Thursday, October 13, 2022

 onto the palate

to entirely cover the rugae region.

• Borders of the connectors should be either 6 mm from the gingival

margin or extend onto the lingual surface of the teeth.

• All borders should be curved and well rounded.

FIGURE 16-4 Horseshoe-shaped or U-shaped major

connector.

Indications

• In case of class IV situations

• In cases on inoperable tori extending onto the soft palate

• In cases of hard median suture

Advantages

• These can derive little vertical support.

• In patients with large overbite, this connector can be suitable to

support the replacement teeth even in thin sections.

Disadvantages

• The connector has a tendency to spread apart when vertical force is

applied.

• These are not used in distal extension cases.

• The patient may complain about speech problems.

Closed horseshoe or anteroposterior palatal strap (fig. 16-5)

• It is rigid and has adequate strength.

• It can be used in most of the partial denture situations.

• It is mostly used when there are large maxillary tori with more

number of teeth missing.

• Border of the connector is kept 6 mm from the free gingival margin.

• It should be ensured that the borders are made smooth and

polished.

FIGURE 16-5 Closed horseshoe-shaped major connector.

Advantages

• It is rigid and derives good vertical support from bony palate.

• It resists torquing and bending stresses better, as it provides L-beam

ef ect.

Disadvantages

• Interference with speech

• Patient’s discomfort

Complete palate (fig. 16-6)

• This provides excellent support, rigidity and retention.

• The anterior border is kept 6 mm away from the gingival margin or

should cover the cingula of all anterior teeth.

• There are three designs for this type of connector, which are as

follows:

(i) All acrylic resins: Connectors are made entirely

of acrylic.

(ii) Combination of cast metal and acrylic resin:

Anterior portion of the denture is made up of

metal and the posterior portion of the denture is

constructed of acrylic resin.

(iii) All cast metal: Entire palate is covered with

thin metal casting.

FIGURE 16-6 Complete palate.

Indications

• In class I and class II situations

• In cases of missing anterior as well as bilateral edentulous spaces

• In cases of poor ridge support or flabby tissues

• Long edentulous span

• When opposing all mandibular teeth are present

• Cleft palate cases with a high-arched palate

Advantages

• Excellent rigidity and support

• In cases of metal base, better perception of temperature changes

Disadvantages

• Speech interference

• Chances of papillary hyperplasia

Mandibular major connectors

Mandibular major connectors are one of the essential components of

mandibular partial denture. Unlike the maxillary major connectors,

mandibular connectors have limitation of space due to height of the

floor of the mouth, vestibular depth, location of the lingual frenum or

presence of tori.

Desirable features of mandibular major connectors

• Rigidity of the major connector is the most important requirement.

• Relief is routinely required between the mandibular major

connectors and the mucosa.

• Amount of relief required is determined by the type of RPD and the

lingual slope of the residual ridge.

• Minimum relief is given in tooth-supported partial denture,

whereas considerable relief is given in distal extension cases.

• If the lingual slope of residual ridge is almost vertical, minimum

relief is provided and if it slopes towards the tongue horizontally,

greater relief is required.

• In mandibular major connectors, beading is never given.

Mandibular major connectors

There are commonly five types of mandibular major connectors,

which are as follows:

(i) Lingual bar

(ii) Sublingual bar

(iii) Lingual plate

(iv) Kennedy’s bar or double lingual bar or continuous bar

(v) Labial bar

Lingual bar (fig. 16-7)

• This is the most commonly used mandibular major connector.

• It is half pear-shaped in cross-section with the bulkiest portion placed

at the inferior border of the bar whereas the superior border is

tapered to the soft tissues.

• Thickness of the bar is 6 gauge half pear-shaped wax or plastic

pattern to ensure adequate rigidity.

• A minimum of 8 mm vertical space (space between the gingival

margin of the tooth and the active tissues of the floor of the mouth)

is required for the fabrication of lingual bar.

• The minimum thickness of lingual bar is 5 mm and the remaining 3

mm of space is essential to be left between the gingival margin and

superior border of the bar.

• Active vertical space is best determined using a periodontal probe

when the patient is asked to protrude the tongue and make

functional movements.

• Lingual bar should be fabricated as inferior as the patient can

tolerate, as this increases the amount of space available for the

lingual bar.

FIGURE 16-7 Lingual bar.

Indication

• For all partial denture designs, if adequate vertical space is

available.

Advantages

• As there is no contact with the teeth, no decalcification of tooth

surface takes place.

• It is the simplest design with ease of fabrication.

• It results in minimal tissue contact.

Disadvantages

• It is not used in cases with mandibular tori.

