Beruflich Dokumente
Kultur Dokumente
4-1
Major connectors are shaped as bars the tooth surfaces (Fig. 4-5). This is
and straps or plates. A BAR-SHAPED sometimes called an APRON.
major connector is long, narrow, and thick.
In cross section bars are ½ round, ½ oval or
½ pear in shape (Fig. 4-3). The thickness of
a bar should be at least 6 gauge (4.11 mm) at
its greatest dimension. The minimum width
of a bar is 4 mm, but they must usually be
wider than this for adequate rigidity.
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the bar and the mucosa. (Fig.
4-7).
LINGUAL BAR
Indications:
1. Less than 8 mm between the
marginal gingiva and the
activated lingual frenum and
of the mouth.
2. Only a few remaining
anterior teeth which must be
contacted to provide a
reference for fitting the
framework and indirect
retention.
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Advantages:
Incisal View
1. More rigid than a lingual bar.
2. Metallurgically and
structurally simple.
Undercut
Areas 3. Easy to add additional
prosthetic teeth to
framework.
4. May prevent supraerruption
of the teeth it contacts.
Indications:
1. Situations where the major
connector must contact the
natural teeth to provide
bracing and indirect retention
Fig. 4-12. Open cervical embrasures and there are open cervical
contraindicate the use of a lingual plate embrasures which
contraindicate the use of a
lingual plate. There must be
4-5
adequate space for the lingual the framework with adequate
bar portion of the major relief.
connector. 3. A lingual major connector
can not be used because of
Contraindications: the slope or undercut of the
1. Where a lingual bar or lingual alveolus.
lingual plate will suffice. 4. The patient can not tolerate a
2. Any contraindication for a lingual major connector.
lingual bar. 5. Diastemas and open cervical
3. Any contraindication for a embrasures contraindicating a
lingual plate except open lingual plate.
cervical embrasures.
4. Diastemas. Contraindications:
1. A lingual major connector
Advantages: may be used.
1. More rigid than lingual bar. 2. Facial tori or exostoses.
2. Covers less tooth and tissue 3. The facial alveolar ridge is
surface than lingual plate. undercut.
4. High facial muscle
attachments which would
Disadvantages: result in less than 3 mm of
1. Very complex design. space between the superior
2. May be objectionable to edge of the labial bar and the
patient because there are four marginal gingiva of the teeth.
edges exposed to the tip of
the tongue. Advantages:
1. Can be used where lingual
LABIAL BAR (OR PLATE) major connector can not
SUBLINGUAL BAR
SYNONYMS: None
Indications:
1. Height of activated lingual
frenum and floor of the
mouth at the same level as
marginal gingiva.
2. Inoperable tori or exostoses Sagittal
at the same level as the view of
marginal gingiva. Bar
3. Severely undercut lingual
alveolus
4. Concern that a major Fig. 4-16. SUBLINGUAL BAR
connector traversing the
gingival sulcus will cause a Indications:
periodontal problem. 1. Bracing and indirect retention
5. Considerable gingival can be provided by clasps
recession. and indirect retainers and
future additions of prosthetic
Contraindications: teeth to the framework are
1. When a simpler major not anticipated.
connector may be used. 2. Severely undercut lingual
2. Diastemas and open cervical alveolar ridges.
embrasures where the metal 3. Distal extension RPD
will show. situations with sloped or
parallel lingual alveolar
Advantages: ridges where a lingual bar
1. Can be used where lingual would rotate into the lingual
bar and lingual plate can not. alveolus as the base area
2. Does not traverse the rotates tissueward.
marginal gingiva or overlay 4. Diastemas and open cervical
the lingual alveolus. embrasures of anterior teeth.
3. Easy to add prosthetic teeth 5. Overlapped anterior teeth.
to framework. 6. Intolerance to other lingual
major connectors.
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Contraindications: In this section the indications,
1. Where a lingual bar or contraindications, advantages and
lingual plate will suffice. disadvantages of each maxillary major
2. Situations where bracing connector is listed and the design of each
and/or indirect retention must major connector and the location of its
be provided by contact of the borders illustrated in the accompanying
major connect with the teeth. figures.
