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RETAINERS IN FPD
Dr Sunil Kumar Mishra
DEPARTMENT OF PROSTHODONTICS
What is a Retainer?
• It’s that component of an FPD which takes
support from the abutment tooth and provides
retention to the prosthesis.
CLASSIFICATIONS
1.EXTRACORONAL
A. Fullveneer Crown
a. Complete metal
b. Full ceramic
c. Metal ceramic
B. PARTIAL VENEER CROWN
a. Anterior 3/4 crown
b. Posterior 3/4 crown
c. Seven eight crown
C. RESIN BONDED RETAINERS
2.INTRACORONAL
a.inlyas
b.Onlyas
3.RADICULAR RETAINERS
REQUIREMENTS
1. Withstand masticatory forces
2. Restore anatomy of tooth
3. Pulp consideration
4. Esthetics
5. Hygienic
These retainers cover all the five surfaces of the abutment
tooth.
FULL COVERAGE RETAINER
FULL METAL CROWN RETAINER
All axial surfaces of tooth included
Advantages
1.Highly retentive
2.High resistance
3.Superior strength
Disadvantages
1.More extensive preparation
2.Not feasible for electric vitality test
3.Esthetic
.
INDICATIONS
• Extensive coronal destruction
• Short clinical crown
• Maximum retention and resistance needed
• Axial correction needed
• Endodontically treated tooth
CONTRAINDICATION
• If treatment objective can be met with more
conservative preparation
• High esthetic demand
• When less than maximum retention and
resistance needed
ALL CERAMIC CROWN RETAINER
• Most esthetic restoration
• No metal to block light transmission
INDICATIONS
1.High esthetic demand
2.Teeth with proximal /facial caries
3.Sufficient coronal structure to support
4.Favourable Occlusal load distribution
5.Centric contact :on an area where porcelain is
supported by tooth structure.
6.Incisal edge reasonably intact
CONTRAINDICATION
1.High caries index
2.Conservative restoration can be used
3.Insufficient tooth structure to support
4.Thin teeth facio-lingually
5.Unfavourable occlusal load distribution
6.Bruxism
7.Edge –edge occlusal
8.Short clinical crown
ADVANTAGES
1.Improved esthetics
2.Good tissue response
3.Slightly more conservative than metal ceramic
restoration
DISADVANTAGES
1.Less strength of restorative material
2.More destructive preparation
3.Proper preparation is extremely critical
4.Restricted only for anterior
METAL CERAMIC CROWN RETAINER
Thin ceramic layer bonded to cast metal coping
Strength(metal) + esthetic (porcelain)
INDICATIONS
a.High esthetic demand
b.Act as retainer for FPD
CONTRAINDICATIONS
a.Active caries
b.Periodotally untreated teeth
c.Young patients
d.Where conservative treatment feasible
ADVANTAGES
A.Strenth +esthetics
B.Excellent retentive qualities
DISADVANTAGES
1. More tooth reduction
2.Perio consideration
3.Inferior esthetic-to all porcelain
4.Expensive
5.Subjectable to stress fracture
PARTIAL VENEER CROWN RETAINER
• Extra coronal restoration covers only part of
clinical crown
• More demanding preparation
• Difficult to match tooth for its texture,
appearence
• Gingival health
TYPES
1.Antetior three quarter crown
2.Posterior three quarter crown
3.Posterior 7/8 crown
INDICATIONS
• Intact or minimal restored teeth
• Intact buccal surface
• No conflict between axial relationship and
proposed path of withdrawal of FPD
CONTRAINDICATION
• Short clinical crown
• As retainer for long span FPD
• Anterior endodontic treated tooth
• Shape and alignment of teeth
• High caries index
• Thin teeth
Advantages
• Conservative tooth preparation
• Accessibility
• Less gingival involvement
• Good/complete seating of prosthesis
• Feasible to electric vitality test
Disadvantages
• Less retentive/resistant than full crown
• Limited path of withdrawal adjustment
• Cannot be used on nonvital tooth
RESIN-BONDED RETAINERS
To overcome the tooth reduction required for
placement of retainer
CLASSIFICATION
1.ROCHETTE BRIDGE
2.MARYLAND BRIDGE
3.CAST METAL FPD
4.VIRGENIA BRIDGE
Advantages
• Less cost, little/less tooth preparation
• No need of anaesthesia
• Supragingival margins
• Rebonding possible
Disadvantages
• Irreversible
• Uncertain longetivity
• No space for correction
• No alignment correction
• Difficult temporization
Indications
• Caries free abutment
• Mandibular incisor replacement
• Maxillary incisor replacement
• Single posterior tooth replacement
Contraindication
• Extensive caries
• Deep vertical overbite
• Nickel sensitivity
Intra-coronal retainers can either be
I. Inlay
II. Onlay
INTRA-CORONAL RETAINER
RADICULAR RETAINERS
Consists of post/core that obtains its retention
and resistance to displacement from prepared
root portion of an endontically treated tooth
•These are used when path of insertion of the fixed
partial denture does not coincide with the long axis
of the abutment tooth.
• Indicated in tilted abutment.
