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Direct Retainers

The document discusses the components and requirements of direct retainers in removable partial dentures, focusing on clasp assemblies such as the Akers clasp. It outlines the advantages and disadvantages of various clasp types, including the bar clasp and different retentive terminal shapes. Additionally, it highlights contraindications for certain clasps based on anatomical considerations.

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0% found this document useful (0 votes)
3 views14 pages

Direct Retainers

The document discusses the components and requirements of direct retainers in removable partial dentures, focusing on clasp assemblies such as the Akers clasp. It outlines the advantages and disadvantages of various clasp types, including the bar clasp and different retentive terminal shapes. Additionally, it highlights contraindications for certain clasps based on anatomical considerations.

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asdfghjkl
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PROSTHODONTICS

 IT IS THE COMPONENT PART OF REMOVABLE PARTIAL DENTURE THAT


IS USED TO RETAIN AND PREVENT DISLODGEMENT CONSISTING OF
THE CLASP ASSEMBLY OR PRECISION ATTACHMENT - GPT
 IT IS APPLIED TO AN ABUTMENT TOOTH FOR THE PURPOSE OF
HOLDING A RPD
 RETENTIVE ARM
 RECIPROCAL ARM
 SHOULDER
 REST
 MINOR CONNECTOR
Requirements of Direct Retainers
All clasp assemblies should meet the following requirements:
1. Support - resistance to gingival displacement (occlusal rests)
2. Reciprocity - resistance to orthodontic movement of teeth using reciprocal arms or
elements placed against guiding planes. During placement and removal of the partial
denture the retentive arm flexes over the height of contour and generates energy. At
this point the rigid reciprocal arm should contact the guiding plane and prevent
orthodontic movement from taking place.
3. Stability - resistance to lateral movement (reciprocal arms, minor connectors)
4. Retention - retentive arms located in undercuts on the abutments
5. Encirclement of greater than 180° of the tooth - prevents the prosthesis from moving
away from the tooth
6. Passivity - at rest, a direct retainer should not exert force against a tooth
 Introduced by Nesbitt in 1916
 It is most simple and versatile clasp (clasp of choice in tooth-borne cases)
 Clasp assembly has one retentive arm opposed by a reciprocal arm originating from the rest.
 Known as Akers clasp.
 They embrace more than half of the tooth.
 ADVANTAGES-
1. Easiest clasp to make and repair
2. Less food retention
3. Best when applied in tooth supported partial dentures.
4. Derives excellent support and retention
5. Used in most of the situation.
 DISADVANTAGES-
1. Covers last tooth surface area
2. Difficult to adjust with pliers
3. If clasp are placed high (more occlusally) on the tooth, width of food table increases leading to
generation of greater occlusal forces.
4. Cannot be used for cases with an undercut away from edentulous space.
 a. The bar clasp is a cast clasp that arises from the partial denture framework and approaches the
retentive undercut from gingival direction (as opposed to a circumferential clasp that approaches
the undercut from the occlusal direction).
 b. Retentive clasps are identified by shape of retentive terminal, i.e. T, Y, L, I, U, and S.
 c. The shape is unimportant as long as the direct retainer is mechanically and functionally stable,
covers minimal tooth structure with minimum display (the I bar most often meets these
requirements)
 d. T-and Y-shaped terminal ends are the most misused clasps. The full area coverage of the T and
Y terminal ends is rarely necessary for adequate retention.
 e. L-shaped clasp is same as an I clasp with a longer horizontal component. The U-shaped clasp is
same as an L-shaped clasp with a terminal like a double I-clasp.
 f. The S-shaped terminal end is used to avoid a mesial soft tissue undercut.
 g. Soft tissue relief is provided under the approach arm with 28 or 30 gauge wax, to prevent tissue
impingement
 Contraindications:
 a) deep cervical undercuts - food trap or impingements result
 b) severe soft tissue or bony undercuts - food trap or impingements result
 c) insufficient vestibular depth for approach arm (requires 4 mm - 3 mm from free
 gingival margin, 1 mm for thickness of the approach arm)
 d) pronounced frenal attachments in area - impingement

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