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CHATCHAI KUNAVISARUT
CHANITA SUPA-AMORNKUL
KENNEDY’S CLASSIFICATION
CLASSIFICATION OF
PARTIALLY EDENTULOUS
ARCHES
APPLEGATE’S RULE APPLYING THE
KENNEDY CLASSIFICATION
COMPONENT OF PARTIAL
DENTURE DESIGN
MAJOR CONNECTOR
! Join the components on one side of the arch with
those on the other side
! Rigidity " Distribution force
MAJOR CONNECTOR
! Horseshoe Uncomfortable
! Anteroposterior palatal strap
Wide – thin band of metal Join two bar with flat longitudinal element
Thin metal band running along the lingual surface of remaining teeth
and extending (6-8 mm.) on to the palatal tissue
Indicated when replace numerous teeth or present of palatine torus
Symmetry
Extensive length of border may irritation to tongue
Replaced several anterior teeth
Open area in palatal region at least 20x15 mm.
Prominent median palatal suture line
Good support from palate
Inoperable torus
Resistance to flexure
Tendency to flex or deform
Uncomfortable
Not good for cross arch stabilization
Stabilization
LINGUAL PLATE
LINGUAL BAR
Indicate for all tooth support unless insufficient space Scallop appearance
At least 8 mm. between gin. margin and floor of mouth Always support by rests
Minimum contact with teeth and soft tissue Insufficient vertical space for lingual bar
Horizontal stabilization
Not comfortable
LABIAL BAR
MANDIBULAR MAJOR CONNECTOR
Run across the mucosa on facial surface Condition Mandibular major connector
Tooth support Lingual bar
Indicated in the presence of a gross uncorrectable interference
-Insufficient space Lingual plate
Half pear shape -Inoperative torus
-High lingual frenum attachment
Swing-lock -Reduced periodontal support in -Modified lingual plate
anterior teeth (step back design)
Tipped remaining mandibular teeth -Large interproximal space -Double lingual bar
Discomfort
JOIN DENTURE BASE TO MAJOR CONNECTOR OPEN CONSTRUCTION FORM LADDER LIKE NETWORK
Mesh construction
In maxillary arch, extend as far posterior as practical
PRIMARY REST
! A rest that is part of a retentive clasp is referred ! Prevent vertical movement
to a primary rest ! Transmit force to supporting tissue
! Ball and socket joints
! A rest that is responsible for additional support
or indirect retention is called an auxiliary rest or
secondary rest
Triangular Floor of rest seat slightly inclined toward the center of the teeth
Ball and socket assembly Located approximately 1.5 to 2.0 mm. from the proximal
incisal angle
DIRECT RETAINER
! Engage abutment and resist dislodging forces
! Two type
! Intracoronal direct retainer
! Precision attachment
! Semiprecision attachment
! Attachment
RETENTIVE CLASP ASSEMBLIES RETENTION
! Structure of clasp assembly ! The quality of clasp that resists forces acting to
! Rest dislodge component from supporting tissue
! Retentive arm
! Reciprocal element ! Depend on
! Minor connector ! Type of clasp
! Flexibility
! Undercut
Widely used
Undercut located adjacent to edentulous area
Tooth support RPD
Infrabulge clasp is contraindicated
Engage undercut remote from edentulous area
Kennedy class I ,II
Half round cross sectional
Disadvantage
Disadvantages - Reduced strength
- Increase circumference clinical crown - Lack of rest adjacent to edentulous area
- Increase tooth coverage - Poor esthetic
Disadvantage
- Tooth coverage
- Difficult correction
Lingual Buccal
Contraindication
- Limit vestibular depth
- Soft tissue undercut
Combination clasp
- Occlusal rest
- Cast metal reciprocal arm
“Fishhook” or “Hairpin” clasp - Wrought wire retentive arm
Simple circlet clasp with loop back retentive arm Circular cross sectional
COMBINATION CLASP IN
INFRABULGE CLASP
! Bar type
! Flexibility
! Length
! Taper
! More esthetics
! T-clasp, modified T clasp, Y clasp and I bar
DESIGN RULES
! Disadvantage ! Approach arm
! Food accumulate ! must not impinge soft tissue
! Flexibility ! " Horizontal stability " ! cross perpendicular to free gingival margin
T-CLASP DESIGN
I-CLASP OR I BAR
Equivalent to T-clasp
No retentive horizontal projection
Mesial and distal projection terminate near occlusal surface
Kennedy class I and II
Advantage
- Improve esthetic compare with conventional T clasp
INDIRECT RETAINER
INDIRECT RETAINER
! Framework component that resists rotational
displacement of an extension base from the
supporting tissue
! Require for Kennedy class I, II and IV
EFFECT OF ROTATIONAL
MOVEMENT
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Indirect retainer
83 84
SUPPORT FOR DISTAL
EXTENSION DENTURE BASE Impression technique
! Maximum border extension ! Final impression with custom tray and
! Accurate border detail elastomeric impression material
! Primary supporting area ! Altered-cast technique
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Miscellaneous
“Being excited about being wrong because
! Retentive arms should be on the same side that means you’ve discovered something new”
! Dimpling
! Treatment denture
! RPD drawing
- in paper
- on the cast
THANK YOU
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