The document describes the components of a typical removable partial denture (RPD). It discusses the major connector, minor connectors, direct retainers, and indirect retainers. It then provides more detailed descriptions of each component, including the major connector, minor connector, direct retainer, indirect retainer, denture base, and rests. It also discusses tissue stops, maxillary major connectors, mandibular major connectors, and characteristics of major connectors.
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This seminar talks about the dental surveyor and it applications in relation to Removable Partial Dentures and it also talk about the principles of RPD design, difficulties and management of free end saddle. finally the altered cast impression technique or also called Applegate's technique.
Description of intracoronal attachments with different classifications for it. Application for removable partial denture, fixed partial denture and implant therapy. Indication, contraindication and drawback for intracoronal attachment. Added references for further reading.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
This seminar talks about the dental surveyor and it applications in relation to Removable Partial Dentures and it also talk about the principles of RPD design, difficulties and management of free end saddle. finally the altered cast impression technique or also called Applegate's technique.
Description of intracoronal attachments with different classifications for it. Application for removable partial denture, fixed partial denture and implant therapy. Indication, contraindication and drawback for intracoronal attachment. Added references for further reading.
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Management of stresses in rpd / orthodontic course by indian dental academyIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
Materials for interocclusal records and their ability to/ dental education in...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Role of component parts of cast partial dentures /dental coursesIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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3- Basic principles for designing the removable partial denture Amal Kaddah
Clinical course of Partial Denture
3- Basic principles for designing the removable partial denture
a- Problems and General Principles Applied for Kennedy Class I
Parts of Removable Partial Denture by FARYAL SAEED ABDALFaryal Saeed Abdal
This lecture is about the Component Parts of Removable Partial Denture. I have a bit different classification of parts which makes it easy to understand and remember.
To listen to this lecture on youtube, browse through the playlist
https://www.youtube.com/playlist?list=PLDVwDAwXhEmAZCA6vcdhJDTzL5d2BGQB1
Feel free to ask questions.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
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The four main behavioral effects of AUD are impaired control over
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
Major connectors lec3 & 4
1. Components of a Typical RPDComponents of a Typical RPD
Major connectorsMajor connectors
Minor connectorsMinor connectors
Direct retainersDirect retainers
Indirect retainers (ifIndirect retainers (if
the prosthesis hasthe prosthesis has
distal extension bases)distal extension bases)
One or more bases,One or more bases,
each supporting one toeach supporting one to
several replacementseveral replacement
teethteeth
2. (a)(a) Major Connector:Major Connector:
• TheThe Component of RPD that connects the parts ofof RPD that connects the parts of
one side of the dental arch to those of the other side.one side of the dental arch to those of the other side.
• Unit of partial denture to which All other parts are
directly or indirectly attached.
3.
4. (b)(b) Minor Connector:Minor Connector:
A unit of a partial denture that connects otherA unit of a partial denture that connects other
components (i.e. direct retainer, indirect retainer,components (i.e. direct retainer, indirect retainer,
denture base, etc.) to the major connector.denture base, etc.) to the major connector.
5. (c)(c) Direct Retainer:Direct Retainer:
A unit of a partial denture that provides retentionA unit of a partial denture that provides retention
against dislodging forces.against dislodging forces.
A direct retainer is commonly called a 'clasp' or 'claspA direct retainer is commonly called a 'clasp' or 'clasp
unit' and is composed of four elements, a rest, aunit' and is composed of four elements, a rest, a
retentive arm, a reciprocal arm and a minor connector.retentive arm, a reciprocal arm and a minor connector.
6. (d)(d) Indirect Retainer:Indirect Retainer:
• A unit of a Class I or II partial denture that prevents or resistsA unit of a Class I or II partial denture that prevents or resists
movement or rotation of the base(s) away from the residual ridge.movement or rotation of the base(s) away from the residual ridge.
• The indirect retainer is usually composed of one component, aThe indirect retainer is usually composed of one component, a
rest.rest.
• It is functioned through lever action on the opposite side ofIt is functioned through lever action on the opposite side of
fulcrum line when denture moves away from tissuefulcrum line when denture moves away from tissue
7. (e)(e) Denture Base:Denture Base:
The unit of a partial denture that covers the residualThe unit of a partial denture that covers the residual
ridges and supports the denture teeth and transferridges and supports the denture teeth and transfer
occlusal forces to the supporting oral structures.occlusal forces to the supporting oral structures.
