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Retentional factors
Retentional factors
1. Clinical anatomical features
2. Physical features
3. Retention aids
Functional stability= denture usage
Stability during
fonation:
The denture does not
move disturbingly from
the mucosal-bony base
during fonation ,mouth
opening and closing,
swallowing, articulation
in connection with
fonation
Stability during
mastication:
The denture does not
move disturbingly from
the mucosal-bony base
during mastication and
articulation in
connection with
mastication
1. Clinical anatomy features
I. The size of the mucosal bony base that
is suitable for bearing mastication forces
II. The height of the edentulous alveolar
ridge
III. Retential areas
IV. Neuromuscular forces
The useable place which can bear the
masticatory pressure
Alveolar process is the edentulous alveolar
ridge after losing natural teeth.
In case of severe resorption the body of the
mandibule is covered by the base of the
denture.
The height of the alveolar process will inhibit
the horizontal displacement of the denture.
The useable place which can bear the
masticatory pressure
 Upper arch: 3937 mm2
 Lower arch: 1770 mm2
 It is approximately equal with the polished
surface of the baseplate
 This area play an important role in keeping
denture in place
The size of the mucosal bony base, that is suitable
for the retention of the denture, influence:
Effectiveness of the physical forces
Mastication force that loads the mucosal bony
base (24-25 N)
1. Clinical anatomy features
III. Retentional areas
on the upper jaw:
Maxillary tuber
High and curved
quadrangular shaped
ridge
Undercut area between
the buccal frenules in
the vestibule
1. Clinical anatomy features
III. Retentional
areas on the lower
jaw:
Lingual fossa
1. Clinical anatomy features
III. Retentional
areas on the lower
jaw:
Edentulous ridge:
totally preserved high
ridge
1. Clinical anatomy features
IV. Neuromuscular forces:
The surrounding muscles and active and
passive muscle functions have the most
important stabilizing effect
The oral mucosa (bucca, lips, tongue) and
the underlying musculature touch and
load the polished surface of the denture
with various forces during mastication (20-
30 N)
2. Physical forces
1. Capillary pressure
2. Ventill effect (inner/outter)
3. Gravity
4. Masticatory pressure
I. Capillary pressure (upper/lower):
Surface tension of the saliva between the
denture baseplate and the mucosa
Adhesion: connecting force between unlike
molecules (mucosa-saliva)
Cohesion: connecting force between alike
molecules (saliva-saliva)
If the saliva film is thinner, the force of
retention will be better
Lack or overproduction of saliva affect
negatively for retention
II. Ventill effect (upper/lower):
Seal the border of the
denture
Vacuum is created under the
denture base
Inner ventill effect:
The border of the denture is
sinked into the mobile
mucosa
Outter ventill effect:
Connection between the
mucosal surface of the
denture and the
III. Gravity (lower)
Casted metal base
Casted metal arteficial teeth
Max.:32-35 g
The excessive loading cause atrophy
Masticatory pressure:
Natural dentition: 120-140 Kpa
Edentulous: 20-30 Kpa
IV. Masticatory pressure:
The denture stability by masticatory forces
depends on the occlusal pattern of the
arteficial posterior teeth:
 Anatomical arteficial posterior teeth:
Different OV width
Angle between the slope of the cusp and
horizontal plane is different (20-45 degree)
Material can be ceramic or acrilic
It has always shifter effect
It cause horizontal displacement of the
denture
2. Physical forces
Non-anatomical arteficial posterior teeth:
It has stabilizing effect
Mechanical occlusal-surfaced molar:
the occlusal surface is non-anatomical
the vestibular, oral and approximal surfaces are
anatomical
Mechanical molar:
it is not compare of the natural teeth
French-type artifical posterior teeth
It was used on older
people in abrasive teeth
Myerson-type
Normal artificial teeth
has flat, shallow fissure
Transversal cutter
Marginal cutter
2. Conclusion of physical forces
Prosthetic function is more important than
cosmetic ones in the posterior region:
Stabilization of the denture
Protection of the mucosal bony base
Better mastication
3. Retention aid
Denture fixative:
Unfavourable situations
Nervus system disorders
Surgical or congenital defects
Shortening initial learning period
Retention aid
Microvalves, denture adhesives (Corega)
Suction disc (don’t use it)
Denture spring (don’t use it)
Grooves cut into the palate of the master cast

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Wk 5 retentional factors

  • 2. Retentional factors 1. Clinical anatomical features 2. Physical features 3. Retention aids
  • 3. Functional stability= denture usage Stability during fonation: The denture does not move disturbingly from the mucosal-bony base during fonation ,mouth opening and closing, swallowing, articulation in connection with fonation Stability during mastication: The denture does not move disturbingly from the mucosal-bony base during mastication and articulation in connection with mastication
  • 4. 1. Clinical anatomy features I. The size of the mucosal bony base that is suitable for bearing mastication forces II. The height of the edentulous alveolar ridge III. Retential areas IV. Neuromuscular forces
  • 5. The useable place which can bear the masticatory pressure Alveolar process is the edentulous alveolar ridge after losing natural teeth. In case of severe resorption the body of the mandibule is covered by the base of the denture. The height of the alveolar process will inhibit the horizontal displacement of the denture.
