4th April Selby Dental Care Ralf Guscott
Cli ici ? Tec ici ?
1. 2. 3.
Tissue ward Tissue away Horizontal Lateral Anterio
posterior
4.
Rotational
1. Support 2. Retention 3. Stability 4. Indirect
Retention
Support is the resistance of movement towards the foundation tissues and the transferral of occlusal stresses to the underlying supporting oral structures
Crowns
of teeth or coronal restorations Root faces of teeth Mucosa Implants
Rests on teeth or coronal restorations Rigid major connectors Accurately fitting and correctly extended denture base saddles
Resistance to movement of a denture away from its tissue foundation
Clasps Precision retainers Guiding proximal plates acting on surfaces/planes physical forces at fitting surfaces of denture bases Physiological forces on the polished surface of the denture
The resistance to lateral movement
Lateral
movements have a destructive effect on teeth leading to tilting, breakdown of the periodontal ligament and looseness of abutment teeth.
Bracing
arms placed at or above survey lines Minor connectors Proximal plates Adequate extension of flanges
Components that are used to reduce the tendency a denture to rotate in an occlusal direction about the fulcrum axis
Indirect retention is essential for dentures with one or more free end saddles or a single bound anterior saddle
Chrome Cobalt Acrylic Resin
Which material is better?
Acrylic Resin is often thought to be second best but this is not necessarily the case. considering that the material selection is part of the most appropriate design is probably more important.
The advantages of acrylic resin based RPDs primarily relates to ease of construction, lower production cost and their relative ease of adjustment/ alteration. They are light in weight but usually cover more tissue than a Chrome because of their inferior strength; they are therefore thicker. Acrylis tend to take up stain more easily. However, in many cases it is possible to design a hygienic acrylic resin UPPER denture with a design similar to (but covering more tissue than) a metal denture of a plate design.
Take the acrylic resin above the survey lines to gain tooth support. Practise is risky and fractures often occur with time
1.
Patients wishes /expectations/DH
2.
Study Models Assess the occlusion Is there enough space for rests/ minor and major connectors? Any other obvious complications?
3. 4. 5.
Identify teeth to be replaced Outline the saddles Is Flange required? Decide on the nature of support for the denture
6.
7.
8.
Provision for further teeth to be added? Decide how best to unite the saddles Decide how best to maximise retention
9.
Consider anti rotation (indirect retention)
Case 1
Case 2
Case 3
Case 4
Case 5