8. (f) rests:(f) rests:
Any unit of partial denture that rests on a tooth surfaceAny unit of partial denture that rests on a tooth surface
to provide vertical support.to provide vertical support.
9. (g) Stabilizing or(g) Stabilizing or
reciprocal components:reciprocal components:
When direct retainer comesWhen direct retainer comes
into contact with abutment,into contact with abutment,
the framework must bethe framework must be
stabilized against horizontalstabilized against horizontal
movement for the requiredmovement for the required
clasp deformation to occur.clasp deformation to occur.
Stabilization is derivedStabilization is derived
from either cross-archfrom either cross-arch
framework contacts orframework contacts or
stabilizing or reciprocalstabilizing or reciprocal
clasp in the same claspclasp in the same clasp
assemblyassembly
10. Tissue stopperTissue stopper
o Are integral parts of minor connectors designed forAre integral parts of minor connectors designed for
retention of acrylic resin bases.retention of acrylic resin bases.
o They provide stability to framework duringThey provide stability to framework during
processing and prevent the possibility of theprocessing and prevent the possibility of the
framework being pushed down ward as the acrylicframework being pushed down ward as the acrylic
dough is packed into mold.dough is packed into mold.
o They are useful in preventing distortion of theThey are useful in preventing distortion of the
framework during acrylic resin processingframework during acrylic resin processing
procedures.procedures.
o Tissue stops can engage buccal and lingual slopesTissue stops can engage buccal and lingual slopes
of residual ridge for stability.of residual ridge for stability.
13. Major connectors( bars or plates)Major connectors( bars or plates)
LocationLocation
1- free of movable tissue1- free of movable tissue
2- avoid impingement of gingival tissue2- avoid impingement of gingival tissue
3-avoid prominent bone and soft tissues3-avoid prominent bone and soft tissues
4-relief under it ?4-relief under it ?
5- They should be located and/or relieved to5- They should be located and/or relieved to
prevent impingement of tissue because the distalprevent impingement of tissue because the distal
extension denture rotates in function.extension denture rotates in function.
14. Requirements of a Major ConnectorRequirements of a Major Connector
• 1- made from alloy compatible with oral1- made from alloy compatible with oral
tissuetissue
15. • 2- It is rigid and provides Cross-Arch2- It is rigid and provides Cross-Arch
Stabilization (Counter leverage)Stabilization (Counter leverage)
− Bracing elements on one side of the archBracing elements on one side of the arch
providing stability to the otherproviding stability to the other
16. 3-Non-Interference With and is not3-Non-Interference With and is not
irritating to the Tissues(tongue).irritating to the Tissues(tongue).
17. 4-does not alter the natural contour of lingual4-does not alter the natural contour of lingual
surface of mandible or palatal vault ofsurface of mandible or palatal vault of
maxillamaxilla
5- does not impinge on oral tissue when5- does not impinge on oral tissue when
restoration is placed, removed, or rotates inrestoration is placed, removed, or rotates in
function.function.
6- covers no more tissue than is absolutely6- covers no more tissue than is absolutely
necessary.necessary.
18. 7-Minimize Food Impaction7-Minimize Food Impaction
• Locate margins away from the FGMLocate margins away from the FGM
• Eliminate "traps" or large concavitiesEliminate "traps" or large concavities
where food can collectwhere food can collect
19. 8- support from other elements of the8- support from other elements of the
framework to minimize rotationframework to minimize rotation
9-support the prosthesis.9-support the prosthesis.
20. Beading:-Beading:- is scribing a shallow groove on maxillary masteris scribing a shallow groove on maxillary master
cast( when major connector exclusive to rugae areas) to:-cast( when major connector exclusive to rugae areas) to:-
1- transfer the major connector design to the investment1- transfer the major connector design to the investment
castcast
2-provide visible finishing line for the casting2-provide visible finishing line for the casting
3- ensure intimate tissue contact of major connector with3- ensure intimate tissue contact of major connector with
selected palatal tissueselected palatal tissue
21. Maxillary Major ConnectorsMaxillary Major Connectors
• single Palatal Strapsingle Palatal Strap
• Single palatal barSingle palatal bar
• Anterior-Posterior Palatal StrapAnterior-Posterior Palatal Strap
• Anterior-Posterior Palatal barAnterior-Posterior Palatal bar
• Palatal platePalatal plate
• U-shape palatal connectorU-shape palatal connector
22. Single Palatal Strap
• Used to connect bilateral tooth-supported
prosthesis, even those with short edentulous
spaces, particularly when the edentulous areas
are located posteriorly.