• It cannot be used where the vestibular depth is less.

• Insufficient available space can result in fabrication of flexible

lingual bar.

Sublingual bar

• It is a modification of the lingual bar, as it is located more inferiorly

and is horizontally placed over the anterior floor of the mouth.

• Specialized impression is needed to record the depth and width of

the sulcus.

Indications

• It can be used along with lingual plate in the presence of anterior

lingual undercut.

• In cases where the lingual sulcus is shallow or the available vertical

space is less than 6 mm.

Contraindications

• In case of tori

• High lingual frenum

• Severe lingual tilt of remaining anterior teeth

• Decreased active vertical space

Lingual plate (fig. 16-8)

• It has same basic design as the pear-shaped lingual bar with an

added feature of thin metal plate extending onto the lingual surface

of the anterior teeth.

• Adequate relief is provided for soft tissue and bony undercuts.

• Also, the free gingival margin and the sulcus area should be

adequately relieved.

• Lingual plate has a scalloped design with the metal margin covering

the entire embrasure space extending up to the contact area.

• Chrome metal is the most preferred material for this type of

connector, as it can be used in thin sections.

• In cases of diastema between anterior teeth, cut backs or step back is

given in the design so as to hide the metal covering the cingula.

FIGURE 16-8 Lingual plate.

Indications

• In class I situation when there is excessive resorption of the residual

ridges

• When remaining teeth are periodontally compromised and require

splinting

• When there is insufficient space for the lingual bar

• Presence of mandibular tori

• When additional indirect retention is required

• Future replacement of one or more anterior teeth

Advantages

• This is the most rigid mandibular major connector.

• It provides maximum support and stabilization.

• It helps in stabilizing periodontally compromised dentition.

• It prevents overeruption of mandibular anterior teeth.

• It has a better patient acceptability.

Disadvantage

Chances of decalcification of tooth surface due to extensive coverage

of the teeth and soft tissues are there.

Double lingual bar or Kennedy’s Bar or ccontinuous Bar (fig. 16-

9)

• It differs from the lingual plate in that there is no metal extension

below the superior margin of the plate and the lingual bar, thereby

exposing the lingual surface of the teeth and the interproximal soft

tissues.

• It consists of a pear-shaped lingual bar attached to the thin metal bar

which is half oval in cross-section and is 2–3 mm high and 1 mm

thick at the greatest diameter.

• In case of diastema between anterior teeth, step back design is given

so as to avoid metal visibility.

• It is supported by rests on the either side of the connector on the

primary abutments.

FIGURE 16-9 Double lingual bar.

Indications

• When there are large interproximal embrasure spaces

• When some degree of indirect retention is required

Advantages

• It provides horizontal stabilization of the prosthesis.

• It provides indirect retention.

• It provides natural stimulation to the gingival tissues, as it is not

covered with metal.

Disadvantages

• Patient’s discomfort

• Chances of food lodgement

• Difficulty in accurate insertion of the prosthesis

Labial bar

• This is the only major connector which is located labially to the

mandibular anteriors.

• Its half pear-shaped design is similar to that of the lingual bar.

• Because of the arc, the labial bar is greater in length than the lingual

bar.

Indications

• When there is excessive lingual inclination of the mandibular

anterior teeth

• Presence of large mandibular tori

• Presence of severe lingual tissue undercut

Disadvantages

• It is uncomfortable to the patient.

• Bulk of the labial bar distorts the lower lip.

• It results in poor aesthetics.

Swing-lock partial denture.

Swing-lock partial denture was first described by Dr Joe J. Simmons in

1963. It consists of a hinged buccal or labial bar which can permit open

and close movements (Fig. 16-10).

• It has a small vertical projection arm that contacts the labial and

buccal surfaces of the teeth gingival to the height of contour.

• Labial bar can also be attached to acrylic resin components in those

cases where there is extensive loss of gingival tissues.

FIGURE 16-10 Swing-lock design.

Advantages

• All the remaining teeth are used for retention and stabilization of

the prosthesis.

• It is relatively inexpensive treatment.

Disadvantages

• It has questionable aesthetics.

• It puts excessive pressure on the distal most abutment teeth.

Indications

• In cases where remaining teeth are less in number and are mobile.

• In cases where teeth are lingually inclined.

• It provides retention and stabilization in cases where large number

of teeth and alveolar ridge are lost due to trauma.

Selection of the metal

• Chrome is the material of choice for fabricating metallic framework

of the swing-lock partial denture framework, as it provides

adequate rigidity and strength.

• Gold and gold alloys are not preferred, as they show considerable

wear of parts in short time.

Minor connectors

Minor connectors are one of the components of the RPD, which are

connected to the major connector.

