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DESIGN
CONTENTS
1. Introduction
2. Direct retainers
3. Clasp designs
4. RPD principles
5. Types of clasps.
6. Recent advances in
RPD
7. Conclusion
8. References.
INTRODUCTION
The prognosis of the patients treatment depends on a satisfactory
treatment plan, that to be a well constructed RPD which is properly
fitted to the mouth, and adequate maintenance of the teeth, soft and
hard tissues and prostheses by the patient and dentist.
DEFINITION
DIRECT RETENTION
DIRECT RETAINER
“That component of a partial removable dental prosthesis used to retain and
INTRACORONAL EXTRACORONAL
Retentive Clasp
Assemblies Attachments
Semi
Precision precision
attachment attachment Suprabulge infrabulge
INTRACORONAL
• Proposed by Dr Herman E S Chayes in 1906.
instruments
• First proposed by Henry H Boos 1900 later modified by Ewing F Roach in 1908.
• Located outside the teeth.
• Retention from - mechanical resistance.
• Permit vertical movement during vertical loading. Minimize potentially damaging
forces to abutment
CLASP
• It is the component of the clasp assembly that engages the
portion of tooth surface and either enters an undercut for
retention or remains entirely above the height of contour to act
as a reciprocating element
The part of removable partial denture that acts as a direct retainer or stabilizer
for a prosthesis by partially encompassing or contacting an abutment teeth.
THE BASIC PARTS OF A CLASP ASSEMBLY
INCLUDE THE FOLLOWING
REST
It is the part of the clasp that lies on the occlusal, lingual or incisal surface of a
tooth and resist (tissue ward) movement of the clasp by ensuring that the
retentive terminals of the clasp remain fixed in the desired or planned depth of
undercut.
BODY OF CLASP
• It is the part of the clasp that connects the rest and shoulder of the clasp to the
minor connector.
• It must be rigid.
• Above the height of contour.
SHOULDER
• It is the part of the clasp that connects the body to the clasp terminals.
• The shoulder must lie above the height of contour and provide some
stabilization against horizontal displacement of the prosthesis.
RETENTIVE ARM
• It is the part of the clasp comprising the shoulder which is not flexible and
is located above the height of the contour. It is the terminal end of the
retentive clasp arm.
• It is the only component of the removable partial denture that lies on the
tooth surface cervical to the height of the contour.
RECIPROCAL ARM
A rigid clasp arm placed above the height of contour on the side of the tooth,
opposing the retentive clasp arm.
COMPONENT PARTS FUNCTION LOCATION
Rest Support Occlusal, lingual, incisal
Minor connector Stabilization Proximal surfaces extending from
prepared marginal ridge to the
junction of middle and gingival third
of abutment crown
WHAT IS ?
PATH OF PATH OF HEIGHT OF
INSERTION REMOVAL CONTOUR
• The retentive element of an individual clasp assembly is a metal clasp arm that
displays a limited amount of flexibility.
• This flexibility allows the tip of the retentive clasp to pass over the greatest
diameter of an abutment and contact the surface of the tooth as it converges
apically
Forces acting to dislodge a removable partial denture typically
occur perpendicular to the occlusal plane (broken line). To
effectively resist dislodgement, the path of prosthesis insertion
and removal (arrows) should also be perpendicular to the occlusal
plane.
• Point of maximum convexity or the term height of contour - Dr Edward
Kennedy in 1985.
• This critical area of an abutment that provide for retention & stabilization
can only be identified with the use of dental cast surveyor.
PROTHERO’S CONCEPT
• Proposed “cone theory” of clinical crown in 1916. Provided conceptual basis of
mechanical retention. Contours of clinical crown resembles two cones sharing a
common base.
• The line formed at the junction of this base represents the greatest diameter of the
tooth.
• This greatest diameter is called height of contour or point of maximum convexity.
• Devan [1955 ] referred to the surface occlusal to the height of
contour as suprabulge, & the surface inclining cervically as
infrabulge.
A properly constructed suprabulge or infrabulge clasp assembly must incorporate the following
components: a rest (A), a retentive clasp (B), a reciprocal element (C), and one or more minor
connectors (D). Specific design features of the various components include vertical and horizontal
approach arms, clasp termini, clasp bodies, and clasp shoulders.
ANGLE OF CONVERGENCE
• When the surveyor blade contacts a tooth on the cast at its greatest convexity, a triangle
is formed.
• The apex of this triangle is at the point of contact of surveyor blade with the tooth and
base is towards the gingival tissues. This apical angle is called angle of cervical
convergence.