23. Palatal StrapPalatal Strap
• It can be made rigid without objectionable bulkIt can be made rigid without objectionable bulk
and interference with the tongue.and interference with the tongue.
• Thin and wide anterior-posteriorly.Thin and wide anterior-posteriorly.
24. IndicationIndication
•Class III or Class III modification I partiallyClass III or Class III modification I partially
edentulous arch (short edentulous span).edentulous arch (short edentulous span).
Contraindication :Contraindication :
•Tooth-tissue supported partial dentures(Class ITooth-tissue supported partial dentures(Class I
and class II).and class II).
•Presence of palatal torusPresence of palatal torus
•Extremely long tooth supported edentulous space.Extremely long tooth supported edentulous space.
25. Palatal BarPalatal Bar
•Narrow antero-posteriorlyNarrow antero-posteriorly
•Thick occluso-gingivallyThick occluso-gingivally
•Palatal bar objectionable due to bulk.Palatal bar objectionable due to bulk.
26. Single palatal barSingle palatal bar
-Palatal connector less than 8mm in width-Palatal connector less than 8mm in width
-It must be rigid enough for cross- arch distribution,It must be rigid enough for cross- arch distribution,
therefore:- it istherefore:- it is objectionable.objectionable.
-It is indicated in tooth borne unilateral or bilateralIt is indicated in tooth borne unilateral or bilateral
spacesspaces
27. Palatal Strap (or Bar)Palatal Strap (or Bar)
• NeverNever use in cases involving distal extensions oruse in cases involving distal extensions or
replacement of anterior teeth since it must bereplacement of anterior teeth since it must be
made bulky for rigiditymade bulky for rigidity
• Relief may be required over bony midlineRelief may be required over bony midline
• Not used with torusNot used with torus
28. Combination Anterior and Posterior
Palatal Strap-type Connector
• Structurally a rigid major connector.
• May be used in any maxillary partial denture
design.
29. • Posterior palatal strap :
Design- flat and minimum 8 mm wide.
Location- as far posteriorly as possible to avoid
interference with tongue but anterior to line of
flexure formed by the junction of hard and soft
palates.
30. • Anterior connector :
Location: extended anteriorly to support anterior
tooth replacements.
Strength: lies in the fact that anterior and posterior
components are joined together by longitudinal
connectors on either side, forming a square or
rectangular frame. Each component braces the others
against possible torque and flexure.
All maxillary major connectors should cross the midline
at a right angle rather than
on a diagonal.
31. Indications
1.Class III or Class III ,modification 1,Class II, modification 1
partially edentulous arch with long span edentulous space
or spaces.
2. Class I and II arches in which excellent abutment and
residual ridge support exists.
3. Class IV arches in which anterior teeth must be replaced
with a removable partial denture.
4. In operable palatal tori.
33. Anterior-Posterior Palatal BarAnterior-Posterior Palatal Bar
• A narrow (A-P) variation of anterior-A narrow (A-P) variation of anterior-
posterior palatal strapposterior palatal strap
− Double palatal bar connectorDouble palatal bar connector
− Requires greater bulk for rigidityRequires greater bulk for rigidity
34. Anterior-Posterior Palatal BarAnterior-Posterior Palatal Bar
• More objectionable to the patientMore objectionable to the patient
• Strap connectors provide greaterStrap connectors provide greater
distribution of stressesdistribution of stresses
• It may be used in any partial dentureIt may be used in any partial denture
design.design.
35. Palatal Plate-type Connector
• Thin, broad, contoured palatal coverage,
covering one half or more of the hard palate.
• Anatomic replica palatal castings have
uniform thickness and strength because of
their corrugated contours.
36. Palatal major connector covering two thirds of palate. Anterior
border follows valleys between rugae and does not extend
anterior to indirect retainers on first premolars. Posterior border is
located at junction of hard and soft palates but does not extend
onto soft palate.
