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Precision Attachments in Prosthodontics

This document discusses types and components of precision attachments used in combined prosthesis treatment planning. There are intracoronal and extracoronal precision attachments, with extracoronal attachments including splint bars, ball shapes, and vertical slide mechanisms. Precision attachments provide esthetic solutions and better functional stability but require good oral hygiene, regular checkups, and accurate work from dentists and labs. They also place higher loads on abutment teeth, so splinting is usually necessary. Factors like the type of teeth lost, abutment condition, abutment position, and occlusion must be considered when selecting a retention element.

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Nima Darabi
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75 views19 pages

Precision Attachments in Prosthodontics

This document discusses types and components of precision attachments used in combined prosthesis treatment planning. There are intracoronal and extracoronal precision attachments, with extracoronal attachments including splint bars, ball shapes, and vertical slide mechanisms. Precision attachments provide esthetic solutions and better functional stability but require good oral hygiene, regular checkups, and accurate work from dentists and labs. They also place higher loads on abutment teeth, so splinting is usually necessary. Factors like the type of teeth lost, abutment condition, abutment position, and occlusion must be considered when selecting a retention element.

Uploaded by

Nima Darabi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Basics of treatment planning

for combined prosthesis II.


Precision attachments

Dr. Bistey, Tamás


Types of precision attachment
• Intracoronal
• Extracoronal
Extracoronal precision attachments
• Splint bars
• Ball shaped
• Vertical slide mechanism
• Bars combined with ball or sliding retention parts
Components of precision attachments
• Fixed part • Removable part
• Male part • Female part
• Patrix • Matrix
• Flange • Slot
Properties of precision elements
• Esthetic solutions, since the retention part is not visible
• Better functional stability
• Higher load on abutment teeth
• Necessary to use more than one tooth and make splinting as well
• It requires good oral hygiene
• Regular dental check ups are necessary
• The retention parts can wear during use and it needs to be replaced
periodically
• There are different types according to hardness – different friction
• It requires very accurate work from dentist and lab too
• Higher costs
Splinting of abutment teeth
• The precision attachments provide rigid type of retention
• Some types are less rigid, but others do not allow any movement to
the removable denture
• The rigid retention results good stability to the denture but extra load
on abutment teeth
• The load on abutment teeth are usually constant and present
independently from fuction/chewing.
• Some techniques has load on the abutment teeth only in chewing but
not in rest or during speech (resilient telescopic system)
Overdenture
• It is a removable denture retained by teeth, roots or dental implants
• Has got dental and gingival support
• Has got implant and gingival support
• The teeth, roots or dental implants are not visible after the denture is
placed in mouth since the baseplate covers them totally
• This way the esthetic result can be excellent
Splint bar systems
• Splinting the abutments
• Overdenture is made on them
• Vertical component of CR is very important
• The bar(s) will provide the retention and support
• Dolder
• Gilmore
• High costs
• Abutment:
• Roots
• Implants
Ball retention systems
• Denture type
• Overdenture
• RPD
• Abutments:
• Teeth
• Roots
• Implants
• The will retain denture if the accuracy is good
• The load of the abutment is less than in case of vertical slide attachmnets
• The retention element should be close to the abutment tooth to reduce
the moment of denture
Vario Kugel
Roots (Overdenture) with custom casted post
Important!
• The situation impression made for the removable denture should
make after ceramic fired to fixed parts!
• The firing can cause deformation of framework which provides inaccuracy of
removable framework
• The fixed part (crowns/bridge) should be in its perfect position during
impression making (Dycal)
• Pouring of impression: pattern resin in the abutments and type IV.
gypsum

 
Slide attachments
• There are different forms but all have vertical paralell walls to provide
sliding mechanism
• The geometry of the attachment will result
• More rigid retention
• Higher load on abutments
• It gives retention even if the removable part is not made accurately. In this
case the denture has omproper seating and will increase bite height.
Splinting bar in combination with ball or slide
attachment
Selection of retention element
• Type of tooth lost
• Condition of abutment
• Clinical crown
• Periodontium
• Position of abutments
• Occlusion
• Increase bite height or not?
• Load of the abutments
• Efects of instumentation of patient
• Manual skill of patient
Thank you!

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