Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
DEN 7251
January 23, 2019
Gary Braun, DMD, MS, FACP, FAGD Jerry Raybeck, DDS, MBA, MAGD
Introduction to
Biomechanics of PRDPs
Sagittal
Sagittal
Phoenix 2008
Movement
Movement, however, does not occur only in a single
plane but a combination of planes
1. Vertical (Dislodging)
2. Horizontal (Lateral)
3. Vertical (Seating)
Vertical (Dislodging- lifting force)
Horizontal (Lateral force)
Vertical (Seating)
Vertical (Seating)
Biomechanical Classifications of
Partial RDPs Based Upon Support
Entirely Tooth-Supported (Tooth-borne)
Characteristics:
1. Abutment teeth border all edentulous areas where tooth replacement is
planned
2. Functional forces are transmitted through abutment teeth to bone
Entirely Tooth-Supported (Tooth-borne)
Characteristics:
1. Regardless of teeth present, support is derived entirely from mucosa
2. In USA, traditionally considered interim prostheses and are not definitive treatment
Tissue-Supported (Mucosa-borne) (Interim Prosthesis)
Power
Fundamental Mechanics
Fundamental Mechanics
Power Resistance
Power = Resistance
Class I Lever
R F P
Class I Lever
F P
Class I Lever
Class II Lever
F R P
Class II Lever
Fulcrum Power
F P
Class II Lever
Class III Lever
F P R
Avant WE. Indirect retention in partial denture design. J Prosthet Dent. 1966 Nov-Dec;16:1103-10.
Lever Classifications
Indirect Retainers= aid to reduce lifting of the prostheses
t
t
The lower the mechanical advantage, the more
lifting force is necessary on the extension base
to move denture base off it’s tissue “seat”
P P P P
S S S S
P- primary
S- secondary
*Retention Stability
*RETENTION: ANATOMICAL- Size of the denture bearing area & quality of the denture
bearing area. Parallel ridge walls. PHYSIOLOGICAL : Saliva =Adhesion /cohesion -
Interfacial surface tension & capillarity atmospheric pressure. Gravity, MECHANICAL:
Undercuts Retentive springs; Magnetic forces; Denture adhesives Suction chambers &
discs; Palatal implants; MUSCULAR: Oral musculature; Facial musculature
P S
P P S
P
S S
S
Steffel 1962
RDP Clasp Components
Center of
Rotation
Vertical Horizontal
Mechanisms of Forces
Proffit 2012
Mechanisms of Forces
P F
F
R
R
P F R
Mechanisms of Forces
Distal rest Mesial rest
P F P F
R R
Mechanisms of Forces
Forces generated in a vertical direction
through the center of a tooth are best
for maintenance of the periodontium of
that tooth
Newman 2012
Abutment Teeth