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
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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,
Dentures are removable appliances that can replace missing teeth and help restore a patient’s smile. There are many steps involved in providing dentures. Firstly, patients must schedule an appointment at the dental office. Patients
We offer implant-secured dentures that will eliminate some of the typical problems people have with dentures. To do this, we place a series of implants in your gums to create a foundation for your dentures. Your dentures are then secured onto the implants using either a bar mechanation or ball attachments, depending on your needs. To learn more about implant-secured dentures, visit our page about
WookHeo, Dong-SeokNahm, and Seung-HakBaek (2007)32performed study to compare the amount of anchorage loss of the maxillary posterior teeth and amountof retraction of the maxillary anterior teeth between en masse retraction and two-step retraction of the anterior teeth.30 female adult patients with Class I malocclusion and lip protrusion were included in the study. The sample was subdivided into group 1 (en masse retraction) and group 2 (two-step retraction). Lateral cephalograms were taken before (T1) and after treatment (T2). Nine skeletal and 10 anchorage variables were measured, and independent t-test was used for statistical analysis.The amount of horizontal retraction of the maxillary anterior teeth was not different between the two groups, there was mild labial movement of the root apices of the upper incisors in group 2 at T2. No significant difference in the degree of anchorage loss of the maxillary posterior teeth was observed between the two groups. Bodily and mesial movements of the upper molars occurred in both groups. A 4 mm of the retraction of the upper incisal edges resulted from 1 mm of anchorage loss in the upper molars in both groups.
absence of retention and stability. Among implant rehabi¬litations, some authors consider overdentures the first treatment option for patients with a completely eden¬tulous mandible , .
Basically, your orthodontist has a choice of three different types of retainers As a patients this is not something you get to choose; the orthodontist chooses the best retainer for each patient. Some of the retainers are removable and others are permanently attached. Retainers which are permanently attached can only be removed by the orthodontist.
In a study of 34 patients aged 75 years or over who depended on assistance for daily living activities, patients were randomly assigned to receive two mandibular implants to support an overdenture or a relined conventional mandibular denture. In the patients who received the mandibular implant overdenture treatment, an increased oral health-related quality of life was reported; however, chewing efficiency was no different between the groups. The insertion of the mandibular implant overdenture was noted as problematic for some patients and their caregivers due to the nature of the Locator attachments, and in two cases the attachments were replaced by attachments that permitted easier insertion . This is an important consideration for
During the second phase, a device specifically sized for each child is also worn at night. It works to gently guide the incoming permanent teeth into the appropriate places, correct jaw relations, and expand the arches to make room for the larger incoming adult teeth. This helps to eliminate and prevent any improper dentition. This device is worn for only about two to five months before the final phase of treatment begins.
Removable retainers offer the potential for better oral hygiene, and patients are responsible for their wear. At least in the short - term, vacuum - formed retainers may be preferable to Hawley retainers as they are more cost - effective, preferred by patients, and more effective at reducing relapse in the lower arch. Vacuum - formed retainers or Hawley retainers can be worn on a part - time basis and do not require a period of full - time wear.
The vast majority of the dentists agreed (68 per cent totally, and 18 per cent partially) on that they have to give a retainer to the patient, whatever the patient's initial or pre-treatment situation is. More than two thirds of the dentists (76 per cent) think that the pre-treatment situation can be decisive for the type of retention that should be used. Sixty-four per cent (21 per cent totally agreed, and 43 per cent partially agreed) of the clinicians suggested that the orthodontic treatment end result can be decisive in selecting the appropriate type of retainer. Sixty-four per cent of the dentists agreed (22.6 per cent totally, and 46 per cent partially) on that the pre-treatment situation can alter the duration of the retention phase.
The Hawley retainer consists of clasps on the molar teeth, and a labial bow spanning from canine to canine (Figure 2.2). The Adams clasp crosses the occlusal surface of a molar tooth, therefore a careful attention should be paid to the position of clasps while fabricating a Hawley retainer, in order to avoid the disruption of the teeth, and accordingly circumferential clasps on the terminal molars are more preferable, if the occlusion is tight (Proffit 2007). The
Investigating the dentist to get retainers or braces to correct the alignment of your teeth can be accepted to be a cosmetic dentistry methodology. Go to a restorative dentist doesn't simply adapt to the outer appearance for the gums and teeth, besides, they deal with dental circumstances that a great many people are amazed to search for to be "corrective" in nature. An outline of this is discovering a crown or ceramic or tooth-colored filling. Individuals these days are picking the ceramic or tooth-hued taking care of all together that it will probably not be observable will at present appear to be natural components of the teeth.
According to Fontijn-Tekamp . the causes for decreased bite forces are multifactorial: they include individual muscle force, extent of mouth opening, tilting of the denture, and pain in the denture-bearing tissues. When pain restricts oral functions, the extra degree of support for mandibular dentures provided by dental implants could be important for improving oral function . For this reason, implant retained mandibular overdenture treatment
it was claimed that the failure rate is owing to particular anatomical problems linked with the child and the less satisfactory microstructural possessions of the primary teeth for adhesive procedures (15.16)
A scale was used to measure the degree of ETT slippage within the method of fixation. The measurement was done with a ruler scale in cm2. Movement of ETT was recorded and compared with relative to incisor teeth (point of
This biomechanical alteration inflicts a negative impact on the long-term prognosis of the tooth and therefore the rehabilitation of endodontically treated teeth is considered to be challenging. (3; 6)