  • 6. The useable place which can bear the masticatory pressure  Upper arch: 3937 mm2  Lower arch: 1770 mm2  It is approximately equal with the polished surface of the baseplate  This area play an important role in keeping denture in place
  • 7. The size of the mucosal bony base, that is suitable for the retention of the denture, influence: Effectiveness of the physical forces Mastication force that loads the mucosal bony base (24-25 N)
  • 8. 1. Clinical anatomy features III. Retentional areas on the upper jaw: Maxillary tuber High and curved quadrangular shaped ridge Undercut area between the buccal frenules in the vestibule
  • 9. 1. Clinical anatomy features III. Retentional areas on the lower jaw: Lingual fossa
  • 10. 1. Clinical anatomy features III. Retentional areas on the lower jaw: Edentulous ridge: totally preserved high ridge
  • 11. 1. Clinical anatomy features IV. Neuromuscular forces: The surrounding muscles and active and passive muscle functions have the most important stabilizing effect The oral mucosa (bucca, lips, tongue) and the underlying musculature touch and load the polished surface of the denture with various forces during mastication (20- 30 N)
  • 12. 2. Physical forces 1. Capillary pressure 2. Ventill effect (inner/outter) 3. Gravity 4. Masticatory pressure
  • 13. I. Capillary pressure (upper/lower): Surface tension of the saliva between the denture baseplate and the mucosa Adhesion: connecting force between unlike molecules (mucosa-saliva) Cohesion: connecting force between alike molecules (saliva-saliva) If the saliva film is thinner, the force of retention will be better Lack or overproduction of saliva affect negatively for retention
  • 14. II. Ventill effect (upper/lower): Seal the border of the denture Vacuum is created under the denture base Inner ventill effect: The border of the denture is sinked into the mobile mucosa Outter ventill effect: Connection between the mucosal surface of the denture and the
  • 15. III. Gravity (lower) Casted metal base Casted metal arteficial teeth Max.:32-35 g The excessive loading cause atrophy Masticatory pressure: Natural dentition: 120-140 Kpa Edentulous: 20-30 Kpa
  • 16. IV. Masticatory pressure: The denture stability by masticatory forces depends on the occlusal pattern of the arteficial posterior teeth:  Anatomical arteficial posterior teeth: Different OV width Angle between the slope of the cusp and horizontal plane is different (20-45 degree) Material can be ceramic or acrilic It has always shifter effect It cause horizontal displacement of the denture
  • 17. 2. Physical forces Non-anatomical arteficial posterior teeth: It has stabilizing effect Mechanical occlusal-surfaced molar: the occlusal surface is non-anatomical the vestibular, oral and approximal surfaces are anatomical Mechanical molar: it is not compare of the natural teeth
  • 18. French-type artifical posterior teeth It was used on older people in abrasive teeth
  • 19.
  • 20. Myerson-type Normal artificial teeth has flat, shallow fissure Transversal cutter Marginal cutter
  • 21. 2. Conclusion of physical forces Prosthetic function is more important than cosmetic ones in the posterior region: Stabilization of the denture Protection of the mucosal bony base Better mastication
  • 22. 3. Retention aid Denture fixative: Unfavourable situations Nervus system disorders Surgical or congenital defects Shortening initial learning period
  • 23. Retention aid Microvalves, denture adhesives (Corega) Suction disc (don’t use it) Denture spring (don’t use it) Grooves cut into the palate of the master cast