Influence of occlusal rest position and clasp design on movement of abu...

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http://www.thejpd.org/article/0022-3913(63)90204-X/pdf

Influence of occlusal rest position and clasp

design on movement of abutment teeth
Frank J. Kratochvil (Commander (DC) USN)*1
U. S. Nav al Dental School, National Nav al Medical Center, Bethesda, Md., USA
* Head, Remov able Partial Denture Div ision.
1 U. S. Nav al Dental School National Nav al Medical Center Bethesda 14, Md.

DOI: http://dx.doi.org/10.1016/0022-3913(63)90204-X
Article Inf o

Abstract
1. When treatment with a remov able partial denture is necessary, the
transition region f rom tooth to mucosa support must receiv e most caref ul
consideration.
2. An occlusal rest placed on the mesial or anterior part of the most distal
abutment tooth prov ides mucosa or sof t tissue support more
perpendicular to the residual alv eolar ridge than does one on the distal side
of that tooth.
3. The gingiv al mucosa adjacent to the most posterior tooth is less likely to
be pinched when the occlusal rest is placed on the mesial side of the
tooth.
4. The occlusal rest prov iding a mesial rotation point will tend to tip the
abutment tooth anteriorly where it will be reinf orced and assisted by other
teeth.
5. All extracoronal retainers alter the natural tooth contour and interf ere
with proper stimulation of the gingiv ae and natural cleaning action. The
inf rabulge I bar design alters natural tooth contour the least and allows f or
more natural gingiv al stimulation than any other ty pe of extracoronal
retainer. The area of contact of the clasp with the tooth is minimal.
6. The I bar retentiv e clasp, when placed at the point of greatest
circumf erence of the tooth and used in conjunction with a mesio-occlusal
rest or anterior rotation point, will exert no adv erse or torquing f orce on the
19-Mar-15 8:12 PM

Influence of occlusal rest position and clasp design on movement of abu...

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http://www.thejpd.org/article/0022-3913(63)90204-X/pdf

abutment tooth.
7. The region of the junction between the tooth and the edentulous area
exhibits pathosis most f requently. The tooth contact should be made with
a thin metal plate which extends onto the sof t tissue f or at least 1 mm.
This will increase cleanliness and prev ent mutilation of the denture base
which results in a space at the tooth-mucosa junction.
8. The metal-tooth contact at the distal gingiv al region must be
phy siologically adjusted in the patient's mouth to prev ent tooth and tissue
impingement.

19-Mar-15 8:12 PM