They are defined as ‘the connecting link between the major connector or

base of a removable dental prosthesis and the other units of the prosthesis,

such as the clasp assembly, indirect retainers, occlusal rests, or cingulum

rests’. (GPT 8th Ed)

Purpose of minor connectors

• These connect the major connector with other parts of the denture

such as clasps, rest and indirect retainers.

• These transfer stresses to other components of the prosthesis.

• These transfer stress from the prosthesis to the abutment teeth and

the edentulous ridge.

Design consideration

• Minor connector should be rigid so that it can withstand functional

stresses.

• It should be positioned in the embrasure areas between two teeth.

• It should be thickest lingually and should taper towards the contact

area.

• There should be 5 mm (minimum) space between the two vertical

minor connectors.

• These should contact the guiding planes of the abutment tooth or

teeth to facilitate its path of placement.

• These should provide enough space for teeth arrangement.

Types of minor connectors

There are four types of minor connectors:

(i) Connector which connects the direct retainers (clasp assembly) to

the major connectors

(ii) Connector which connects the indirect retainers to the major

connectors

(iii) Connector which joins the denture base to the major connector

(iv) Connector which acts as an approach arm in bar-type clasp

Minor connector which connects the direct retainers to the major

connectors

• Design should be rigid and have adequate bulk to withstand

functional stresses.

• Minor connector should lie interproximally.

• It should be broad buccolingually and thin mesiodistally to help in

arranging teeth in proper position.

• Minor connector is never placed on the convex lingual surface of the

tooth.

Minor connector which connects the indirect retainers to the

major connectors

• It should connect at right angle but the junction should be rounded.

• It should be designed in such a way that it lies in the embrasure

between the teeth so as to disguise the bulk.

Minor connector which joins the denture base to the major

connector

These are of three types.

Lattice type (fig. 16-11)

• This type consists of two metal struts 12–16 gauge in thickness,

which extend longitudinally over the edentulous ridge.

• In the lower arch, one strut is placed buccally to the crest of the

ridge, whereas the other is placed lingual to it.

• In the upper arch, one strut is placed buccally to the crest, while the

other forms the border of the major connector.

• Smaller struts of 16-gauge thickness are placed in between the struts

and form a lattice-type design.

• One cross strut is placed for each tooth to be replaced.

• This type of design is used when multiple teeth are replaced.

• It provides the strongest retention of acrylic denture base to

removable denture.

• It is easy to reline the denture base in case of ridge resorption.

• Tissue stop is required in distal extension cases.

FIGURE 16-11 Lattice type minor connector.

Mesh type

• It consists of a thin metal sheet with multiple holes.

• It can be used in cases of multiple missing teeth.

• It is difficult to pack acrylic resin, as excessive pressure is required

to flow the resin dough through the holes.

• It does not provide as strong attachment to the denture base as the

lattice-type design.

• Tissue stop is required in distal extension cases.

Nail head or bead shaped

• This type of design is used with metal denture base which directly

contacts the edentulous ridge.

• Projections on the metal denture base in the form of metal nail head

or beads are provided for direct attachment of acrylic resin and the

artificial tooth.

• It should be used on well-rounded and healed ridges.

• It is indicated in tooth-supported class III cases.

• Hygienic design and better soft tissue response are its advantages.

• Its disadvantage is that the resin attachment is weakest of all the

designs.

• Relining of the metal base is not possible.

Minor connector which acts as approach arm in bar clasp design

• This is the only minor connector which is not rigid.

• It should taper from origin to terminus.

• It should not cross the tissue undercut.

Internal and external finish lines in

relation to minor connectors

Finish lines are essential in the type of minor connectors which join

the denture base to the major connectors. It is a definite line on the

cast framework where acrylic resin blends evenly with the major

connectors. Often a butt joint is given so that adequate space is

provided for acrylic resin. Also, it reduces the amount of stress at the

junction of metal and acrylic resin. Two types of finish lines are seen

in the cast framework, namely, internal and external finish lines.

Internal finish line

• It is formed by relief wax given over the ridge area of the master

cast before duplication of the cast.

• This relief wax is 24–26 gauge thick and provides sufficient space for

acrylic resin to flow below the lattice-type or mesh-type minor

connector.

• Margins of the relief wax become the internal finish line which is

sharp and well defined.

External finish line

• This type of finish line is produced during the wax-up procedure

(Fig. 16-12).

• It is sharp and well defined and forms an acute angle to produce

slight undercut.

• This undercut is important to retain acrylic resin sufficiently

adjacent to the major connector.

FIGURE 16-12 External finish line in cast framework.

