“Metal partial dentures should alwaysincorporate occlusal supports.”Discuss this statement.

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Dental Technology Mindmap am “Metal partial dentures should alwaysincorporate occlusal supports.”Discuss this statement., erstellt von Alice Dolman am 02/05/2019.
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Zusammenfassung der Ressource

“Metal partial dentures should alwaysincorporate occlusal supports.”Discuss this statement.
  1. Occlusal supports help to control stresses by directing forces within the long axis of the abutments. Whilst the periodontal ligaments can be subjected to vertical forces, they struggle under horizontal or torsional forces.
    1. Rests function to:
      1. prevent movement of the removable partial denture framework in a cervical direction
        1. preventing trauma to the mucosa located around the abutments and beneath the framework
          1. Also maintains the retentive portions of clasps in prescribed positions
            1. Assist in distribution of occlusal loads of several teeth
      2. The rest is successful in resisting movement of the denture, by securely seating into a preparation of an abutment tooth at an 90o angle or less with the proposed path of insertion to prevent its migration.
        1. Support is provided almost entirely by rests.
          1. Some support is furnished by other ridged metal located above the survey line e.g. rigid portions of retentive arms and bracing and reciprocating arms. However, they should never be relied on to provide primary support.
          2. Occlusal supports are attached to abutments. The number of abutment teeth there are, influences the amount of force that each tooth must withstand. So if there are less abutment teeth available the abutment tooth must direct a larger load causing stress onto a tooth which may cause damage or mobility.
            1. Alternatively implants can be used as a rest. In this application, the implant eliminates compression of supporting soft tissues, controls vertical movement of the denture base, eliminates or alters fulcrum lines, and serves to increase support and stability of the prosthesis.
              1. An acrylic every denture is designed with no type of rest/stops/clasps
                1. when compared to a metal denture, if no occlusal support is given the metal could possibly rub against the soft tissues as it is a tougher material for the oral cavity
                  1. Metal being the heavier choice, clasps are needed to maintain retention of the denture. With clasps, rests aid in keeping them in their desired location.
                    1. Occlusal supports may not be needed when it comes to acrylic dentures, however when working with metal, a heavier more rigid material, supports are needed to maintain position of the framework. Also protecting the mucosa by directing occlusal forces more evenly down the long axis of the abutment teeth.
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