3. Situations where future
additions of prosthetic teeth PALATAL STRAP
to the framework are
anticipated. SYNONYMS: PALATAL PLATE,
MIDDLE PALATAL STRAP OR
Advantages: PLATE
1. Sublingual bar does not
contact anterior teeth or
lingual alveolus.
2. More esthetic than other
lingual major connectors
because of its location.
3. More rigid than lingual bar
because bulk of metal is
horizontal rather than
vertical.
Fig. 4-17. PALATAL STRAP
Disadvantages: Indications:
1. Requires border molded 1. A Class III or Class III mod.
impression of floor of mouth 1 P partially edentulous arch.
for accurate placement of
major connector. Contraindications:
2. Difficult to add prosthetic 1. Tooth-tissue supported RPD.
teeth to framework. 2. Palatial torus.
3. Most patients prefer a lingual 3. Extremely long tooth
plate to a sublingual bar.5 supported edentulous space
(A-P major connector would
be better because it would
MAXILLARY MAJOR CONNECTORS cover less palatal tissue.)
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Disadvantages: a) The hamular notch-
1. Covers a considerable portion vibrating line area
of the palate. must be located on
the master cast.
PALATAL PLATE b) Difficult to adjust
the metal-tissue
SYNONYMS:BROAD PALATIAL
STRAP OR PLATE, POSTERIOR contact.
PALATAL STRAP OR PLATE, c) Difficult to reline
BROAD PALATAL MAJOR the metal portion of
CONNECTOR the palatal contact.
DESIGN II presents the
following difficulty:
6 mm a) Difficult to blend
the thickness of the
metal (1 mm)-
plastic (3 mm)
junction.
Fig. 4-18. PALATAL PLATE, a) 3. The anterior border is
Design I - all metal, b) Design II - metal- frequently located in the
plastic rugae.
Advantages:
1. Support is provided by 6 mm
contact of the major
connector with the denture
bearing foundation of the
palate.
2. Fairly simple design. Fig. 4-19. COMPLETE PALATAL
COVERAGE, a) Design I - all metal, b)
Disadvantages: Design II - metal-plastic
1. Covers a considerable
portion of the palate. Indications:
2. DESIGN I presents the 1. A Class I partially
following difficulties: edentulous arch where
maximum utilization of the
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palate is indicated for metal-tissue
support, bracing, retention contact.
and direct-indirect c) Difficult to
retention. reline the
metal portion
Contraindications: of the palatal
1. When less than complete contact.
palatal coverage is 3. Design II presents the
necessary and there are following difficulty:
sufficient remaining a) Difficult to
natural teeth to use a blend the
palatal plate or strap major thickness of
connector. the metal (1
mm)-plastic
Advantages: (3 mm)
1. Maximum support, junction.
retention, bracing and
direct-indirect retention ANTERIOR-POSTERIOR TYPE
from the palate.
2. Fairly simple design. SYNONYMS: A-P TYPE, RING-
3. Few metal tooth edges. SHAPED, DOUGHNUT-SHAPED,
4. Easy to add prosthetic teeth CLOSED HORSESHOE, CIRCULAR
to framework.
5. Can be easily converted to
an interim complete
denture.
Disadvantages:
1. Covers more tooth and Fig. 4-20. A-P TYPE
tissue surface than any Indications:
major connector. 1. Class III or Class III mod 1
2. Design I presents the P partially edentulous arch
following difficulties: with a long span edentulous
a) The hamular notch- space(s).
vibrating line 2. Class I or class II partially
area must be edentulous arch where
located on adequate support, retention,
the master bracing, and direct-indirect
cast. retention may be obtained
b) Difficult to from contact of the denture
adjust the base with the ridge and the
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contact of the framework U-SHAPED
with the palate.
3. An inoperable palatal torus. SYNONYMS: ANTERIOR PALATAL
4. A RPD replacing anterior STRAP, HORSESHOE, OPEN RING,
teeth. OPEN DOUGHNUT
Contraindications:
1. Where the palatal opening
will be less than 15 mm
anteroposteriorly or
mediolaterally.
2. Where support, retention,
bracing, and direct-indirect
retention from the palate is Fig. 4-21. U-SHAPED
required.
3. Where a major connector Indications:
with a simpler design may 1. A Class IV partially
be used. edentulous arch.
