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RPA & RPI Indications and Contraindications

This document summarizes a journal article that used 3D finite element analysis to evaluate and compare the effect of different clasp designs (RPA, RPI, Akers, no clasp) on stress distribution patterns in removable partial dentures (RPDs) both with and without the assistance of mini dental implants. The analysis found that RPI clasp design produced less lingual stress concentration on abutment teeth and supporting structures compared to other designs. RPDs assisted by mini dental implants also reduced maximum von Mises stress on abutment teeth compared to conventional RPDs. The RPI clasp produced the lowest stress levels overall on supporting structures.

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1K views10 pages

RPA & RPI Indications and Contraindications

This document summarizes a journal article that used 3D finite element analysis to evaluate and compare the effect of different clasp designs (RPA, RPI, Akers, no clasp) on stress distribution patterns in removable partial dentures (RPDs) both with and without the assistance of mini dental implants. The analysis found that RPI clasp design produced less lingual stress concentration on abutment teeth and supporting structures compared to other designs. RPDs assisted by mini dental implants also reduced maximum von Mises stress on abutment teeth compared to conventional RPDs. The RPI clasp produced the lowest stress levels overall on supporting structures.

Uploaded by

sidney changi
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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  • Indications and Contraindications for RPA & RPI
  • Indications of RPA
  • Contraindications of RPA
  • Indications of RPI
  • Contraindications of RPI
  • Journal Article
  • Closing Quote

INDICATIONS AND

CONTRAINDICATIONS
FOR RPA &RPI

(Group
3)
INDICATIONS OF RPA
1. In situations where there is insufficient depth of vestibule.
2. Where severe tissue undercuts exist.
3. Severe tilt of the abutment.
CONTRAINDICATIONS Of RPA
1. Insufficient depth of vestibule to permit approach arm of the I-Bar
to be located at least 3mm from gingival margin.
2. A tooth with severe lingual tilt and no buccal or labial tilt.
3. In a severe lingual undercut which can cause the I-Bar act as food
trap or irritates the mucosa of the lip/cheek by being too far away
from tissue.
INDICATIONS OF RPI
1. In small undercuts existing in the cervical third of abutment tooth.
2. In cases where there is Tooth-supported partial denture.
3. In distal extension base situations.
4. Esthetic consideration.
CONTRAINDICATION OF RPI
1. Presence of deep cervical undercut.
2. Severe soft tissue or bony Undercuts such that the approach arm
acts as food trap/ impingement to mucosa of lip or cheek result.
3. Insufficient depth of vestibule for approach arm (The approach arm
must I-bar must be located at least 3-4mm from gingival margin.
4. A tooth with severe lingual tilt and no lingual /buccal undercut on
the abutment.
5. In presence of pronounced frenal attachment in area may cause
impingement
JOURNAL ARTICLE

Stress Distribution Pattern in Mini Dental Implant-


Assisted RPD with Different Clasp Designs: 3D Finite
Element Analysis
By:) Chaiy R et al,(2022
Introduction
• The removable partial denture (RPD) components, especially the
retentive arm, play a major role in the loading characteristic on
supporting structures. Objective. To evaluate and compare the effect
of different clasp designs on the stress distribution pattern, maximum
von Mises stress, and average hydrostatic pressure on abutment
teeth, as well as edentulous ridges, mini dental implants (MDIs), and
peri-implant bone between the conventional removable partial
denture (CRPD) and mini dental implant-assisted distal extension
removable partial denture (IARPD) using a three-dimensional finite
element analysis (3D FEA). Materials and Methods
Journal article
• 3D FEA models of mandibular arches, with and without bilateral MDI at the
second molar areas, and Kennedy class I RPD frameworks, with RPA, RPI,
Akers, and no clasp component, were generated. A total of 200 N vertical
load was bilaterally applied on both sides of distal extension areas, and the
stress was analyzed by 3D FEA. Results. *e stress concentration of IARPD
with RPI clasp design was located more lingually on abutment teeth, MDI,
and peri-implant bone, while the other designs were observed distally on
the supporting structures. *e maximum von Mises stress on the abutment
root surface was decreased when the RPDs were assisted with MDIs. *e
CRPD and IARPD with the Akers clasp design showed the highest von Mises
stress followed by the designs with RPA and RPI clasp, respectively. The
average hydrostatic pressure in each group was in approximation
Conclusion
• The placement of MDIs on distal extension ridges helps to reduce the
stress concentration on denture supporting structures. *e maximum
von Mises stress is affected by the different designs of clasp
components. *e CRPD and the IARPD with RPI clasp provide the least
stress on supporting structures.

INDICATIONS AND CONTRAINDICATIONS FOR RPA &RPI (Group 3)
INDICATIONS OF RPA 1. In situations where there is insufficient depth of vestibule. 2. Where severe tissue undercuts exist. 3
CONTRAINDICATIONS Of RPA 1. Insufficient depth of vestibule to permit approach arm of the I-Bar to be located at least 3mm f
INDICATIONS OF RPI 1. In small undercuts existing in the cervical third of abutment tooth. 2. In cases where there is Tooth-s
CONTRAINDICATION OF RPI 1. Presence of deep cervical undercut. 2. Severe soft tissue or bony Undercuts such that the approach
JOURNAL ARTICLE Stress Distribution Pattern in Mini Dental Implant- Assisted RPD with Different Clasp Designs: 3D Finite Ele
Introduction • The removable partial denture (RPD) components, especially the retentive arm, play a major role in the loadin
Journal article • 3D FEA models of mandibular arches, with and without bilateral MDI at the second molar areas, and Kennedy
Conclusion • The placement of MDIs on distal extension ridges helps to reduce the stress concentration on denture supporting

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