37. • Anatomic replica palatal major connector has
several advantages:
Permits making of a uniformly thin metal plate
that reproduces the anatomic contours of the
patient’s own palate.
The corrugation in the anatomic replica
permits fabrication of a thinner casting with
adequate rigidity.
38. Intentional surface irregularities maintain the
original uniform thickness of the plastic pattern
(only electrolytic polishing is needed).
By virtue of intimate contact, interfacial surface
tension between metal and tissue provides the
prosthesis with greater retention. (to resist the pull
of sticky foods, the forces of gravity, coughing,
sneezing etc
39. Uses of palatal plate-type connector
• May be used in one of three ways :
as a plate of varying width that covers the area
between two or more edentulous areas, as a
complete or partial cast plate that extends
posteriorly to the junction of hard and soft palates
(figures A & B).
40. in the form of an anterior palatal connector with a
provision for extending an acrylic resin denture
base posteriorly (figures C & D).
41. INDICATIONS:INDICATIONS:
•In class I (with 1-4 )premolars and some ofIn class I (with 1-4 )premolars and some of
anterior teeth remaining.anterior teeth remaining.
•Class II with large posterior modification spaceClass II with large posterior modification space
and some missing anterior teeth.and some missing anterior teeth.
•Class I with the last remaining abutment tooth onClass I with the last remaining abutment tooth on
either side is the canine or 1either side is the canine or 1stst
premolar tooth.premolar tooth.
42. • Class III with poor condition of remainingClass III with poor condition of remaining
anterior teeth.anterior teeth.
• Patient with cleft palate to close any air passagePatient with cleft palate to close any air passage
between nasal and oral cavity.between nasal and oral cavity.
• Absence of palatal torus.Absence of palatal torus.
43. Anterior Palatal PlateAnterior Palatal Plate
(U-Shaped or "Horse-Shoe" Palatal Connector)(U-Shaped or "Horse-Shoe" Palatal Connector)
• Poor connectorPoor connector
• NeverNever use unless absolutely necessaryuse unless absolutely necessary
• Requires bulk in the rugae area (where the tongueRequires bulk in the rugae area (where the tongue
requires freedom) for rigidityrequires freedom) for rigidity
44. Anterior Palatal PlateAnterior Palatal Plate
DisadvantagesDisadvantages
•Lack of rigidityLack of rigidity
•Fail to provide good support and thus permitFail to provide good support and thus permit
impingement of underlying tissue when subjected toimpingement of underlying tissue when subjected to
occlusal forcesocclusal forces
•Bulk to enhance rigidity results in increased thicknessBulk to enhance rigidity results in increased thickness
in areas are hindrance to the tonguein areas are hindrance to the tongue
46. Mandibular Major ConnectorsMandibular Major Connectors
• Lingual Bar most widely usedLingual Bar most widely used
• Lingual PlateLingual Plate
• Sublingual BarSublingual Bar
• Continuous BarContinuous Bar
• Cingulum bar (continuous bar).Cingulum bar (continuous bar).
• Labial BarLabial Bar
47. • Relief is provided for soft tissue under all
portions of mandibular major connector and
any location where the framework crosses the
gingival margin.
• The inferior border does not impinge on the
tissue in the floor of the mouth during the
normal activities.
• Located as far inferiorly as possible to avoid
interference with the resting tongue and
trapping of food substances
48. Methods to determine the relative height of
the floor of the mouth:
1- Measure the height of the floor of the mouth
in relation to the lingual gingival margins of
adjacent teeth with a periodontal probe.
49. 2-Use an impression material with an
individualized impression tray having its lingual
borders 3 mm short of the elevated floor of the
mouth
50. Characteristics and location
o Half-pear shaped with bulkiest portion inferiorly located.
o Superior border tapered to soft tissue.
51. o Superior border located at least 4mm inferior to gingival margins.
o Inferior border located at the ascertained height of the alveolar
lingual sulcus when the patients tongue is slightly elevated
o The inferior border of the lingual bar should be slightly round
when the framework is polished.
52. Indications:Indications:
1-sufficient space between slightly elevated alveolar1-sufficient space between slightly elevated alveolar
lingual sulcus and lingual gingival tissue (9-11mm).lingual sulcus and lingual gingival tissue (9-11mm).
