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Definition
- It is the unit of partial denture that connects parts of prosthesis on one side of the arch with those on the opposite side
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Functions
- Unification of major parts of prosthesis
- Force/stress distribution throughout the arch
- Cross arch stability
- Resists flexing & torque
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Ideal requirements
- It should be rigid
- Shouldn't impinge on free gingival margin & other soft tissues
- Shouldn't allow food lodgement
- Should provide vertical support for RPD
- Should provide indirect retention when needed
- Should be comfortable to the patient
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Maxillary Major connectors
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6 types
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Single palatal strap
- Wide, thin band of metal that runs across the palate unobtrusively
- Indications :-
▪︎Unilateral distal extention (Class II)
▪︎Tooth supported short span bilateral edentulous areas (Class III)
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Combination anterior & posterior palatal strap
- Indications :-
▪︎Numerous teeth are to be replaced & torus is present
▪︎Kennedy's Class I & II
▪︎Long edentulous spans in Class II Mod I arches
▪︎Class IV arches in which anterior teeth must be replaced with RPD
- Palatal plate
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U-shaped palatal strap/Horseshoe shaped
- Least rigid palatal major connector
- ▪︎It's not considered rigid enough & doesn't allow distribution of forces from one side of arch to the other.
Hence it's not indicated in any case
- Indications :-
▪︎Class IV anterior teeth replacement
▪︎Patients with Tori & prominent mid palatine suture
▪︎Excessive vertical overlap of anterior teeth
▪︎Need to stabilize anterior teeth
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Single palatal bar
- It's a bar running across the palate which is narrow half oval in cross-section with thickest point in the centre
- Advantages:- Greater rigidity & less bulky
- Disadvantages - problems with thick palatal bar are :-
▪︎Obstruction to tongue
▪︎Difficulty in swallowing
- Indications :-
▪︎Interim partial dentures
▪︎Kennedy's class III limited to replacing one or two teeth on each side of arch
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Anterior-posterior palatal bars
- Most rigid palatal major connector
- ▪︎Has 2 bars : one anteriorly & other posteriorly, connected by a flat longitudinal elements on each side of lateral slope of palate
▪︎Anterior bar is strap like while posterior bar is half oval in shape
▪︎Anterior bar is placed in btw rugae valleys
▪︎Posterior bar is placed at the junction of hard & soft palate
- Indications :-
▪︎Patients with large inoperable tori
▪︎ Anterior & posterior abutments are widely separated
▪︎ Patients who want less palatal coverage
▪︎Single palatal bar connector would flex
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Summary of Indications
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Class I
- Closed Horseshoe, complete palate
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Class II
- Palatal strap, Closed Horseshoe
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Class III
- Palatal strap, palatal bar
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Class IV
- Horseshoe, closed horseshoe, complete palate
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Mandibular Major connectors
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Lingual bar
- Most commonly used
- 6 gauge Half pear shaped with superior border located 4mm below the gingival margin
- Requires atleast 8mm of vertical space btw floor of mouth(FOM)& gingival margins of teeth
- Indications:-
▪︎Lingual sulcus is deep
▪︎Kennedy's class 3 & it's modifications
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Linguoplate
- Pear shaped Lingual bar with superior border extending onto Lingual surfaces of teeth as thin solid plate of metal
- Support is provided by Rests
- Indications:-
▪︎Shallow lingual sulcus with inadequate space for lingual bar
▪︎Class I distal extention with excessive bone resorption
▪︎Long span edentulous ridges, class I or II RPD
▪︎When remaining teeth have limited PDL support
▪︎When future replacement of 1 or more teeth is deemed required
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Sublingual bar
- Modification of lingual bar
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Indications
- Used when height of FOM in relation to free gingival margin is less than 6mm
- Double lingual bar/
continuous bar (cingulum bar)/
Kennedy's Bar
- Labial bar