22.03.2013 Views

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

RPD Manual 11 - Removable Prosthodontics - Dalhousie University

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Direct and Indirect Retainers - 48<br />

4. "C" clasp (Hair-pin or Reverse action)<br />

a. The retentive area (undercut) is adjacent the<br />

occlusal rest.<br />

b. The upper arm is a minor a connector giving<br />

rise to tapered lower arm.<br />

Advantages:<br />

a. Allows use of undercut adjacent to edentulous space<br />

Disadvantages:<br />

a. Almost impossible to adjust<br />

b. Non-esthetic<br />

c. Difficult to fabricate so the upper portion of the retentive arm clears the opposing<br />

occlusion<br />

d. Covers extensive tooth surface and acts as a food trap<br />

e. Insufficient flexibility on short crowns due to insufficient clasp arm length<br />

Cast suprabulge clasps should be used in most tooth borne cases. Exceptions to this rule include:<br />

1. Esthetic concerns. Since wrought-wire clasps can be placed into greater undercuts<br />

(0.02") than cast clasps (0.01") they can be placed lower on teeth, allowing better<br />

esthetics in some cases. Infrabulge clasps are also less visible.<br />

2. Where a posterior abutment is mobile or of questionable prognosis, the treatment<br />

plan could call for the use of the stress-breaking qualities of a wrought clasp on the<br />

anterior abutment. This would allow the prosthesis to be converted into a distal<br />

extension type if the weak posterior abutment should be lost.<br />

3. Where abutments are mobile, the tooth borne segment is extensive, the use of the<br />

stress-breaking clasps should be considered.<br />

Disadvantages of cast suprabulge clasps:<br />

1. Create a "pump-handle" action on the abutment teeth in distal extension cases if the<br />

guiding plane on the distal surface is too long, with insufficient relief.<br />

2. Some clasps can be ineffective on teeth tilted buccally or lingually<br />

3. Some varieties cover more tooth surface than is desirable<br />

4. Poor esthetics in the anterior region<br />

There have been many modifications to cast suprabulge clasps. Some are too complex and<br />

impractical for common use.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!