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15 Connectors in FPD
15 Connectors in FPD
PARTIAL DENTURES
CONNECTORS IN FIXED PARTIAL
DENTURES
CONTENTS
INTRODUCTION
DIMENSIONS OF CONNECTOR
TYPES OF CONNECTORS
1. RIGID CONNECTORS
i) Cast connectors
ii) Soldered connectors
- Solder, flux, antiflux
- Heat source for soldering
- Pre and post ceramic soldering
iii) Loop connectors
2. NON-RIGID CONNECTORS
i) Tenon-mortise connector
ii) Split pontic connector
iii) Cross-pin and wing connector
LITRATURE REVIEW
SUMMARY
REFERENCES
INTRODUCTION
MAXILLARY MAXILLARY
ANTERIORS POSTERIORS
MANDIBULAR
POSTERIORS
CONNECTORS
INDICATION
Rigid connectors do not allow any movement and are indicated
when the entire masticatory load is to be transferred onto the
abutments.
CONTRAINDICATION
• Long span fixed dental prosthesis.
• Tilted abutments.
Advantage :
• Cast connectors are convenient and minimize the number of
steps involved in the laboratory fabrication.
Disadvantage :
• Extremely small gap width can prevent proper solder flow and
lead to an incomplete or weak joint.
Requirements of a solder:
ARMAMENTARIUM:
1. SOLDER
2. FLUX
3. ANTIFLUX
4. HEAT SOURCE
Gold-based solders -
• Mainly composed of Au–Ag–Cu to which zinc, tin and indium
have been added to control melting temperature and flow.
Silver-based solders -
• Composed mainly of Ag–Cu–Zn to which small amounts of tin
have been added. They can be used for base metal alloys.
FLUX
Any substance applied to surfaces to be joined by brazing,
soldering or welding to clean and free them from oxides and
promote union (GPT8).
ANTIFLUX
OVEN SOLDERING
• This is performed in a furnace
under vacuum or air. The soldering
index along with the castings and
the solder is heated in a furnace up
to the melting temperature of the
solder.
Laser welding
Advantages :
• Trial of the soldered prosthesis can be done in an unglazed state.
• Any adjustments required on porcelain can be made.
Disadvantages :
• Contouring proximal embrasures is difficult.
• As porcelain has to be applied to a longer structure, sag may be
a problem with some alloys.
Advantages:
• Proximal surface can be shaped properly.
• No problem of sag.
Disadvantage:
• Adjustments on porcelain not possible after soldering, as it has
to be finished completely before the soldering procedure.
•A
Kalra A, Gowda ME, Verma K. Aesthetic rehabilitation with multiple loop connectors. Contemporary clinical
dentistry. 2013 Jan;4(1):112.
NON – RIGID CONNECTORS
NONRIGID CONNECTOR:
Any connector that permits limited
movement between otherwise independent members of a fixed
partial denture. (GPT – 9)
TYPES
• Tenon-mortise connector
• Split pontic connector
• Cross-pin and wing connector
NON – RIGID CONNECTORS
INDICATIONS
• Long span, FPD which can be distort and affect the fitting of
the prosthesis on the teeth.
Akulwar RS, Kodgi A. Non-rigid connector for managing pier abutment in FPD: A case report. Journal of clinical and diagnostic research:
JCDR. 2014 Jul;8(7):ZD12.
NON – RIGID CONNECTORS
CONTRAINDICATIONS:
• If the abutment presents significant mobility.
• If the span between the abutments is longer than one tooth, because
the stresses transferred to the abutment tooth under soldered retainer
would be destructive.
• Pulp size and clinical crown height can be limiting factors in the
design of nonrigid connectors.
Contemporary Fixed Prosthodontics – Rosenstiel 4th edition
Akulwar RS, Kodgi A. Non-rigid connector for managing pier abutment in FPD: A case report. Journal of clinical and diagnostic research:
JCDR. 2014 Jul;8(7):ZD12.
TENON-MORTISE CONNECTOR
The tenon (male component) is
attached to the pontic and the mortise
(female component) is attached to the
retainer. Their alignment must be
parallel to the path of placement.
