Key Points
In this part, we will discuss
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Indirect retention systems
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Clasp axis
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Importance of clasps
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Mechanical disadvantage of RPD designs
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Support for indirect retainers
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All the parts which comprise this series (which will be published in the BDJ) have been included (together with a number of unpublished parts) in the books A Clinical Guide to Removable Partial Dentures (ISBN 0-904588-599) and A Clinical Guide to Removable Partial Denture Design (ISBN 0-904588-637). Available from Macmillan on 01256 302699
Abstract
This article explains the mechanism of indirect retention for RPDs and discusses the factors which determine its effectiveness. Examples are given of designs which incorporate indirect retention.
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Main
The principle of indirect retention may be explained by reference to the behaviour of a mandibular distal extension saddle in function.
As the resistance to displacement in an occlusal direction of a saddle using indirect retention is provided by the clasps forming the clasp axis, the effectiveness of these clasps is of paramount importance in determining the amount of indirect retention obtained.
Other factors which influence the effectiveness of indirect retention are:
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The mechanical disadvantage of the denture design,
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The support of the indirect retainers.
Examples of RPD designs which include indirect retention
Each design is only one of a number of possible solutions.
An additional function of indirect retainers is to allow accurate location of the RPD framework against the teeth when undertaking the altered cast procedure (A Clinical Guide to Removable Partial Dentures, chapter 19), or when obtaining a wash impression to rebase a distal extension saddle.
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Davenport, J., Basker, R., Heath, J. et al. Indirect retention. Br Dent J 190, 128–132 (2001). https://doi.org/10.1038/sj.bdj.4800902
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DOI: https://doi.org/10.1038/sj.bdj.4800902