BASIC RULES OF CLASP DESIGN:
a-All clasp assemblies must encompass more than 180o of the tooth. At least three areas
of tooth contact must be embracing more than one half of the tooth circumference for
b-Generally, the retention on all clasped abutments should be nearly as equal as possible.
retention on one side of the arch should be opposed by buccal retention on the other side,
f-Reciprocating arms should be located at the junction of the gingival and middle thirds
of the tooth. The retentive arm tip should be placed in the middle of the gingival third,
g-The simplest clasp for the given survey line should be used. If the survey line can be
Type I : A type I survey line is "S" shaped with the portion adjacent to the edentulous
space being low on the tooth (cervical). The portion away from the edentulous space is
higher on the tooth (occlusal). The deepest undercut is located on the portion of the tooth
away from the edentulous space.
Type II : A type II survey line is "S" shaped with the portion adjacent to the
edentulous space being high on the tooth (occlusal). The portion away from the
edentulous space is lower on the tooth (cervical). The deepest undercut is located
on the portion of the tooth adjacent to the edentulous space.
Type III : The type III survey line is straight or "U" shaped. It is usually
higher on the mesial and distal of the tooth, with the bottom of the "U"
being more cervical placed. The deepest undercut can be anywhere along
the survey line. This survey line will usually provide minimal retention.
BASIC PRINCIPLES OF
CLASP DESIGN
According to Stewart basic principles are:-
1. Retention.
2. Stability.
3. Support.
4. Reciprocation.
5. Encirclement.
6. Passivity
RETENTIONI
• “Retention is the inherent quality of the clasp assembly that resists forces
• A rigid clasp flexing over the height of contour may transfer harmful
• Circumferential clasps more retentive than bar clasp for a given clasp length.
• The clasp arm should taper from the point of origin to provide its flexibility
DIAMETER OF THE CLASP
• The greater the diameter of a clasp arm the less flexible it will be.(only in uniform
taper)
• If its taper is absolutely uniform ,the avg diameter will be at a point midway between
its origin & its terminal end.
• But if taper is not uniform a point of flexure –therefore a point of weakness will exist
CROSS-SECTIONAL FORM
significantly decreased.
As the cross-sectional dimensions of the retentive clasp arm decrease, the flexibility of the clasp increases.
Therefore, a smaller-diameter clasp (a) will be more flexible than a larger-diameter clasp (b).
• Hence, an increase in beam width yields a moderate decrease in deflection. From these
observations, it should be evident that beam thickness has a much greater effect upon
deflection than does beam width.
• CIRCULAR CROSS-SECTIONAL CLASP FORM IMPARTS OMNIDIRECTIONAL
FLEXURE, WHILE A HALF-ROUND FORM ALLOWS ONLY BIDIRECTIONAL FLEXURE.
• Because of its cross-sectional form, a round clasp may flex in all spatial planes. Consequently,
a clasp exhibiting a circular cross-sectional form may permit dissipation of detrimental forces
during functional movement of the prosthesis.
• A half-round clasp typically flexes in a plane that is perpendicular to the flat surface of the
clasp.
• Flexibility may exist in any form, but is limited to only one direction in the case of
the half-round form The only universally flexible form is the round form.
• Clasp arm should only flex away from tooth so half round is used.
• Round shaped clasp arm used only in distal extension denture bases so that it can flex
• Gold alloy
• greater flexibility than chrome alloys
• Retentive clasp arms should be located so that they lie in the same approx.
With the cast properly oriented on the surveying table, the point
of contact between the analyzing rod and the axial surface of the
abutment defines the height of contour for that tooth.
The infrabulge or undercut portion of the abutment lies
apical to the height of contour. When the analyzing rod
is positioned in the surveyor and placed against the
tooth surface, an angular space is formed apical to the
height of contour
• The tool used to identify the proper position for each clasp terminus is called an
undercut gauge. Undercut gauges are available in 0.010-, 0.020-, and 0.030-inch
configurations
1) Resist displacement of the prosthesis toward the supporting teeth and soft
tissues, thereby ensuring that the clasp assembly maintains its intended
relation to the abutment,
2) Transmit functional forces parallel to the long axes of the abutments. These
factors are critical to the health and longevity of abutments.
STABILITY
Krol A.J. “Clasp design for extension base RPD”. J. Prosthet. Dent
AS THE DEFECT BECOMES LARGER ,WITH THE
REMAINING DENTITION IN A LINEAR FASHION
BRACING WILL BECOME AGGRESSIVE.IN THIS
CASE LINGUAL PLATE EMBRACES ALL
REMAINING DENTITION.
