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Indirect Retention Paper

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Introduction

Removable partial denture (RPD) is a denture for partially edentulous patient who wants replacement teeth for functional or aesthetic reasons and cannot have a bridge for some reasons (Sakar, 2016). This type of denture is called a removable partial denture because patients can remove and equip the denture without professional help. A good retention is required in order to keep RPD in place and prevent it from unwanted displacement. This article will explain the principle and importance of indirect retention in the design of partial denture frameworks.

Indirect retainer is a component of a removable partial denture which helps the direct retainers to prevent from the displacement of distal extension denture bases by working …show more content…

First of all, ensuring the effectiveness of direct retainer is key to increase effectiveness of indirect retention. There’s very high chance of total displacement of the denture instead of rotation if the rest and the direct retainer fail in maintaining the clasp assembly. In such cases, indirect retainer cannot prevent the denture from displacement (Carr, 2004). In other words, the indirect retainer becomes meaningless if the direct retainer loses its function. Another factor is the distance from the fulcrum line. It is clear that the performance of the indirect retainer increases with the increase in the distance between the fulcrum line and the point where the force is applied (Carr, 2004). There are some factors when evaluating the distance from the fulcrum line; length of the distal extension base, location of the fulcrum line, distance of the indirect retainer from the fulcrum line, rigidity of the connectors supporting indirect retainer and effectiveness of the supporting tooth (Owen, 2000). Finally, proper function of the indirect retainers is important. Since it moves the fulcrum line away from the point of application of the force, it counteracts the lifting force and stabilizes the …show more content…

In some cases indirect retention can be gained without a rest (Carr, 2004). There are two major types of indirect retainers. First type of indirect retainer is auxiliary occlusal rest, which it most commonly used type. It is found on the occlusal surface as far away possible from the distal extension base. It is placed perpendicular to the middle of the fulcrum line, but it’s avoided if this perpendicular ends on the incisal area. In Kenndy’s class I cases, bilateral rest on the first premolars are used (Shabeel, 2009). In Kennedy’s class II cases, it is placed on the first premolar of the opposite side (Shabeel, 2009). Another type of indirect retainer is canine extension from the occlusal rest. In some cases a finger like extension from a premolar rest is placed on the lingual slope of the adjacent canine (Shadid,

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