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RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

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Major Connectors - 36<br />

B. Full Palatal Plate<br />

The full palatal plate is particularly indicated when maximum<br />

tissue support is required. In particular it should be the major<br />

connector of choice in long distal extension cases or where<br />

six or less anterior teeth remain. It should be selected where<br />

the primary abutments are periodontally involved, requiring<br />

maximum stress distribution. Where the edentulous areas are<br />

covered with flabby tissue or where there is a shallow palatal<br />

vault this connector also provides greater stability and stress<br />

distributing characteristics. The full palatal plate is usually<br />

not used in the presence of torus palatinus.<br />

The full palatal connector should be fabricated of a uniformly thin metal plate with accurate<br />

anatomic reproduction of the rugae configuration (improves strength and rigidity). It should<br />

cover the same area as a complete denture posteriorly. The large surface area of contact with the<br />

mucosa improves the potential for retention.<br />

Connectors of this type are generally of cast metal. However an acrylic resin plate may be used<br />

in interim prostheses.<br />

C. Palatal Strap (or Bar)<br />

This type of connector can be wide (strap) or narrow (bar)<br />

depending upon its location or the need for strength or<br />

support of the denture. The palatal bar should only be used<br />

in tooth supported cases where no other connector can be<br />

used. It is usually objectionable due to its bulk. It should<br />

never be used in cases involving distal extensions or<br />

replacement of anterior teeth since it must be made to bulky<br />

for rigidity.<br />

The palatal strap is similar, but with a broader area of contact, providing better stabilization and<br />

stress distributing properties with minimum bulk. Therefore it is preferable to the palatal bar for<br />

posterior tooth supported cases. However, other connectors should be chosen if there is a large<br />

torus or if many teeth are being replaced.<br />

Relief may be required over bony midline areas in some instances to prevent fulcruming over the<br />

overlying soft tissue. In these cases one thickness of 28 gauge wax relief should be placed over<br />

the midline.

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