RECIPROCATION
The ideal location of the reciprocal clasp arm on the lingual surface of the abutment is illustrated. (a) The lingual view
demonstrates the rigid reciprocal clasp arm contacting the abutment occlusal to the height of contour. (b) From a
proximal view, it is apparent that the lingual surface of the abutment was prepared so that the reciprocal clasp could be
located near the junction of the middle and gingival thirds of the tooth. (c) The facial view depicts optima lContour and
position of the retentive clasp arm.
ENCIRCLEMENT
• Mandibular molars have relatively large mesiodistal dimensions and commonly exhibit
undercuts on their lingual Surfaces. Therefore, mandibular molars may be clasped using
facial or lingual retention, depending upon the locations of available undercuts.
• It is important to remember that only one retentive clasp should be used on
any abutment and that this retentive clasp must be opposed by a reciprocal
element on the opposite side of the abutment. Therefore, if a retentive arm is
placed on the facial surface of an abutment, a reciprocal element must be
placed on the lingual surface of the abutment.
⚫ Toothsupport RPD
⚫ Widely used clasp
⚫ Undercut remote from edentulous area
⚫ Half round
⚫ Disadvantages
⚫ Disadvantages
- Insufficient flexibility
- Tooth coverage
- Esthetics compromised
Reverse circlet clasp
⚫ Disadvantages
- Poor esthetics
COMBINATION CLASP
⚫ Cast metal reciprocal arm and wrought wire retentive
arm
⚫ abutment adjacent to Kennedy class I and II area
Advantage
• kinder to the tooth
can engage greater undercut
Disadvantage
• more prone to breakage than cast
• minimal stabilizing
Infrabulge or Bar clasp or Gingivally approaching
I Bar
T Bar
Bar type
Y type
Gingivally approaching clasps /Bar/Roach type
⚫ RPI
- Mesial rest
- Proximal plate
- I bar
RPI SYSTEM
three separate units connected to each other only through the framework. They
were the mesial occlusal rest, a distal guide plate and an I-bar retainer
Mesial rest
I Bar
RPA SYSTEM
Rest
Proximal Plate,
Akers Clasp
distobuccal undercut.
T-CLASP
⚫ Contraindication
- Severe soft tissue undercut
- Height of contour locate near occlusal
surface
Modified T-clasp
FLEXIBLES
.Prone to bacteria buildup
•Low strength and creep resistance
ACRYLIC
Sore spots in the mouth
•Low impact strength, acrylic dentures are made thicker in sections, making
them bulky
CAD CAM SYSTEMS IN RPD
RAPID PROTOTYPING
•This may in part be due to their variance from accepted RPD design
components such as rests.
Nonmetal clasp dentures: What is the evidence about their use?
Considering the limited bibliographical references in current literature on
NMCDs, it is suggested that their use to be restricted to Kennedy’s Class III
partially edentulous arch with several remaining teeth, patients after surgical
intervention, and those allergic to PMMA and/or metal. When NMCDs are
combined with metallic framework, the benefits increase, as well as the
possibilities of using them when esthetics is essential for the patient.
However, even when these flexible prostheses are well prescribed, the patient
should always be properly informed about their limitations, such as greater
color change over time compared to the conventional RPDs and impossibility
to be relined, which makes them provisionally indicated. Moreover, patients
need to be warned by professionals
the patient.
REFERENCES
• Clinical removable prosthodontics:- STEWART’S 3rd edition.
• Mc Cracken removable partial denture prosthodontics – 12th edition.
• Davenport J.C., Baskar R.M., Heath J.R., Ralph J.P. “A color atlas of RPD”, Wolfe
Medical Publications Ltd., 1988.
• Krol A.J. “Clasp design for extension base RPD”. J. Prosthet. Dent., 1973; 29 : 408-415.
• Mohammed A et.al .Removable Partial Denture Frameworks in the Age of Digital
Dentistry: A Review of the Literature. MPDI,PROSTHESIS,MAY 2022.
Islam E. Harbet.al., CAD/CAM Constructed Poly(etheretherketone) (PEEK) Framework
of Kennedy Class I Removable Partial Denture: A Clinical Report. ., Journal of
Prosthodontics 0 (2018) 1–4 C 2018 by the American College of Prosthodontists
Tetsuo Ichikawa et.al.,USE OF A POLYETHERETHERKETONECLASP
RETAINER FOR REMOVABLE PARTIAL DENTURE: A CASE
REPORT.MPDI,20 December 2018.