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2. Defination:
• This is said to be a connecting link
between the fixed and removable
type of partial dentures as it
incorporates features common to
both types of construction.
• STEIGER &BOITEL: they mean to be
of bodily function for a removable
partial denture or bridge.
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3. Nomenclature:
• A retainer consisting of a metal
receptacle (matrix) and a closely
fitting part (patrix).
• The matrix is usually contained
within the normal / expanded
contours of the crown on the
abutment tooth.
• The patrix is attached to a pontic /
the removable partial denture frame
work.- glossary of prosthodontic
terms.
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5. SYNONYM :
• INTERNAL ATTACHMENT
• PARALLEL ATTACHMENT
• FRICTIONAL ATTACHMENT
• KEY AND KEY WAY
ATTACHMENT
• SLOTTED ATTACHMENT
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6. PRECISION
ATTACHMENTS
• IMPLIES A PARTLY or fully machined
device consisting of a male and a
female components which are used
in restorative dentistry to retain a
removable /semi removable
prosthesis . –D.H. roberts .
• Acc. To G.E.ray ,they are wholly or
partially machined accessories used
to retain a removable /semi
removable prosthesis.
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7. INTRA CORONAL
ATTACHMENTS
• The bulk of the soldered or cast
on portion of the joint lies
within the anatomical contours
of the treated teeth.
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8. EXTRA CORONAL
ATTACHMENTS
• Are used to join a prosthesis to
a retainer , part of all of their
mechanisms is outside the
contour of the retainer .
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12. RATIONALE
• To be removable and replaceable without stress or
strain on abutment teeth .
• To permit normal anatomic contour to the abutment
teeth .
• To provide many years of comfortable service .
• To be made of materials that are compatible with
oral tissues .
• Resistance to abrasion
• Resistance to corrosion
• To be esthetically acceptable
• To require minimal amount of tooth structure to be
removed
• To be hygenically clean .
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13. INDICATIONS
• Movable joints in fixed movable bridge
work .
• To stress break , free- end saddles and
bridges .
• Intra coronal attachments are effective
retainers for removable partial dentures .
• As a connector for sectional dentures .
• Sections of a F.P.D may be connected with
intra coronal attachments
• To lock a connector joining a saddle in the
opposite side of the arch
• to retain hybrid dentures
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14. CONTRA INDICATIONS
• SICK AND SENILE PATIENTS-
whose manual skills are
diminished.
• Periodontosis.
• Abnormal caries rate
• Inadequate space to employ
them / place them .
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15. ADVANTAGES
• The labial or buccal clasp arms
can be eliminated
• Precision attachments are less
stressful to the abutment teeth
than a conventional clasp arm .
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16. DISADVANTAGES
• TOOTH may have to be extensively cut to
place the P.A .
• The bulge in the crown , created by the
intra coronal attachment may deprive the
underlying gingival tissue of its customary
massage .
• The attachment is subject to wear as a
result of friction between metal parts .-
causing movement & injury to the
abutment teeth .
• The extra coronal attachment can cause
irritation / inflamation .
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17. LIMITATIONS
• The clinical crown of the
abutment tooth should be of
adequate length
• Size of the pulp tissue .
• Fabrication of the P.A is
technique sensitive .
• It is expensive .
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18. MECHANISIM OF
ACTION
• FRICTION – ACTIVE RETENSION
CAN BE ENHANCED BY –
spring ,leaf ,ring ,bolts ,rubber
devices.
• BINDING
• WEDGING of conical bodies
• INTERNAL SPRING
• ACTIVE RETENSION
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19. MATERIALS USED FOR
MAKING THE P. A .
• CERAMICOR
• ELITOR
• OSV
• PIVITOR
• STAINLESS STEEL
• SILVER
• LO-CAST
• THERMAFIT
• 20% IRIDIUM-PLATINUM
• CERMACAST
• PLATINUM GOLD , etc .
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20. CLASSIFICATION
Good kind &baker -1975
Intra coronal Extra coronal
resilient
Non resilient
resilient
Non resilient
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22. CLASSIFICATION -3
ACC . TO G.E.Ray
Rigid articulatios Movable articulations
Group-1 (vital teeth)
Group-2 (non vital teeth)
Group-1 –vital teeth Group-2 – non vital teeth
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23. G.E.RAY – CLASSIFIED
P. A -
• INTRA CORONAL
• EXTRA CORONAL –FLECHER , HUSER .
• CONJUNCTORS –CUENOD , DALLA BONA ,
CRISMANI
• ANCHORS – GMUR SLIDE BLOCK
,DALLABONA SLIDE BLOCK /DALBO STUD
ANCHOR
• BARS-DOLDER-BAR
• ACCESSORY COMPONENTS –TRANSVERSE
STABILIZERS,LOCKS,STRESS BREAKER.
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24. Harold . W. preiskel
classified as
P.A
Intra coronal attachments
Frictional –
Entirely frictional
Mechanical lock
Cross section –
H-shaped
T – shaped
circular
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25. R . VALENTINE &
EASTMAN DENTAL
HOSPITAL - LONDON
CLASSIFIED AS :
RIGID RETAINERS MOVABLE RETAINERS AUXILLARY DEVICES
RIGID ATTACHMENTS( NON VITAL TEETH)
ADJUSTABLE –
CHAYES,MC COLLOM
,STREN , CRISMANI
NON ADJUSTABLE –
BEYELER , C&M-643
RIGID ATTACHMENTS (VITAL TEETH)
ALL ADJUSTABLE –ECCENTRIC
BONA ,GERBER
MOVABLE ATTACHMENTS (NONVITAL)
DALBO ,CRISMANI
STRESS BREAKERS (PARTIAL DENTURES
GERBER HINGE , ANCORVIS HINGE
MOVABLE ANCHORAGES (NON VITAL )
BONA DOLDER BAR , ANDREWS BAR .
ACTIVATORS - ISOCLIP
LATCHES , BOLTS , SCREWS
SCHUBIGER , HRUSKA
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