Rests and rest seat

Rests are components of partial denture which transfer the forces

along the long axis of the abutment teeth and thus provide support.

They fit into the prepared tooth surface or restoration called the rest

seat.

Definition

Rest is defined as ‘a rigid extension of a fixed or removable dental

prosthesis that prevents movement towards the mucosa and transmits

functional forces to the teeth or dental implant’. (GPT 8th Ed)

Rest seat is defined as ‘the prepared recess in a tooth or restoration

created to receive the occlusal, incisal, cingulum, or lingual rest’. (GPT 8th

Ed)

Functions of rests

• These provide support.

• These act as a vertical stop and prevent injury to the soft tissues.

• These direct the functional forces along the long axis of the tooth.

• These help to maintain the components of the partial denture in the

planned positions.

• Secondary or auxiliary rests serve as indirect retainer for distal

extension cases.

• These can provide reciprocation to the retentive clasp of the direct

retainers.

Rests can be of two types:

(i) Primary rests

(ii) Secondary rests

Primary rests

• This is the part of the clasp assembly through which the fulcrum

line passes.

• Primary rests fulfil most of the above-mentioned functions.

Secondary rests

• These are also called auxiliary rests.

• These additional rests can provide indirect retention in distal

extension cases.

• These are placed as far anterior or posterior as possible to the

fulcrum line in order to prevent rotation of the prosthesis.

• For best mechanical advantage, the primary rest is located next to the

edentulous ridge and the secondary rest is located as far away from

the edentulous ridge as possible.

Types of rests used in partial dentures

Rests can be classified as follows:

(i) On the basis of location on the abutment (Fig. 16-13)

• Occlusal rest: Located on occlusal surface of the

posterior teeth

• Cingulum or lingual rest: Located on the lingual area

of usually maxillary canine

• Incisal rest: Located on the incisal edge of the teeth

(ii) On the basis of its relation to the direct retainer

• Primary rest

• Secondary rest

FIGURE 16-13 Diagram showing three forms of rests: (A)

occlusal rest; (B) canine rest; (C) incisal rest.

Occlusal rest

• This is located on the occlusal surface of the posterior teeth.

• Outline form of the rest is triangular with base of the triangle

towards the marginal ridge and rounded apex towards the centre.

• Size of occlusal rest is one-half of the buccolingual width measured

from cusp tip-to-cusp tip and one-third to one-half the mesiodistal

width.

• Floor of the occlusal rest should be directed towards the centre of

the tooth and should form an acute angle to effectively transmit the

forces vertically downwards.

• If the angle is more than 90°, the forces are not transmitted vertically

but are subjected to inclined plane effect.

• This effect tends to slide the prosthesis away from the abutment

tooth and thus compromising the retention and stability of the

prosthesis.

• The marginal ridge should be sufficiently reduced to avoid breakage

of the rest on function.

• The rest should be at least 1.0–1.5 mm thick at the marginal ridge

region and at least 0.5 mm thick at the thinnest point.

Cingulum or lingual rest

• It is usually placed on the maxillary canines.

• It is not preferred on the mandibular canine, as the thickness of

enamel is not adequate and has steeper lingual slope.

• It is always preferred to the incisal rest, as it is closer to the centre of

rotation and the proper cingulum rest directs the forces along the

long axis of the tooth.

• Rest seat of the cingulum rest is an inverted V-shape and the apex is

located incisally.

• All the line angles should be rounded and the cingulum rest is placed

on sound enamel.

• The outline form is crescent or half moon shaped.

• Occlusal rest is preferred to the cingulum rest, as it has better

mechanical advantages.

• Quasicingulum rest is given on the mandibular first bicuspid which

has rudimentary lingual cusp.

Incisal rest

• It is usually placed on the mandibular canines.

• Incisal rest is not preferred to the incisors, as this may tend to tip the

incisor teeth.

• It is a V-shaped notch located 1.5–2.0 mm from the proximoincisal

angle of the tooth with its deepest part located towards the centre.

• It is placed on the incisor teeth to provide stabilization and splinting

of teeth.

• The incisal rest is placed on the distoincisal angle on the lingual

surface because of aesthetic reasons.

Direct retainers and intracoronal

retainers

Definition

Direct retainer is defined as ‘that component of a partial removable dental

prosthesis used to retain and prevent dislodgement consisting of a clasp

assembly or precision attachment’. (GPT 8th Ed)

Direct retainers can be classified as follows:

(i) Extracoronal retainers: Retentive clasp assembly or external

attachments

(ii) Intracoronal retainers: Internal or precision attachment

Intracoronal retainers

• The principle of internal attachment was first given by Dr Herman

E. Chayes in 1906.

• The retainer consists of male and female components (key and

keyway) which are either custom made or prefabricated (Fig. 16-14).

