Beruflich Dokumente
Kultur Dokumente
1
Contents
Introduction
Major connectors
Role of major connectors
Types of maxillary major connectors
Review of indications
Steps in Designing
Types of Mandibular major connectors
Review of indications
Steps in Designing
Recent advances
Conclusion
References
2
Introduction
Name of components descriptive of
function
Major
connectors
Denture Minor
base connector
Components
Indirect
Rests
retainer
Direct
retainer
3
Major connectors
A major connector joins the components of
the removable partial denture from one side of
the arch to the opposite side
4
Role of major connectors
Be rigid
Protect the associated soft tissue
Provide means for obtaining indirect
retention
Provide a means of placement of denture
base
Promote patient comfort
Self cleansing
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Rigidity : Protect soft tissue:
Mandibular connector
3mm from marginal gingiva
6
Provide means of Promote patient
indirect retention: comfort:
7
Major connector is based on the
principle of leverage
CROSS-ARCH STABILITY
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Major
connector
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Requirements of maxillary major
connectors
Borders 6mm from gingival margins
Anterior border should blend with the palatal
anatomy
The borders of the major connector should be
parallel to the gingival margin
Borders should cross the margins at right
angles
Palatal strap 8mm wide
The borders of the major connector
should be rounded to avoid discomfort
to the tongue
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Thickness of the plate should be uniform
Intaglio surface should not be highly
polished
The anterior border of the maxillary major
connector should end in the valley of the
rugae and should be designed never to
end at the crest of the rugae
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Types of Maxillary major
connectors
Palatal bar
6 types of Palatal strap
maxillary Antero-posterior palatal bar
major Horse-shoe shaped
connector Antero-posterior palatal
strap
s Complete palate
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Palatal bar
13
Narrow, half oval
Thickest point at the centre
Gentle curved and should not form an
angle
Indications
class III (short span)
application
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Advantage/Disadvantage
*Bulky causes
*Palatal bar has few discomfort to the
advantages and patient
should be avoided
*Narrow antero-
posterior width
*poor bony support
from palate
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Palatal strap
16
Most versatile
Band of metal with a thin cross-sectional
dimension
A-P dimension should not be less than
8mm
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Width should be increased with the length
of the edentulous span
Indication
Kennedys class II
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Advantage/Disadvantage
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Palatal Plate type major connector
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Advantages
-intimate contact over a large surface
area, providing good retention due to
the presence of interfacial surface
tension
-very natural feel due to thin metal
Disadvantages
-can cause papillary hyperplasia
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Antero-posterior palatal bar
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Posterior Palatal bar + anterior
palatal strap
2 bars joined by a flat longitudinal
element
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Advantage/Disadvantage
*Rigid *Uncomfortable
*Minimises soft tissue *Bulky
coverage *Derives little support
*Provides exceptional from bony tissue
resistance to *Contraindication
deformation reduced periodontal
support
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Indications
-anterior and posterior abutment teeth
are widely separated
-inoperable tori
-patients who want to avoid complete
coverage
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Horse shoe connector
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Consists of a thin band of metal
Lingual surface of remaining teeth to
palatal tissue 6-8 mm
Should be symmetrical equal height
on both sides
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Advantage/Disadvantage
28
Horse shoe major connector has a tendency to
Flex or deform. Hence it is not a good connector
When cross arch stabilization in required.
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Antero-posterior palatal strap
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Maximum usage
Each strap 8mm width, thin cross-
section
Borders 6mm from gingival margin
Posterior strap should not contact
soft palate
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Advantage/Disadvantage
32
Complete palate
33
Provides ultimate rigidity and support
Maximum tissue coverage
Must be kept 6mm away from
gingival margins
Mechanical seal presence of bead
line along posterior border
34
ADVANTAGES
All posterior teeth to be replaced
Remaining teeth are periodontally
compromised
Provides vertical support
Permits force distribution to the teeth as
well as the tissues
Comfortable
Coverage of multiple planes L beam
effect 35
DISADVANTAGES
Adverse soft tissue reaction may occur
soft tissue hyperplasia poor oral
hygiene and prolonged periods of
denture wearing
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Indications
Case Type of major connector
37
Design of maxillary major
connectors
:
Outline Outline Selection
Outline of
primary non of
connector Unificatio
stress bearing connector
areas n
bearing areas type
areas
38
Requirements of mandibular
major connectors
39
Contents
Introduction
Major connectors
Role of major connectors
Types of maxillary major connectors
Review of indications
Steps in Designing
Types of Mandibular major connectors
Review of indications
Steps in Designing
Recent advances
Conclusion
References
40
Types of mandibular major
connectors
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Lingual bar
42
Most frequently used
Cross-section half pear shaped
Broadest portion near the floor of the
mouth
8mm space between gingival margin
and floor of the mouth
Presence of mandibular tori
surgical removal
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44
Lingual plate
45
Half pear shaped this solid piece of
metal extending from superior border
to lingual surfaces of teeth
Lingual border as low as possible -
avoid interferences with functional
movements
Plate must completely close the
interproximal surfaces
46
Ledging occurs when metal
Superior border is knife-edged to
margins are thick or linear
and provides unnatural
avoid ledging contours
Open embrasures or widely spaced
teeth modification step back
Metal should cross
Step gingival
back modification
requires the superior border
margins
at right angles
of the plate to cover the
cingulum of the individual
To ensure rigiditytooth inferior border
should be made thicker
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48
Double lingual bar
49
Lingual bar + lingual plate
Upper and lower borders are similar
to lingual plate
No continuous metal sheet
Upper bar half oval cross-section
(2-3 mm height and 1mm thickness)
Two bars should be connected by
rigid minor connectors
50
Rests should be placed at each end
of the bar no further posterior than
1st premolar
51
52
Labial bar
53
Runs across mucosa on facial
surface
Half pear shaped
Longer than lingual bar
Height and thickness must be greater
Successful treatment very limited
54
SWING LOCK MODIFICATION
Labial component does not serve as
major connector
Hinge at one end and locking device on
the other
Permits RPD to reach inaccessible
undercuts
55
56
Indications
57
Design of mandibular major
connectors
58
59
Contents
Introduction
Major connectors
Role of major connectors
Types of maxillary major connectors
Review of indications
Steps in Designing
Types of Mandibular major connectors
Review of indications
Steps in Designing
Acrylic dentures
Recent advances
Conclusion
References
60
Acrylic dentures
66
67
RPD framework using PEEK
68
To conclude.
69
Bibliography
70
Thank
you!!
71