present on the defect side, either from a tooth or an implant .
Attachments - Resilient ERA attachment – Extra-coronal resilient attachment ,[object Object],[object Object],[object Object]
Magnetic Attachments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Magnetic Attachments ,[object Object],[object Object],[object Object],[object Object]
Magnetic Attachments ,[object Object]
Magnetic Attachments ,[object Object]
Magnetic Attachments ,[object Object]
  Magnetic Attachments ,[object Object]
Inappropriate use of attachments ,[object Object],[object Object],[object Object],[object Object]
Inappropriate use of attachments ,[object Object],[object Object],[object Object]
Inappropriate use of attachments  Nonresilient Attachments in Extension Based RPD’s ,[object Object],[object Object],[object Object],[object Object]
Inappropriate use of attachments  Nonresilient Attachments in Extension Based RPD’s ,[object Object],[object Object],[object Object],[object Object]
Inappropriate use of attachments  Nonresilient Attachments in Extension Based RPD’s ,[object Object],[object Object],[object Object],[object Object]
Kennedy Class IV RPD’s ,[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object]
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object]
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object]
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object]
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
[object Object],Rotational Path of Insertion RPD’s Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
[object Object],[object Object],[object Object],Rotational Path of Insertion RPD’s
[object Object],Rotational Path of Insertion RPD’s Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],Courtesy T Berg Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Rotational Path of Insertion RPD’s ,[object Object],Courtesy Dr. GE King
Lateral Rotational Path on Insertion ,[object Object],[object Object]
Lateral Rotational Path on Insertion ,[object Object],[object Object]
Lateral Rotational Path on Insertion ,[object Object],[object Object]
Lateral Rotational Path on Insertion Courtesy Dr. GE King Courtesy Dr. GE King
Lateral Rotational Path on Insertion ,[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
Lateral Rotational Path on Insertion ,[object Object],[object Object],Courtesy Dr. GE King Courtesy Dr. GE King
[object Object],[object Object],[object Object]

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Esthetics, rotational path, attachments

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  • 2. Esthetics, Use of Attachments and rotational path RPD’s
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  • 4. Esthetics “ I” bars vs Circumferential
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  • 11. Attachments - Resilient ERA attachment – Extra-coronal resilient attachment The ERA attachment permits the RPD to be displaced into the edentulous extension area by up to .4 mm
  • 12. Attachments - Resilient ERA attachment – Extra-coronal resilient attachment Plastic burnout pattern Metal housing ERA attachment Various levels of retention
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  • 20. Surveyor used to determine the path of insertion for the attachments
  • 21. Surveyor used to prepare the path of insertion for the attachments
  • 22. Attachments - Resilient ERA attachment – Extra-coronal resilient attachment Note the bracing arm through the proximal of #5 and #6. It is non- retentive but keeps the RPD framework from being displaced lingually in this region and with the cingulum rest on #8, keeps the framework centered over the ERA attachment. ERA attachment Cingulum rest Bracing arm Rest
  • 23. Attachments - Resilient ERA attachment – Extra-coronal resilient attachment The two central incisors have been splinted together. A cingulum rest is positioned on the mesial side of #8. The ERA attachment is incorporated within the crown of #9. High smile Bracing arm
  • 24. Attachments - Resilient ERA attachment – Extra-coronal resilient attachment Note the attachment associated with third molar. This serves as an occlusal stop and has a retentive attachment incorporated within. The ERA should not be used unless a positive occlusal stop is present on the defect side, either from a tooth or an implant .
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  • 61. Lateral Rotational Path on Insertion Courtesy Dr. GE King Courtesy Dr. GE King
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