• Female part acts as a receptacle and is located within the crown and

the male component is attached to the RPD.

• Retention is achieved by wedging or binding action of the prosthesis

against the vertical dislodging forces.

FIGURE 16-14 Diagram showing intracoronal retainer.

Advantages

• Aesthetically superior to the extracoronal attachments, as visible

clasp arm is eliminated

• Provides horizontal stabilization

Disadvantages

• Prone to wearing of the component parts

• Difficult to repair

• Costly and requires precision in fabrication

• Complicated laboratory procedure

Contraindications

• Young patients with large pulp horns

• Short clinical crowns

Clasp assembly

Definition

Clasp assembly is defined as ‘the part of a removable dental prosthesis that

acts as a direct retainer and/or stabilizer for a prosthesis by partially

encompassing or contacting an abutment tooth-usage: Components of the

clasp assembly include the clasp, the reciprocal clasp, the cingulum, incisal or

occlusal rest, and the minor connector clasp’. (GPT 8th Ed)

Parts of the clasp assembly (Fig. 16-15):

• Rest: It provides vertical support.

• Body: It connects rest and shoulder of clasp to minor connectors.

• Shoulder: It connects body to clasp terminal.

• Reciprocal arm: It must be rigid and should lie above the height of

contour.

• Retentive arm: It consists of shoulder and retentive terminal; it lies

above the height of contour.

• Retentive terminal: It lies below the height of contour and provides

retention.

• Minor connector: It connects body of the clasp to other parts of the

prosthesis.

• Approach arm: It is a component of the bar clasp; it is the only minor

connector which can be flexible.

FIGURE 16-15 Diagram showing parts of clasp assembly.

Requirements of the clasp assembly

The clasp assembly should satisfy the following requirements:

Retention: Retentive terminal of the retentive arm is flexible and lies in

the undercut region and provides retention to the prosthesis.

• The amount of retention depends on the flexibility

of clasp arm, depth of the undercut and the length

of the clasp arm below the height of contour.

• Retentive undercut for cast chrome metal is 0.010 inch,

for wrought metal it is 0.020 inch and for cast gold it is

0.015 inch.

• Clasp flexibility depends on length, diameter, taper,

cross-sectional diameter and the material.

• Clasp flexibility is directly proportional to the cube of

the length of the clasp.

• It is inversely proportional to the diameter of the

clasp.

• Round clasp has greater flexibility, as it can flex in

all the spatial planes in comparison to the halfround clasp which can flex only in single plane.

Stability: All components of the clasp, except the retentive terminal,

provide stability to the prosthesis.

• Circumferential clasp provides the maximum

stability because of its rigid shoulder.

Support: Rests (occlusal, cingulum or incisal) provide the vertical

support to the prosthesis.

Reciprocation: It is provided by the reciprocal arm which is positioned

opposite to the retentive arm.

• The reciprocal arm should be rigid and should

always lie above the height of contour.

• It should touch before the retentive arm touches

during prosthesis placement.

• It stabilizes the denture against the horizontal

movement.

Encirclement: Each clasp should encircle more than 180° of the

abutment tooth.

• Continuous encirclement, as in the case of

circumferential clasp.

• Discontinuous or broken encirclement, as in the

case of bar clasp which must have at least threepoint contact on the tooth surface.

Passivity: Clasp should be passive when seated completely.

• It should not exert any pressure onto the tooth

unless dislodging force is applied during removal

or function.

Circumferential clasp

Definition

Circumferential clasp or Akers’ clasp is defined as ‘a retainer that

encircles a tooth by more than 180°, including opposite angles, and which

generally contacts the tooth throughout the extent of the clasp, with at least

one terminal located in an undercut area’. (GPT 8th Ed)

Indication

It is indicated in tooth-supported RPDs (class III and class IV).

Advantages

• It is easy to fabricate and design.

• It is easy to repair.

• It has less chances of food lodgement.

• It provides excellent support, bracing and reciprocation.

Disadvantages

• It covers a large surface of the abutment tooth, and there are more

chances of decalcification of tooth structure.

• It can change the morphology of the abutment tooth.

• It is difficult to adjust with pliers because of its half-round

configuration.

Design features

• It always originates above the height of contour.

• The retentive arm should extent cervically and circumferentially in a

gentle curve.

• The retentive terminus should pass over the height of contour and

enter the infrabulge portion of the abutment to engage in the desired

undercut (Fig. 16-16).

• Reciprocal arm should be located on the opposite surface of the tooth

and should be located above the height of contour.

