12. System Desain

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  • 8/12/2019 12. System Desain

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    I

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    .

    Retentio

    n/gre

    en1F

    ig

    .

    !

    Re

    tenti

    on

    +t

    is

    pr

    ac

    tic

    ab

    le

    to

    obtain

    clasp

    retenti

    on

    from

    onlythree

    teeth

    #R;#1;%2

    R" #1"%and !"#$"%%.Thussupplementaryretentionmust be

    obtainedby widepalatalcoverage2 fullextensio

    n ofthedenturebaseintotheleft

    buccalsulcusandarou

    ndthelefttub

    erosity2an

    d bycontactwith theguidesurfaceswhichwill beprepared

    on theabutment teeth.

    /smostof the

    undercutonR;#1;% is

    situatedonitsme

    siobuccal

    aspec

    t2 a9ring9

    clasp

    is a

    suitable

    desig

    n. +t isnot

    possi

    ble to

    use agingiv

    allyappro

    achin

    g

    clasp

    onR"

    #1"%

    becau

    se of

    a

    bony

    under

    cut in

    the

    buccal

    sulcus. /s

    an

    occlusally

    appro

    achingclasp

    is the

    only

    reasonab

    lealter

    nativ

    e2

    wrou

    ghtgold

    wire

    has

    been

    chos

    en

    be

    ca

    us

    e it

    po

    ss

    es

    ses

    suf

    fici

    ent

    fle

    xibility forthe short

    clasp arm to

    functionefficiently.

    /s aprominent

    fraenum

    precludes agingivally

    approaching

    clasp on

    !" #$"%2 a

    wrought gold

    occlusally

    approaching

    clasp is to be

    used here

    also.

    (racing

    and

    reciprocati

    on /blue1

    Fig. "

    #racingand

    reciprocati

    on

    +t has been

    d9r

    ofallretentivearms2thusproviding

    cross&archreciprocation

    .

    *onnector/blac1andindirectretentionF

    ig

    .

    $

    C

    o

    n

    n

    e

    c

    t

    o

    r

    a

    n

    di

    nd

    ir

    e

    ct

    r

    e

    t

    e

    nti

    o

    n

    =or

    th

    e

    re

    a

    s

    o

    n

    s

    gi

    v

    en

    al

    re

    a

    d

    y2

    w

    id

    e

    pa

    lat

    al

    co

    ve

    ra

    ge

    by

    th

    e

    co

    nn

    ec

    tor

    isneeded.-

    owever2itispossibleto:eepthe

    anteriorborderofthepalatalpl

    ateawayfromtheanteriorteethand

    fromthesensitiveareaaround theincisivepapilla topromotehygieneandtolerance totheframewor:.

    +t isnecessarytoplanforindirect

    retentiontopreventthedistal

    extension

    saddlefrommovingocclusally. Thema>orclaspaxis is

    sitedthroughR;#1;% and!"#$"%.Themesialocclusalrest onR"#1"%

    will betheindirect

    retainerto resistthedisplacing force

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    .* R +T+ ,- DET/! 0 R /!2 3! 4E 1(52 . 112 D E6E4*ER 5 $777 '(;

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    prost heti cs

    Design prescriptionFig% & esign prescription/ provisional R

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    4

    Toothsu

    pportfor

    thesad

    dlewi

    llbegainedfr

    omam

    esialoccl

    usal

    reston!!"

    #8"%.Thegr

    eatestpossi

    blemucosa

    supportforthe

    saddle

    isac

    hieved byextendingthe

    denturebaseontothe

    pear&shaped padand tothe

    fu

    thearchit

    isimportant

    tospreadth

    esupport sothat astable

    prost

    hesis

    canbeproduced2thus

    restshavebeenplaced on

    !R"#""%2!R)#")%and

    !R(#"(%.Theocclusal

    restson themolarsbridg

    e thegapbetween thetwo

    teeth.Restseatpreparation

    sca

    Ret

    ent

    ion

    /gre

    en1Fig.

    11

    R

    ete

    ntion

    The

    di

    st

    al

    ex

    te

    ns

    io

    n

    s

    a

    d

    d

    le will

    be

    caref

    ully

    shap

    ed to

    emu

    allo

    w

    agi

    ng

    ivall

    y

    approachin

    g

    cl

    a

    sp

    to beused

    on

    !!"#8"%.

    This

    claspwill

    be

    oneof the

    comp

    onents

    for

    theR

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    .*R+ T+ ,- D ET/ ! 0 R /!2 3! 4E 1( 52 . 112 DE6E4 *ER 5 $777 '(5

    Pp

    Design prescriptionFig. 1" esign prescriptionThe design is reviewed as described in =ig. ) and then given to thedental technician on a clearly labelled proforma as described forExample 1.+n this instance the whole casting will be constructed in cobaltchro mi u m all o y

    .Fig. 1$ esign prescriptionThe shape of the lingual sulcus2 faithfully recorded on the cast2dictates the shape and location of the sublingual bar. evertheless2 itis wise to draw the outline of the connector on the cast to avoid anymis u nder st a ndin g about its requir

    e.Fig. 1& )*e completed +rame,or-6areful planning and clear prescription again result in the requiredmet al fr amew or:

    .'57 *R+ T +,- D E T / ! 0 R/ !