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RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

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Major Connectors - 35<br />

A vertical stop or rest area must be prepared at each end of the anterior segments of the lingual<br />

plate. This prevents excessive forces being directed facially by movements of the distal<br />

extension<br />

base. Any areas where the connector crosses the gingival tissue must be relieved to prevent<br />

impingement caused by the movement of the lingual plate.<br />

C. Continuous Bar Retainer (Kennedy Bar, Double Lingual Bar)<br />

The connector consists of a lingual bar plus a secondary bar<br />

resting above the cingula of the anterior teeth. The<br />

secondary bar supposedly acts as an indirect retainer and<br />

performs a role in the horizontal stabilization of<br />

periodontally-involved teeth. The performance of these<br />

functions is questionable. Additionally, this major<br />

connector can create a food trap between the two bars. The<br />

use of this type of connector is not encouraged.<br />

D. Labial Bar<br />

Where extreme lingual inclination of the remaining teeth is<br />

present and no reasonable way exists to use a lingual bar<br />

without interfering with tongue movements, a labial bar<br />

may be used. It is essentially similar to the lingual bar and<br />

the same rules apply for its use. Indications for it are<br />

extremely rare. The swing-lock design is a variation of the<br />

labial bar.<br />

II. Maxillary Major Connectors<br />

Major connectors in the upper arch should terminate 4.0 mm or more from the gingival crest<br />

tissues.<br />

A. Anterior-Posterior Palatal Strap<br />

The anterior-posterior palatal strap provides<br />

maximum rigidity and minimum bulk. The strength<br />

of this connector lies in the fact that the anterior and<br />

posterior sections are joined together by longitudinal<br />

connectors on either side. Each component braces<br />

the other against possible torque and flexure. It can<br />

be used in most maxillary partial denture designs and<br />

is especially useful in cases with a torus palatinus.<br />

A variation of the double palatal strap is the anterior-posterior palatal bar connector where the<br />

palatal connector elements are narrower anterio-posteriorly. Due to the narrowness of the<br />

elements, the bars must have greater bulk for rigidity, and thus the design is more objectionable<br />

to the patient. In addition, strap connectors provide greater distribution of stresses to the palatal<br />

tissues since a greater surface area is contacted.

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