2-2-sufficientsufficient indirect retention by clasp and indirectindirect retention by clasp and indirect
retainer.retainer.
3-Future additions of prosthetic teeth to the framework3-Future additions of prosthetic teeth to the framework
are not anticipatedare not anticipated
4- diastema or opened cervical embrasures.4- diastema or opened cervical embrasures.
5-over lapped anterior teeth5-over lapped anterior teeth
53. Mandibular Major ConnectorsMandibular Major Connectors
• ContraindicationsContraindications
1- space not enough(less than 8mm).1- space not enough(less than 8mm).
2- only few anterior teeth remain2- only few anterior teeth remain
3-lingually inclined teeth3-lingually inclined teeth
4-lingual undercut in alveolar ridge4-lingual undercut in alveolar ridge
5- parallel or sloped anterior lingual alveolar5- parallel or sloped anterior lingual alveolar
contour in a distal extension RPD because thecontour in a distal extension RPD because the
bar may rotate into tissue as denture base movesbar may rotate into tissue as denture base moves
toward residual ridgetoward residual ridge
54.
55. Lingual Plate (Linguoplate)Lingual Plate (Linguoplate)
• Lingual bar with extension over cingula ofLingual bar with extension over cingula of
anterior teethanterior teeth
• Should have rest at each end regardless theShould have rest at each end regardless the
need of indirect retainer.need of indirect retainer.
56. • The upper border should follow the natural
curvature of the supracingular surfaces of the
teeth.
• The half— pear shape of a lingual bar should
still form the inferior border providing the
greatest bulk and rigidity.
• All gingival crevices and deep embrasures
must be blocked out parallel to the path of
placement to avoid gingival irritation and any
wedging effect between the teeth.
57. • The linguoplate does not in itself serve as an
indirect retainer. When indirect retention is
required, definite rests must be pr‹›vided for
this purpose
58. Lingual Plate IndicationsLingual Plate Indications
− floor of the mouth space is limitedfloor of the mouth space is limited
− Prominent lingual frenumProminent lingual frenum
− Lingual tori can t removed surgicallyLingual tori can t removed surgically
− Stabilizing periodontally weakenedStabilizing periodontally weakened
teethteeth
− Futural replacement of one or moreFutural replacement of one or more
incisor teethincisor teeth
− Only few remaining anterior teethOnly few remaining anterior teeth
59. Lingual PlateLingual Plate
• Distal extension RPD with sloped lingual alveolarDistal extension RPD with sloped lingual alveolar
ridge.ridge.
• 8-8- Mandibular tori or exostosis. Relief isMandibular tori or exostosis. Relief is
provided between the torus or exostosis and theprovided between the torus or exostosis and the
framework.framework.
60. Lingual Plate contraindicationsLingual Plate contraindications
• When lingual bar is usedWhen lingual bar is used
• Overlapped anterior teethOverlapped anterior teeth
• Lingually inclined teethLingually inclined teeth
• Diastema unless it has slots.Diastema unless it has slots.
( disadvantages)( disadvantages)
• Open cervical embrasuresOpen cervical embrasures
61. Continuous Bar RetainerContinuous Bar Retainer
• Lingual bar with secondary bar aboveLingual bar with secondary bar above
cingulacingula
• Narrow 3mmmetal strapNarrow 3mmmetal strap
• Originated from incisal, lingual orOriginated from incisal, lingual or
occlusal rests of adjacent abutmentsocclusal rests of adjacent abutments
63. indications:indications:
1-lingual plate indicated but axial alignment1-lingual plate indicated but axial alignment
of anterior teeth require excessive block outof anterior teeth require excessive block out
of interproximal undercuts.of interproximal undercuts.
2-wide diastema2-wide diastema
3-when major connector must contact3-when major connector must contact
natural teeth for bracing and IR with opennatural teeth for bracing and IR with open
cervical embrasures.cervical embrasures.
64. Contra indications:Contra indications:
1-Where a lingual bar or lingual plate will suffice.1-Where a lingual bar or lingual plate will suffice.
2-Any contra indicatiDn for a lingual bar.2-Any contra indicatiDn for a lingual bar.