Badwaik PV, Pakhan AJ. Non-rigid connectors in fixed prosthodontics: Current concepts with a case report. J Indian
Prosthodont Soc. 2005 Jun 1;5:99-102.
SPLIT PONTIC
Ogino Y, Nomoto S, Sato T. Effect of Connector Design on Fracture Resistance in Zirconia-based Fixed
Partial Dentures for Upper Anterior Region. The Bulletin of Tokyo Dental College. 2016;57(2):65-74.
STRESS ANALYSIS OF EFFECTS OF NONRIGID CONNECTORS
ON FIXED PARTIAL DENTURES WITH PIER ABUTMENTS
Oruc S, Eraslan O, Tukay HA, Atay A. Stress analysis of effects of nonrigid connectors on fixed partial dentures with
pier abutments. The Journal of prosthetic dentistry. 2008 Mar 1;99(3):185-92.
BIOMECHANICAL INTERACTIONS IN TOOTH–IMPLANT‐SUPPORTED
FIXED PARTIAL DENTURES WITH VARIATIONS IN THE NUMBER OF
SPLINTED TEETH AND CONNECTOR TYPE: A FINITE ELEMENT
ANALYSIS
• Tooth-implant supported FPD is suggested as a treatment option
in a distal free-end partial edentulous situation.
• The loading condition for the splinting system was the main
factor affecting stress development in the implant, alveolar bone
and prosthesis.
Lin CL, Wang JC, Chang WJ. Biomechanical interactions in tooth–implant ‐supported fixed partial dentures with
variations in the number of splinted teeth and connector type: a finite element analysis. Clinical oral implants research.
2008 Jan;19(1):107-17.
THE INFLUENCE OF THE LOADING MODE ON THE STRESS
DISTRIBUTION ON THE CONNECTOR REGION OF METAL‐
CERAMIC AND ALL‐CERAMIC FIXED PARTIAL DENTURE
• When the loads were applied on the pontic, the highest stress
values appeared on the connector areas between the abutments
and the pontic.
Motta AB, Pereira LC, Da Cunha AR, Duda FP. The influence of the loading mode on the stress distribution on the
connector region of metal‐ceramic and all‐ceramic fixed partial denture. Artificial organs. 2008 Apr;32(4):283-91.
A THREE-DIMENSION FINITE ELEMENT ANALYSIS TO EVALUATE
THE STRESS DISTRIBUTION IN TOOTH SUPPORTED 5-UNIT
INTERMEDIATE ABUTMENT PROSTHESIS WITH RIGID AND
NONRIGID CONNECTOR
Modi R, Kohli S, Rajeshwari K, Bhatia S. A three-dimension finite element analysis to evaluate the stress distribution in
tooth supported 5-unit intermediate abutment prosthesis with rigid and nonrigid connector. European journal of
dentistry. 2015 Apr;9(2):255.
SUMMARY
Lugassy AA, Moffa JP, Ellison JA. Cast glass ceramic crowns: a one year clinical
study. CDA J1986 Dec;14(12):72-81.
Kelly JR, Tesk JA, Sorensen JA. Failure of all ceramic fixed partial dentures in
vitro and in vivo:analysis and modeling. J Dent Res 1995 Jun;74(6):1253-8.
Sorensen JA, Cruz M, Mito WT, Raffeiner O,Meredith HR, Foser HP. A clinical
investigation on three unit fixed partial dentures fabricated with a lithium disilicate
glass-ceramic. Pract PeriodonticsAesthet Dent 1999 Jan-Feb;11(1):95-106
REFERENCES
Rezaei SM, Heidarifar H, Arezodar FF, Azary A, Mokhtarykhoee S. Influence
of connector width on the stress distribution of posterior bridges under
loading. Journal of Dentistry (Tehran, Iran). 2011;8(2):67.
Oh WS, Anusavice KJ. Effect of connector design on the fracture resistance of
all-ceramic fixed partial dentures. The Journal of prosthetic dentistry. 2002
May 1;87(5):536-42.
Lin CL, Wang JC, Chang WJ. Biomechanical interactions in tooth–implant ‐supported
fixed partial dentures with variations in the number of splinted teeth and connector
type: a finite element analysis. Clinical oral implants research. 2008 Jan;19(1):107-17.
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