2. A Class III or Class III mod
Advantages: 1 P partially edentulous arch
1. Covers a minimum of with an anterior edentulous
palatal tissues. space, where cross-arch
force distribution is not
Disadvantages: important.
1. Very complex design. 3. A partially edentulous arch
2. A lot of metal-tissue edges. with an inoperable palatal
3. The posterior palatal bar or torus.
strap frequently does not fit
the palate closely. Contraindications:
4. The anterior border is 1. Where support, retention,
frequently located in the bracing, and direct-indirect
rugae. retention from the palate is
5. The posterior border is necessary.
frequently located in the 2. Where cross-arch force
hamular notch-vibrating line distribution is necessary.
area.
Advantages:
1. Minimal coverage of the
palate.
2. Fairly simple design.
3. Fewer metal-tooth or tissue
edges than the A-P design.
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Disadvantages: 2. Edentulous space larger than
1. Not as rigid as other 1-2 teeth.
maxillary major connectors.
Rigidity may be increased Advantages:
by having the metal in the 1. Minimal palatal coverage.
vertical and horizontal
planes and is probably Disadvantages:
adequate, particularly with 1. Must be bulky to be rigid
cast chromium alloy and is usually objectionable
frameworks (Fig. 4-22). to patient.6
Contraindications:
1. Palatal torus.
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angles to the midpalatal suture and/ or
through the valleys between rugae
CONTACT OF THE MAJOR
CONNECTORS WITH THE
TISSUES
Mandibular
Maxillary
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exposed to the tongue are BEADED to The POLISHED SURFACE (side
insure their contact with the mucosa away from the teeth and tissues) of RPD
(Fig. 4-27). The bead is approximately frameworks is finished smooth with
1.0 mm wide and deep. It should be rubber wheels and highly polished.
slightly shallower over the midline
suture or other areas where the mucosa is The TISSUE SURFACE (side
very thin. The bead seals the metal- next to the teeth and tissues) of
tissue junction preventing food and mandibular RPD frameworks is finished
debris form being forced under the major smooth with rubber wheels and highly
connector as the patient swallows. The polished. The tissue surface or maxillary
bead is necessary to compensate for the RPD framework is only lightly smoothed
dimensional inaccuracies of the materials with rubber wheels and is not polished
and techniques used to make RPDs, such since this surface must contact the
as: impression materials, cast materials, mucosa of the palate.
the duplication process, cast alloys,
finishing and polishing the framework, SELECTION OF THE MAJOR
etc. The bead also increases the rigidity CONNECTOR
of the framework, identifies where to
finish the metal, and creates a bulk of The selection of the major
metal at the border so that the edges may connector to be used for a RPD depends
be thinned to blend in with the tissues so on many factors and is discussed in
they will be less noticeable to the Designing Removable Partial Dentures.
patient.8
REFERENCES
RPD
1. The glossary of prosthodontic
terms. 6th ed. St. Louis, C V
Mosby, 1994.
b
2. Henderson D, McGivney G P,
Castleberry D J. McCracken's
removable partial prosthodontics.
7th ed. St. Louis: C V Mosby,
a a
3. Henderson D. Major connectors
for removable partial dentures:
Fig. 4-27. Exposed edges of maxillary design and function. J. Prosthet
major connectors are beaded, a) the bead Dent 1973; 30:532-48.
line scribed on the master cast, b) the
resultant metal bead on the tissue surface 4. Ward J E., Kazanoglu A., Burns
of the major connector. D.R.: Survey of major connector
usage in a dental school, in press.
FINISH OF THE SURFACES OF
MAJOR CONNECTORS 5. Hansen C A, Campbell D J.
Clinical comparison of two
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mandibular major connector for removable partial dentures. J
designs: the sublingual bar and Prosthet Dent 1982; 47:242-45.
the lingual plate. J Prosthet Dent
1985; 54:805-809. 8. Stratton R V, Wiebelt F J. A atlas
of removable partial denture
6. Campbell L D. Subjective design. Chicago: Quintessence,
reactions to major connector 1988:37.
designs for removable partial
dentures. J Prosthet Dent 1977;
37:507-16.
7. Wagner A G, Traweek F C.
Comparison of major connectors
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