3-Any contra indication for a lingual3-Any contra indication for a lingualplateplate exceptexcept
openopen cervical embrasures.cervical embrasures.
65. Sublingual barSublingual bar
Useful when the height of the floor of theUseful when the height of the floor of the
mouth not allow placement of bar 4 mmmouth not allow placement of bar 4 mm
below the FGMbelow the FGM
66. indications:indications:
1- the height of floor of the mouth less than 6 mm1- the height of floor of the mouth less than 6 mm
2- used when it is desirable to keep FGM exposed2- used when it is desirable to keep FGM exposed
and there is inadequate depth of floor of mouth toand there is inadequate depth of floor of mouth to
place lingual bar.place lingual bar.
3-presence of anterior lingual undercut3-presence of anterior lingual undercut
4- bracing and IR can be provided4- bracing and IR can be provided
5- distal extension with sloped lingual alveolar5- distal extension with sloped lingual alveolar
ridgeridge
6- diastema and opened cervical ebrasure.6- diastema and opened cervical ebrasure.
7- over lapped anterior teeth7- over lapped anterior teeth
8- intolerance to other types of major connectors8- intolerance to other types of major connectors
67. Contraindications:Contraindications:
1-lingual bar or lingual plate is sufficient1-lingual bar or lingual plate is sufficient
2-natural anterior teeth severely tilted2-natural anterior teeth severely tilted
linguallylingually
3-interfering tori3-interfering tori
4-interferance with elevation of the floor of4-interferance with elevation of the floor of
the mouththe mouth
5-future addition of teeth may be anticipated5-future addition of teeth may be anticipated
68. Indications:
1-Axial alignment of the anterior teeth is such that the
excessive block out of interproximal undercuts would
be required.
2-Lingual frenum and floor of the mouth at the same
level as marginal gingiva.
3-lnoperable tori or exostosis at the same level as the
marginal gingiva.
4-Severely undercut lingual alveolus.
.
5-Considerable gingival recession.
71. Labial BarLabial Bar
-Bar on labial or buccal sulcus-Bar on labial or buccal sulcus
-Superior border located 4mm inferior to-Superior border located 4mm inferior to
labial gingival margin.labial gingival margin.
-Inferior border at the junction betweenInferior border at the junction between
attached and unattached mucosaattached and unattached mucosa
-It must be relieved in canine eminence areaIt must be relieved in canine eminence area
72. Labial barLabial bar
Indications:Indications:
1.When the mandibular teeth are so severely1.When the mandibular teeth are so severely
inclined lingually as to prevent the use ofinclined lingually as to prevent the use of
lingual major connector.lingual major connector.
2.When large lingual tori exist and their removal is2.When large lingual tori exist and their removal is
contraindicated.contraindicated.
3-abnormal high lingual frenum3-abnormal high lingual frenum
4-severe lingual tissue undercuts.4-severe lingual tissue undercuts.
5- patient cant tolerate lingual bar.5- patient cant tolerate lingual bar.
73.
74. contraindicationscontraindications
1- when lingual major connector may be used.1- when lingual major connector may be used.
2-labial tori2-labial tori
3-facial alveolar ridge has undercut3-facial alveolar ridge has undercut
4-high facial muscle attachment result in less4-high facial muscle attachment result in less
than 4 mm of space between superior edgethan 4 mm of space between superior edge
of labial bar and marginal gingiva of theof labial bar and marginal gingiva of the
teethteeth
75.
76. A modification to the linguoplate is the hinged
continuous labial bar.
consists of a labial or buccal bar that is connected to the
major connector by a hinge on one end and a latch at
the other end.
77. • Support is provided by multiple rests on the
remaining natural teeth.
• Stabilization and reciprocation are provided by
a linguoplate contacting the remaining teeth
and are supplemented by the labial bar with its
retentive struts.
• Retention is provided by a bar type of retentive
clasp arms projecting from the labial or buccal
bar and contacting the infrabulge areas on the
labial surfaces of the teeth.
78. Indications:
1- Missing key abutments (such as canine).
2- Unfavorable tooth contours.
3- Unfavorable soft tissue contours..
4- Teeth with questionable prognoses
Contra indications:
1-Poor oral hygiene and lack of patient
motivation.
2-Shallow buccal or labial vestibule.
3-High frenal attachment (labial or buccal
frenum).