TELESCOPIC RETAINER

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Retainers in fpd

  • 1. RETAINERS IN FPD Dr Sunil Kumar Mishra DEPARTMENT OF PROSTHODONTICS
  • 2. What is a Retainer? • It’s that component of an FPD which takes support from the abutment tooth and provides retention to the prosthesis.
  • 3. CLASSIFICATIONS 1.EXTRACORONAL A. Fullveneer Crown a. Complete metal b. Full ceramic c. Metal ceramic B. PARTIAL VENEER CROWN a. Anterior 3/4 crown b. Posterior 3/4 crown c. Seven eight crown C. RESIN BONDED RETAINERS 2.INTRACORONAL a.inlyas b.Onlyas 3.RADICULAR RETAINERS
  • 4. REQUIREMENTS 1. Withstand masticatory forces 2. Restore anatomy of tooth 3. Pulp consideration 4. Esthetics 5. Hygienic
  • 5. These retainers cover all the five surfaces of the abutment tooth. FULL COVERAGE RETAINER
  • 6. FULL METAL CROWN RETAINER All axial surfaces of tooth included Advantages 1.Highly retentive 2.High resistance 3.Superior strength Disadvantages 1.More extensive preparation 2.Not feasible for electric vitality test 3.Esthetic .
  • 7. INDICATIONS • Extensive coronal destruction • Short clinical crown • Maximum retention and resistance needed • Axial correction needed • Endodontically treated tooth
  • 8. CONTRAINDICATION • If treatment objective can be met with more conservative preparation • High esthetic demand • When less than maximum retention and resistance needed
  • 9. ALL CERAMIC CROWN RETAINER • Most esthetic restoration • No metal to block light transmission
  • 10. INDICATIONS 1.High esthetic demand 2.Teeth with proximal /facial caries 3.Sufficient coronal structure to support 4.Favourable Occlusal load distribution 5.Centric contact :on an area where porcelain is supported by tooth structure. 6.Incisal edge reasonably intact
  • 11. CONTRAINDICATION 1.High caries index 2.Conservative restoration can be used 3.Insufficient tooth structure to support 4.Thin teeth facio-lingually 5.Unfavourable occlusal load distribution 6.Bruxism 7.Edge –edge occlusal 8.Short clinical crown
  • 12. ADVANTAGES 1.Improved esthetics 2.Good tissue response 3.Slightly more conservative than metal ceramic restoration DISADVANTAGES 1.Less strength of restorative material 2.More destructive preparation 3.Proper preparation is extremely critical 4.Restricted only for anterior
  • 13. METAL CERAMIC CROWN RETAINER Thin ceramic layer bonded to cast metal coping Strength(metal) + esthetic (porcelain)
  • 14. INDICATIONS a.High esthetic demand b.Act as retainer for FPD CONTRAINDICATIONS a.Active caries b.Periodotally untreated teeth c.Young patients d.Where conservative treatment feasible
  • 15. ADVANTAGES A.Strenth +esthetics B.Excellent retentive qualities DISADVANTAGES 1. More tooth reduction 2.Perio consideration 3.Inferior esthetic-to all porcelain 4.Expensive 5.Subjectable to stress fracture
  • 16. PARTIAL VENEER CROWN RETAINER • Extra coronal restoration covers only part of clinical crown • More demanding preparation • Difficult to match tooth for its texture, appearence • Gingival health
  • 17. TYPES 1.Antetior three quarter crown 2.Posterior three quarter crown 3.Posterior 7/8 crown
  • 18. INDICATIONS • Intact or minimal restored teeth • Intact buccal surface • No conflict between axial relationship and proposed path of withdrawal of FPD
  • 19. CONTRAINDICATION • Short clinical crown • As retainer for long span FPD • Anterior endodontic treated tooth • Shape and alignment of teeth • High caries index • Thin teeth
  • 20. Advantages • Conservative tooth preparation • Accessibility • Less gingival involvement • Good/complete seating of prosthesis • Feasible to electric vitality test Disadvantages • Less retentive/resistant than full crown • Limited path of withdrawal adjustment • Cannot be used on nonvital tooth
  • 21. RESIN-BONDED RETAINERS To overcome the tooth reduction required for placement of retainer CLASSIFICATION 1.ROCHETTE BRIDGE 2.MARYLAND BRIDGE 3.CAST METAL FPD 4.VIRGENIA BRIDGE
  • 22. Advantages • Less cost, little/less tooth preparation • No need of anaesthesia • Supragingival margins • Rebonding possible Disadvantages • Irreversible • Uncertain longetivity • No space for correction • No alignment correction • Difficult temporization
  • 23. Indications • Caries free abutment • Mandibular incisor replacement • Maxillary incisor replacement • Single posterior tooth replacement Contraindication • Extensive caries • Deep vertical overbite • Nickel sensitivity
  • 24. Intra-coronal retainers can either be I. Inlay II. Onlay INTRA-CORONAL RETAINER
  • 25. RADICULAR RETAINERS Consists of post/core that obtains its retention and resistance to displacement from prepared root portion of an endontically treated tooth
  • 26. •These are used when path of insertion of the fixed partial denture does not coincide with the long axis of the abutment tooth. • Indicated in tilted abutment. TELESCOPIC RETAINER