• Retentive terminus should always be directed towards the occlusal

surface and never towards the gingiva.

• Retentive arm should be directed as apically as possible on the

abutment tooth.

• It should terminate at the mesial line angle or distal line angle and

never at the midfacial or midlingual surfaces.

• The retentive clasp should be kept as low on the tooth as possible

because in this position, it provides better mechanical advantage

and also better aesthetics.

Types of circumferential clasp:

(i) Simple circlet clasp

(ii) Reverse circlet clasp

(iii) Multiple circlet clasp

(iv) Embrasure clasp or modified crib clasp

(v) Ring clasp

(vi) Fishhook or hairpin clasp

(vii) Onlay clasp

(viii) Combination clasp

(ix) Half and half clasp

(x) Back action clasp

FIGURE 16-16 Design features of circumferential clasp.

Types of circumferential clasp

Types of circumferential clasp are described in the following

headings.

Simple circlet clasp

• It is the most simple and versatile clasp design.

• It is mostly indicated for tooth-supported partial dentures.

• The clasp approaches the undercut from the edentulous area.

• The retentive undercut is located away from the edentulous area

(Fig. 16-17).

FIGURE 16-17 Simple circlet clasp.

Advantages

• It provides satisfactory support, stabilization, reciprocation,

encirclement and passivity.

• It is easy to fabricate.

• It is easy to repair.

Disadvantages

• It cannot be used in the anterior region owing to aesthetic reasons.

• It cannot be used in distal extension cases.

• It covers greater surface area of the tooth.

• It can be adjusted only buccolingually and not occlusogingivally.

Reverse circlet clasp

• It is also called reverse approach circlet clasp.

• The retentive undercut is located next to the edentulous area, i.e. the

distal undercut.

• Mesio-occlusal rest is provided and retentive terminal terminates in

the distal undercut.

• It is used in distal extension cases where the bar clasp is

contraindicated.

• Bar clasp is contraindicated when there is soft tissue undercut due to

buccoversion of the abutment tooth or when there is an undercut

area in the edentulous ridge.

Advantages

• It resists the torsional forces better.

• It can be used in distal extension cases where bar clasp is

contraindicated.

• It provides better retention and stability because of location of the

undercut.

Disadvantages

• In cases where the occlusal clearance is not sufficient, the thickness

of the clasp is reduced and this may compromise the strength of the

clasp. An additional occlusal rest is needed next to the edentulous

area in order to protect the marginal ridges of the abutment tooth

and prevent food lodgement between the tooth and the denture.

• As the clasp runs from the mesial to the distal surface, it gives poor

aesthetics and is not used in premolars.

• Wedging may occur between the abutment and the adjacent tooth, if

the occlusal rests are not prepared properly.

Multiple circlet clasp (fig. 16-18)

• This is a combination of two simple circlet clasps joined at the

terminal ends of the reciprocal arms.

• It is primarily used to share retention between multiple teeth.

• It is indicated when the primary abutment has compromised

periodontal support.

• Mode of splinting periodontally compromised teeth by RPD.

• Its disadvantages are similar to the simple circlet and reverse circlet

clasps.

FIGURE 16-18 Multiple circlet clasp.

Embrasure clasp

• It is also called modified crib clasp.

• It consists of two simple circlet clasps joined at the body (Fig. 16-19).

• It is mostly used on the side of the arch where there is no edentulous

space.

• This type of clasp crosses the marginal ridges of two teeth and

engages the undercut on the opposing line angles on both the teeth.

• Adequate tooth structure is removed from the buccal inclines of

both the teeth to provide adequate space for metal thickness of the

clasp.

• It is indicated in unmodified Kennedy class II and class III cases.

• It has two retentive arms and two reciprocal arms either bilaterally

or diagonally opposite.

• It may be possible to close a small edentulous space by a modified

embrasure clasp called the pontic clasp.

FIGURE 16-19 Embrasure clasp.

Disadvantages

• Frequent fracture of clasp may occur because of insufficient metal

thickness.

• Two occlusal rests are necessary; otherwise, there will be tendency

for food lodgement or even separation of the teeth.

Ring clasp

• This type of clasp encircles nearly all the tooth surface from its point

of origin (Fig. 16-20).

• It is indicated on the tilted molars (maxillary molars tilt

mesiobuccally and mandibular molars tilt mesiolingually).

• The ring clasp is used when the proximal undercut cannot be

approached by other means.

• It engages the proximal undercut by encircling the entire tooth from

point of origin. Like in tilted mandibular molars, it approaches from

the mesiobuccal surface and terminates in the infrabulge region of

the mesiolingual surface. Reverse is seen in cases of tilted maxillary

molars.

