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Precision attachment, 截圖 2023-04-29 下午2.01.36, 截圖 2023-04-29 下午2.02.00, 截圖…
Precision attachment
Intracoronal attachments
Frictional
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Studs飾紐
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It consist in an stud soldered to a post 螺柱焊接到post上 (cemented in a RCT root) that clips into a flexible ring (embedded in the resin of a denture)
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The size of the stud (ball) should meet with the verticle dimension avalaible, so that construction of artificial teeth could be done
Adjustable metal plates
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A slit: in the male part: be widened with a scalpel Blade, increasing retention(Mccollum or Crismani)
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Bar type
Require and space of 6mm
Depending on the number of abutments/extension will have single sleeve joints or multiple sleeve joints
Provide good retention & stability, but are difficult to clean(gingival overgrowth)
Bars used to splint roots, crowns or implants are used for retaining either removable bridges, partial dentures and overdentures (mainly)
If indication is not good, may result in weakness of the denture
Extracoronal attachments
Cantilver
Rigid
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Require the use of teeth with strong periodontal support, and should be entirely supported by teeth
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Mobile
The rigid could provoke tilting &periodontal destruction, these attachments were developed to allow rotation and resilience within the joints, and therefore reduce the torque over abutment teeth
Resilient
Dalbo stress breaker attachment with an spring within the body of the socket that allows a small amount of verticle setting beside the abutment teeth.
Crismani attachment has also a modification in which and spring is available at the bottom of the box
Rotated
Hinges that allow prosthesis to rotate around an horizontal axis transmitting the forces to the residual ridge.
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definition: due to the limitation of size of the intracoronal and the need of movement between the abutment crowns and the removable denture. (more difficult to keep hygiene)
inidication
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abutments in a food periodontal status, but rampant resorption of the residual ridge
Kennedy class II, with abutments showing good periodontal support&ridge with little resorption
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