RPD Flashcards
support
resistance to occlusally directed load
Kennedy class I
bilateral free end saddles
Kennedy class II
unilateral free end saddle
Kennedy class III
bounded saddle
Kennedy class IV
anterior bounded saddle crossing the midline
craddock class 1
tooth borne - teeth provide hard tissue resistance to occlusal loading
craddock class 1
tooth borne - teeth provide hard tissue resistance to occlusal loading
craddock class 2
mucosa borne - large soft tissue coverage provides resistance to occlusal loading
craddock class 3
tooth and mucosa borne - reduced teeth and large edentulous spaces
why is tooth support better
transmits load through PD membrane protects soft tissue comfortable more natural likely to stay in close contact with supporting structures
disadvantages of mucosa borne
may damage gingival margins
more likely to displace
types of rest
occlusal, cingulum, incisal
retention
resistance to vertical displacement of denture - given by clasps
best teeth for support
those with large roots i.e. molars then canines
clasp thickness
CoCr 0.25mm, Au 0.5mm, Stainless Steel 0.75mm
2/3s of clasp
should be above survey line
terminal 1/3 of clasp
should be below survey line engaging the undercut
guide planes
bounded saddles
2 or more parallel axial surfaces on abutment teeth
can occur naturally
more often need to be prepared
large the guide surface the more efficient it is
limit tilt and improve stability
frictional retention
guide planes
indirect retention
resistance to rotational displacement of denture
examples of indirect retainers
major connectors, minor connectors, rests, saddle, denture base
RPI system
mesial rest
proximal plate (adjacent to saddle) guide surface of 2-3mm
I-bar clasp (gingivally approaching) at greatest prominence of tooth contour
open vs closed major connectors
open - greater clearance but reduced retention
closed - more contact, greater retention, guide planes but increased irritation
plates
- can be thin in x section and maintain rigidity
- only recommended in mandibular arch when there is no space for a bar as they will cover gingival margin
- when less tooth support plates with confer mucosal support
- 0.5mm thickness