• Because of its greater length, the clasp requires an additional

support in the form of additional bracing arm (minor connector)

and auxiliary rest.

FIGURE 16-20 Ring clasp with auxiliary bracing arm for

reinforcement.

Contraindications

• When buccinator muscle attachment is close to the lower molar

• In cases of soft tissue undercut which must be crossed by the

bracing arm

Disadvantages

• Large surface area of tooth is covered.

• It is difficult to adjust and repair.

• Contour of the crown is drastically altered.

Fishhook or ‘C’ or Hairpin clasp

This type of ‘C’ clasp is a form of simple circlet clasp which after

crossing the tooth surface loops back into the retentive undercut

below the point of its origin (Fig. 16-21).

• Upper part of the clasp is rigid and the lower part is flexible.

• This clasp design is used on the tooth with sufficient clinical crown

height.

FIGURE 16-21 Hairpin or fishhook clasp.

Indications

• Retentive undercut is located next to the edentulous area or adjacent

to the occlusal rest.

• In cases where bar clasp cannot be used because of soft tissue

undercut.

• In cases where reverse circlet clasp cannot be used because of

insufficient occlusal clearance.

Disadvantages

• Large surface area of tooth is covered.

• It is prone to food lodgement.

• It results in poor aesthetics.

Onlay clasp

• It is an extended occlusal rest with buccal and lingual clasp arms.

• Indicated where the occlusal surface of one or more teeth is below

occlusal plane and is restored with an onlay.

• Onlay clasps are indicated in caries-resistant mouth.

• It covers a large surface area of tooth and may lead to enamel

breakdown.

• If the onlay is made of cobalt–chrome alloy, the opposing occlusion

should be fabricated with acrylic resin or gold crown.

Combination clasp

• It consists of flexible retentive arm made of wrought wire and cast

reciprocal arm.

• A cast circumferential clasp should not be used to engage the

mesiobuccal undercut adjacent to the distal edentulous space

because it tends to produce damaging torsional forces on the

abutment tooth.

• In such cases, the retentive arm is made of wrought wire which

provides greater flexibility.

Advantages

• It can be placed in deeper undercuts.

• It has higher flexibility, as it can flex in all the planes.

• It has a thin line contact rather than surface contact and is, therefore,

less caries prone.

Disadvantages

• It requires additional steps in laboratory procedure.

• It has a tendency to break or distort.

• It has poor stability or bracing property.

Half and half clasp

• It consists of retentive arm originating from one direction and the

reciprocal arm originating from the other (Fig. 16-22).

• The retentive arm is joined to the occlusal rest by a minor connector

on one side and the reciprocal arm is joined by another minor

connector on the other side.

• In order to avoid large coverage of tooth surface, the reciprocal arm

can be made in the form of short bar or auxiliary occlusal rest.

• Thus, clasp design provides dual retention and is indicated in

unilateral partial denture designs.

FIGURE 16-22 Half and half clasp.

Back action clasp

• It is a modification of ring clasp.

• In this design, the occlusal rest is left unsupported and the minor

connector is given at the end of the clasp arm.

• Its greatest disadvantage is that the occlusal rest is left unsupported

and thus this design cannot provide adequate support to the

prosthesis.

Gingivally approaching clasp

Definition

Gingivally approaching clasp or bar clasp is defined as ‘a clasp retainer

whose body extends from a major connector or denture base, passing adjacent

to the soft tissues and approaching the tooth from a gingivo-occlusal

direction’. (GPT 8th Ed)

Bar clasp is also called vertical projection clasp, infrabulge clasp

and roach clasp.

Design features

• It approaches the undercut or retentive area from the gingival

direction (Fig. 16-23).

• ‘Push’ type of retention is seen here, whereas ‘pull’ type of retention is

provided by the circumferential clasp.

• Push type of retention is more effective than the pull type of

retention.

• It has a flexible minor connector called the approach arm.

• It provides limited bracing action because of limited three-point

contact.

• The approach arm should cross the free gingival margin at 90° and

should not impinge the soft tissues and should uniformly taper

from the origin to the clasp terminus.

• The bar clasp should be placed as low on the tooth surface as

possible.

• This type of clasp is used when the retentive undercut is adjacent to

the edentulous area.

FIGURE 16-23 Gingivally approaching clasp.

Advantages

• Push-type retention is more effective than pull-type retention of the

circumferential clasp.

• This type of clasp is easier for the patient to insert but difficult to

remove.

• It is aesthetically superior to circumferential clasp, as it approaches

from the gingival area.

• It is less prone to caries, as it has limited three-point contact on the

tooth surface.

