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Definition
- That component of partial removable dental prosthesis used to retain & prevent dislodgement, consisting of clasp assembly or precision attachment
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Classification
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Intracoronal
- Attachments
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Extracoronal
- Attachments
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Clasps
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Circumferential
- Cast Circumferential
- Combination
- Bar
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Clasp assembly
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Components
- Rest, body, shoulder, retentive arm, retentive tip, reciprocal arm, minor connector
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Rest
- For support
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Minor connector
- For Stabilization
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Clasp Arms (Retentive & Reciprocal)
- For Stabilization & retention
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Requirements
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1. Retention
- Most important
- Should touch the tooth in undercut area
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2. Support
- Provided by occlusal, lingual or incisal rests
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3. Reciprocation
- Retentive arm passing over height of contour
Reciprocal arms passing along reciprocal guiding plane
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4. Encirclement
- Clasp assembly should encircle more than 180° of abutment tooth either by continuous or broken contact
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5. Passivity
- Retentive function of clasp should be activated only when dislodging forces are applied.
All the other times, clasp should be passive
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Factors affecting retention
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1. Dimension of retentive undercut
- Buccolingual depth
- Height of contour
- Mesiodistal length
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2. Flexibility of clasp
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Length of clasp
- ▪︎Greater the length - greater the flexibility
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Diameter of clasp
- ▪︎Flexibility is inversely proportional to diameter
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Cross-sectional form
- ▪︎Round cross section has more flexibility than half round.
▪︎Hence, Wrought wire (round) clasp is more flexible than cast clasp
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Material
- ▪︎Chrome alloys have high rigidity, strength hence less flexible
▪︎Wrought wire clasp has greater flexibility, resilience & yield strength
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3. Type of clasp
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Gingivally approaching clasp (push type) retention
- ▪︎Better retention than pull type
- Occlusally approaching clasp (pull type) retention
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Circumferential clasp/ Aker's clasp
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9 Types
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Circlet clasp
- ▪︎Indication : Tooth supported class III RPD
▪︎Undercut - Approaches tooth undercut from edentulous area & engages undercut remote from edentulous space
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Reverse circlet
- ▪︎Indication : When undercut lies on distobuccal surface of tooth adjacent to edentulous area
▪︎Undercut - engages distal undercut
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Multiple circlet
- Indication : When principal abutment tooth has lost its periodontal support
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Embrassure clasp
- ▪︎Indication : on side of arch where there is no edentulous space like unmodified Kennedy's Class II & Class III
▪︎Undercut - it crosses both marginal ridges & engages undercut on opposing line angles
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Ring clasp
- Indications : Mainly on tipped molars
Isolated mesially inclined molars
- Modification of Ring clasp - Back action clasp
- ▪︎In maxillary molar - retentive undercut located on mesiobuccal line angle
▪︎In mandibular molar - undercut on mesiolingual line angle
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Reverse action/Hairpin clasp
- Indication : used in conditions where undercut is near edentulous space
Used only when bar type retentive arm is contraindicated
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Onlay clasp
- Indication : When occlusal surface of abutment is below occlusal plane
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Back action clasp
- Modification of Ring clasp
Biologically & mechanically unsound
- Half & half clasp
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Combination clasp
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Consists of Wrought wire retentive arm & Cast reciprocal arm
- ▪︎It has the highest flexibility
▪︎Originates above the height of contour
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Advantages
- Increased flexibility & adjustability
- Increased esthetics
- Easy to adjust, as it can flex in all 3 planes
- Less tooth contact due to round nature of clasp arm
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Disadvantages
- Extra lab procedures
- Easily distorted by careless handling
- More tooth coverage than Bar clasp
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Prothero's cone theory
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Is the basis of clasp retention
- He described the shape of crowns of Premolar & Molar teeth can be considered as 2 cones sharing a common base.
The line formed at the junction of these cones represents the greatest diameter of the tooth
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Bar clasp / Roach clasp/ Gingivally approaching clasp
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Push - type retention
- More effective than pull type
- Retentive terminal is connected to denture base minor connector by "approach arm"
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Indications
- Small undercut existing in cervical third of abutment
- Distal extension abutment to engage a distobuccal undercut
- When esthetics demand less display of metal
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Contraindications
- Large tissue undercut
- Deep cervical undercut in abutment
- Severe buccal or lingual tilt of abutment
- Shallow vestibule
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RPA Concept
- Given by Kroll in 1976
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RPA refers to Rest, Proximal plate & Aker's clasp
- Indication :- When RPI system cannot be used in cases of tipped abutments & soft tissue undercuts
- Use of distal rest & Wrought wire circumferential(Aker's) clasp is indicated
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RPI Concept
- Given by Kroll & Kratchovil
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RPI refers to Rest, Proximal plate, I-bar
- Mesio-occlusal rest, distal guiding plane prepared to receive proximal plate & I bar located at gingival third of buccal/labial surface of abutment
- Distal extension abutment to engage a distobuccal undercut
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I-bar clasp (RPI)
- ▪︎Greater retention
▪︎ More esthetic
▪︎Covers less tooth structure
▪︎Not indicated when deep cervical tooth undercut
▪︎Not indicated when severe tissue undercut
▪︎Not indicated when there is excessive buccal/lingual tilt of tooth
▪︎Greater tendency of food lodgement