FIG. 4.8 Prefabricated Clasp ‘Arrow reine clasp b,Inerdenal clasp. «- Arrow anchor clasp. Triangular head clasp. ¢. Ball retnne lap, Adam’s Clasp Adam's clasp is the most commonly employed clasp. It can be used on any tooth, but they are generally used on molars and premolars. It was introduced by C. P. Adams. It is also called as modified arrowhead clasp or Liverpool Clasp or as Universal Clasp. Parts of the Clasp (Fig. 4.9) - Buses 1G. 4.9 ~ Pacts of Adam's 2. Arrow head s.0dige't Anes Rea om 3. Retentive arms. “There are two arrowheads engaging the buccoproximal under-cut areas united by the bridge. The arrowheads continue as the retentive arms on tothe lingual surface or the palatal surface. Armamentarium 0.7 mm Stainless Steel wire. ‘Adam’s wire bending plier. Young's loop forming plier. Wire cutter. Marking pencil. weyrpe 35 Scanned with CamScannerOptional Pliers |. Adam’s clasp bending plier, 2, Nance loop closing plier. Preparation of the cast In the case of short clinical crowns, the gingi , the gingival papill: cast, to expose the undercut areas Fig. 4./0a, eit ate el ecimicle trimming the bucco proximal undercut areas as shown in Fig. 4./0b, 4.11 Construction of Adam’s Clasp (Fig. 4./3) STEP 1. Take about 6 inces long 0.7 mm Stainless Steel wire and straighten it. STEP 2. Make an ‘L’ shaped bend. STEP 3. “The width of the bridge should be equal to two-thirds of the total mesiodistal ‘width of the tootb, or the width ofthe bridge can be derived from the cas, ie. Mark two vertical lines corresponding to the mesial and distal side of the tooth and then draw a horizontal line at the gingival margin to cut the vertical lines. Then, draw a bisector at the mesial and the distal sides as shown in the Fig. 4.12, Extend it till it touches the tooth surface. These two points correspond to the position of arrowheads. Width of the bridge can be taken from these two points which are approximately equal to two thirds of total mesiodistal width of the tooth. STEP 4. ‘Mark the width of the bridge, and make the bend as shown in the Fig. 4.13(3) pA lam STEP 5. (Fig 4.13 (45) lovafin-dee™ ‘Make the arrowhead using Adam’s plier, The length of the arrowhead should be ‘3mm and the width about Imm. The length of the arrowhead Varies according fo the clinical length ofthe tooth. i-<., in case of partially erupted tooth oF Short clinical crowns, the arrowhead should be shorter, on the other hand, arrowheads ‘shuold longer in cases of teeth which have longer clinical crowns. 37 Scanned with CamScanner tees. «so that they the STEP 6. Bend the arrowhead! ely at forty-five degrees 10 are approximatel) bridge. Fig. 4/3 (6) STEP 7. Position the partially formed clasp on 415 and the tooth, as in Figs 4.14 and then adapt the retentive arms: ‘this is the most critical step &s get altered by not positiol property je FIG. 1S Ponto ofthe bidge-accal view cane eat a ) YP IG Li Shows postion of aowhead & bidge FIG. 4.16 - Bridge positon side view FIG. 4.18 - Occlusal ‘view showing bride ‘parallel tothe Buccal surface. Scanned with CamScannerSTEP 8. ePthe bend on the retentive arm such that it lies below the level of the bridge, Complete the adaptation of the retentive arms like that of any other clasp. Repeat it on the other side. FIG. 419 Adam's cap on incor carne, ae FIG, 4.20 - Adam's clasp with helix. FIG, 421 - Adam's clasp with voldered book. FIG, 4.22 - Adam's clasp with distal traction hook. Points to be checked in the Finished Adam’s Clasp 1. Arrowheads should be positioned at the buccoproximal undercut areas. Fig. 4.14 2. Arrowheads should have a point contact rather than surface contact. 3. The bridge should be located at the middle third of the tooth, Fig. 4.15 4. The bridge should be 2 mms. away from the tooth surface. Fig. 4.16 & 4.18 5. When viewed from the side, bridge should be at about 45 degrees angulation to the tooth surface. Fig. 4.16 & 4.17 r 39 Scanned with CamScannerface. Fig. 4.18 - puccat surface. Fig. 4.18 ould be parallel oe ei the occlusion. Fig. 4.17 6. The bridge sh ‘ould not int 7. The retentive arm she eo FIG. 424 Adam's clasp with single arrowhead FIG, 42S Adams clasp with editonal srowhead. FIG, A2S - Alain’ clasp With soldered Boceal ibe FIG, 426 - Double clasp. Advantages of Adam’s Clasp A; Fag onany tooth nthe arch, Le, incisors, canines, premolars and molars. ig. 4, 2, 3. It can also be made on parti 4 Partially erupted teeth. in almost all the situations, 5. It does hot require any special plier. Icis less rigid or more flexible as it is made up of 0.7 mm stainless steel wire. 40 Scanned with CamScannerIf it is fractured, it can be repaired by soldering, to an extent. The clasp is small, neat and takes up minimum spaee in the buccal sulcus. Ithas many modifications for use in specific situations as mentioned below. |. Adam's clasp with helix Fig. 4.20 A helix added in the middle of the bridge portion of the Adam's Clasp is useful for the attachment of elastics. . Adam's clasp with soldered hook Fig. 4.21 A small hook soldered onto the bridge portion of the Adam’s Clasp, can be used for the attachment of elastics. Adam's clasp with distal traction hook Fig. 4.22 The distal end of the bridge is modified to incorporate a traction hook for the attachment of elastics. |. Adam's clasp with additional arrowhead. Fig. 4.23 An additional arrowhead is made for the premolar and is soldered to the bridge portion of the Adam's clasp on molar for additional retention. Adam's clasp with single arrowhead Fig. 4.24 It is one of the modifications of Adam's clasp where, only one arrowhead is fabricated to engage a partially erupted tooth, and the other end is adapted like the circumferential clasp. Adam's clasp with soldered buccal tube Fig. 4.25 ‘A buccal tube is soldered on to the bridge of the Adam’s clasp for the attachment of face bow. . Double clasp or Adam's clasp on maxillary central incisors, Fig. 4.26 ‘The bridge of the clasp runs across the two incisors and the arrowheads engage the distobuccal undercuts of the two central incisors. at Scanned with CamScanner