Disadvantages

• It has a tendency of food lodgement.

• It provides less bracing action and stability due to increased

flexibility of the retentive arm.

• Additional stabilizing units are needed.

• It cannot be used when there is a shallow vestibule.

• It cannot be used in cases of excessive buccal or lingual tilt of the

abutment tooth.

Indications

• In case of small undercut (0.01 inch) which exists in the cervical

third of the abutment tooth and is approached from the gingival

direction

• In tooth-supported partial dentures or modification areas

• In distal extension cases where use of cast circumferential clasp is

contraindicated due to aesthetic reasons

Contraindications

• In cases of deep cervical undercut or soft tissue undercut which

require excessive block out

• If the retentive undercut lies away from the edentulous space in the

distal abutment tooth

Types of bar clasps

(i) ‘T’ clasp

(ii) Modified ‘T’ clasp

(iii) ‘Y’ clasp

(iv) ‘I’ clasp

‘T’ clasp

• It is mostly used in combination of cast circumferential reciprocal

arm.

• It is usually used in distal extension cases where retentive undercut

is present towards the edentulous ridge (distobuccal undercut) (Fig.

16-24).

• The nonretentive arm of the ‘T’ clasp lies above the height of

contour and the retentive arm lies into the retentive undercut. But

both the arms should point towards the occlusal surface.

• It should not be used in cases where the undercut is located away

from the edentulous area.

• It can be used in tooth-supported partial denture cases with natural

undercuts. As natural undercuts are used without creating new

ones, it is referred to as the clasping for convenience.

• This type of clasp should not be used where the soft tissue

undercuts are present.

• Also, ‘T’ clasp should not be used, if the retentive undercut is

located close to the occlusal surface. This will encourage food

lodgement and will be unaesthetic in appearance.

FIGURE 16-24 ‘T’ clasp.

Modified ‘T’ clasp

• It is similar to the ‘T’ clasp, except the removal of nonretentive arm.

• It is mostly used on canine and premolar for aesthetic reasons.

• It normally does not provide the 180° encirclement of the abutment

tooth.

‘Y’ clasp

• This type of clasp design is similar to the ‘T’ clasp.

• It is indicated when the survey line is high in the mesial and distal

line angles but low in the middle of the facial surface.

‘I’ clasp

• It is mostly used on the distobuccal surface of the upper canines

because of aesthetic needs.

• As only the tip of the retentive clasp contacts 2–3 mm of the area,

the horizontal stability and encirclement is diminished.

‘I’ bar

• It is a modified I type bar clasp which was first introduced by F.J.

Kratochvil in 1963.

• It consists of ‘I’ bar retainer, long guide plane and the mesial rest.

• Rest should be of sufficient bulk to provide maximum vertical

support.

• In distal extension cases, rests are placed on the mesial aspect of the

abutment tooth because tipping forces are directed mesially and the

prosthesis moves into firm contact with support of anterior teeth.

• Also, anterior placement of the rest helps in verticalizing the force

on the supporting mucosa.

• The long guide plane (proximal plate) provides horizontal stability

and reciprocation and helps in distributing the functional forces

throughout the arch.

• Proximal plate helps in distributing the forces throughout the arch

and helps in improving the retention of the prosthesis.

• The ‘I’ bar retainer should engage the undercut passively and help

in resisting vertical displacement.

• However, this type of clasp design provides less horizontal stability

and retention than other retentive elements.

• As the tooth contour is not altered, chances of food lodgement are

minimized.

RPI and RPA concept

RPI concept

• RPI concept is the modification of ‘I’ bar retainer system proposed

by F.J. Kratochvil.

• It was first developed by A.J. Kroll in 1973.

• This design concept was based on the principle of minimizing stress

by minimal tooth and gingival coverage.

• It consists of mesial rest, proximal plate and ‘I’ bar (Fig. 16-25).

• The mesial rest extends only into the triangular fossa even in the

molar preparation.

• In the canine region, it is confined to the mesial marginal ridge in

the form of concave circular depressions and not to the entire

marginal ridge.

• The guide plane is prepared about 2–3 mm high occlusogingivally

and the proximal plate contact only 1 mm of the guide plane in the

gingival area.

• The reduction of the proximal plate is believed to improve the

gingival health.

• ‘I’ bar is designed as pod shaped to allow more tooth coverage.

• It is placed more towards the mesial embrasure space so as to

improve the reciprocation.

• Functional forces on the distal extension base tend to disengage the

retentive tip into the mesial embrasure space.

• It is also called the self-releasing clasp.

FIGURE 16-25 RPI concept (mesial rest, proximal plate and I

bar).

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