Direct Retainer Flashcards

(42 cards)

1
Q

Def, direct retainer

A

Resistance to tissue away movement ( vertical displacement of RPD) by vertical dislodging force.

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2
Q

RPD retained in place by:

A

1-direct retainer *resist vertical tissue away movement of denture.
2-indirect retainer *resist rotational tissue away movement in free end saddle.

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3
Q

intracoronal retainer ex; ….

extracoronal retainer ex …..

A

internal attachment

clasps, external attachment

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4
Q

Parts of clasp assembly

A

Circumferential clasp
Reciprocating arm
Distal occlusal rest and seat
Proximal plate

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5
Q

Def , Attachments

A

any attachment has (projection and depression ) projection → called patrix, depression → called matrix.

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6
Q

Clasps def

A

Is a Component of RPD used to resist vertical tissue away movement by dislodging force of RPD

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7
Q

type of survey line

A

1-medium survey line → at middle of teeth
2-diagonal survey line → near to occlusal surface at near zone and near to gingival surface at far zone
3-high survey line→ near to occlusal surface (more undercut area)
4-low survey line → near to gingival surface (less undercut area )
*Undercut areas near to saddle → called near zone, away from saddle → called far zone

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8
Q

Best survey line ….

A

medium and diagonal for clasp retention

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9
Q

components of clasp

A

1-rest.
2-reciprocal arm. * Rigid place on or above height of contour
* Functions:
1-reciprocation → counteract /resistance to tipping force generated by retentive arm of the clasp. 2-bracing.
Note: * give reciprocation during insertion and removal of denture, but after that give bracing. 3-retentive arm. * Tapered from its origin toward its tip.
*Consist of
a-body : * rigid above height of contour
b-shoulder:
* rigid (limited flexibility ), above height of contour
c-retentive terminal: * flexible, below height of contour * engage undercut give retention
* passive at rest and be active during dislodging force 4- proximal plate ( minor connector )

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10
Q

Requirement /quality of clasp affected by some factors

A

1-retention 2-support
3-stability 4-reciprocation
5-encirclement 6-passivity

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11
Q

retention
* Should be

A

minimal to resist dislodging force

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12
Q

Factors affecting of retention:

A

1- depth of retentive undercut
2- extent of clasp below survey line
3- flexibility
* Increase flexibility, decrease retention

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13
Q

Factors affecting flexibility

A

1-length → increase length, increase flexibility
2-diameter → increase diameter, decrease flexibility
3-taper → increase tapering ,increase flexibility
4-cross section → round cross section more flexible than half

5-matrial → (chrome-cobalt alloy has higher modulus of elasticity than gold). So more rigid and less flexible.

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14
Q

support
Done by rests (occlusal, cinglum, incisal),to

A

resist tissue ward movement

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15
Q

stability
* All component of clasp are rigid except

A

retentive terminal is flexible

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16
Q

encirclement
* Clasp should encircle tooth by more than

A

180°to avoid tipping force or orthodontic movement to tooth.

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17
Q

passivity
* Clasp is completely passive except

A

during dislodgement

18
Q

Classification of Clasps

A

1-occlusally approach (circumferential clasp)(suprabulge clap) *Originate from oclussal to engage undercut below height of contour
2-gingivally approach clasp (bar clasps) (infrabulge clasp)
*Originate from gingival origin to engage undercut below height of contour

19
Q

Occlusally approach clasp types

A

1-aker, simple circlet clasp

2-reverse aker (reverse circlet clasp

3-double aker (embrasure clasp)(butterfly clasp)

4-ring clasp

5-extended arm clasp

6-combination clasp

7-RPA clasp

20
Q

clasp of choice as full fill all requirement (support, stability, reciprocation,
encirclement) than other types of clasps.

A

aker, simple circlet clasp

21
Q

aker, simple circlet clasp , Use …undercut, away from saddle

22
Q

aker, simple circlet clasp is rigid clasp. So mostly used in…

A

-tooth supported RPD ‘‘bounded saddle’

23
Q

aker, simple circlet clasp , not used in free end saddle except usage of

A

stress breaker

24
Q

reverse aker , used in

A

distal extension as it is stress breaking

25
reverse aker used if i
Infrabulge clasp is contraindicated
26
double aker (embrasure clasp)(butterfly clasp) Indications
used in intact side (no edentulous area ) as in class II, III, IV where connected by major connector act as cross arch stabilization
27
ring clasp Begin near to saddle extend lingually to distal rest, then buccal to engage mesiobuccal undercut in …. *May begin buccaly to surround tooth to engage mesiolingual undercut in …
maxillary isolated molar. mandibular isolated
28
ring clasp , Indication
isolated molar in long span edentulous area.
29
extended arm clasp , Indications
1-splint of weak periodontally abutment. 2-if abutments has no undercuts.
30
extended arm clasp , Advantages
increase length lead to increase flexibility. So it act as stress breaking like action clasp
31
combination clasp Description:
Consist of cast metal clasp and wrought wire retentive arm If use gold. So wrought wire incorporated in wax pattern of metal frame work If use high melting co-cr. So wrought wire soldered to cast metal
32
combination clasp , Advantages
it is flexible due to: 1-its material ''fibrill structure'‘ 2-cross section ''round cross section'' So it is stress breaking action
33
combination clasp , indications
1-distal extension 2-weak peridontally affected abutment
34
RPA clasp Description:
R→ mesial occlusal rest (advantages) P→ proximal plate more relieved at gingival third A→ modified aker arm
35
RPA clasp advantages
is stress breaking like action clasp
36
RPA clasp indication
distal extension when contraindicate usage of RPI clasp
37
Jackson clasp Description: Indications:
Description: wrought wire clasp originate from lingual cross occlusal surface to use 2 buccal undercut (mesial and distal) ,,Flexible clasp,, Indications: in premolar and molar removable orthodontic appliance and temporary RPD.
38
Gingivally approach clasp (bar clasps) Def:
clasps originate from gingivally direction to engage undercut
39
Gingivally approach clasp (bar clasps) , rule of use + contraindications
Rule of use: 1-not impinge on soft tissue, has relief on free gingival margin 2-has gradual tapering 3-its vertical portion should be cross free gingival margin at 90° Contraindications: 1-insufficient vestibular depth 2-soft tissue undercut 3-gingival recession
40
Gingivally approach clasp (bar clasps) types
1-simple I bar clasp 2-RPI clasp 3- T-shaped gingivally approach clasp 5- Y-shaped clasp 6-ball and socket
41
-RPI clasp
R → mesial occlusal rest P → proximal plate contact almost proximal surface of abutment I → I bar engage midbuccal undercut.
42
Compare between gingivally approach clasp and occlusally approach clasp
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