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Biomechanics of
Removable partial
    denture
INTRODUCTION


  Biomechanics basically deals with application of
mechanical principles to biological tissues. In the oral
 cavity one would find a number of sources of stress
generation, the human body is built in such a manner
   that it learns to adapt to any stressful situation.
     However when we try to create an artificial
replacement of that natural component which is lost,
  we are at a loss in making it fully functional and
                       adaptable.

    Biomechanics (GPT 7):

       1: the application of mechanical laws to living
    structures, specifically the locomotor systems of the
    body.

       2: the study of biology from the functional viewpoint.

       3: An application of the principles of engineering
    design as implemented in living organisms.
Mechanical principles applicable in Removable
 Prosthodontics




   −   Lever principle
   −   Inclined plane
   −   Snowshoe principle
Lever: A simple machine consisting of a rigid
   bar pivoted on a fixed point and used to
   transmit force, as in raising or moving a
   weight at one end by pushing down on the
   other.
Lever
Class I
Class II
Class III
Inclined plane
       
           Inclined plane
       Forces against an inclined
           plane may result in
           deflection of that which is
           applying the forces or may
           result in movement to the
           inclined plane, neither of
           these is desirable.
Snowshoe principle
   This principle is based on distribution of forces to as large an area as
    possible. Like in a snow shoe which is designed to distribute forces on
    the entire base area of the shoe, a partial denture should cover
    maximum area possible within the physiologic limits so as to
    distribute the forces over a larger area.
Stress consideration in a
           partial denture


    The stresses can be divided as:

        −   Vertical

        1.Displacing stresses

        2. Dislodging stresses
        −   Horizontal
        −   Torsional
Displacing stress




−   Those forces which are the result of stresses along the long
    axis of the teeth in a crown to apex direction and the
    relatively vertical stresses on the ridge mucosa. These are
    the least harmful and are born well if within physiologic
    limits.
Dislodging stress




−   These are the forces which tend to lift the partial denture from its
    rest position. Reciprocal dislodging action occurs when wide
    edentulous spaces are interrupted by few teeth thus inviting an
    antero-posterior or lateral tilt of prosthesis.
Horizontal stress




−   They originate as a component of rhythmic chewing
    stroke. These forces are effective in mesio-distal and
    buccolingual direction. These lateral stresses are most
    damaging.
Torsional stress




−    It is a twisting rotational type of force. It’s a combination of
    vertical and horizontal force. Torsion is noted most frequently
    where a long segment acts upon the first abutment it engages.
    Where the ridge mucosa has higher resiliency torque is higher.
    Torque applies rotation about a fixed point.
Biomechanical consideration
  of individual component


  “Perpetual preservation of
   what is remaining is more
  important than meticulous
 replacement of what is lost”
                   De Van
Major connector
−   Connects parts of prosthesis located on one side
    of the arch with those on the opposite side
−   Should be rigid:
−   Distribution of force
−   Effectiveness of other components
−   If flexible forces concentrated on individual teeth or
    ridge damaging.
Direct retainer
Rest
Relation between rest and
  abutment should be such
  that forces should be
  directed apically down
  along the long axis of the
  tooth Stress absorbed by
  fibers of PDL without
  getting damaged.
Indirect retainer
To prevent the DEB from
  moving away from its seat
  because of cheek and
  tongue forces, sticky food.
  It uses mechanical
  advantage of leverage by
  moving the fulcrum line
  farther from the force.
Contributes to support and
  stability of the partial denture
  counteracts horizontal forces
  applied to the denture. Long
  span mandibular lingual bar
  major connector (even if
  tooth supported), IR provides
  additional support and rigidity
  for lingual bar. Prevents
  impingement of the lingual
  bar on the mucosa during
  function.
Factors influencing
magnitude of stress
Length of span
Quality of ridge
Type of mucosa
Clasp type
Clasp design
Amount of tooth contact
Occlusion
Control stress by design
     consideration
1. Retention as a means of stress control
 A) forces of adhesion and cohesion
 B) atmospheric pressure
 C) Frictional contact
 D) Neuromuscular control

    Strategic clasp positioning
    a) Quadrilateral configuration
    b) Tripod configuration
    c) Bilateral configuration

    Clasp design
    a) circumferential clasp
    b) bar clasp
    c) combination clasp
4 Indirect retention

5 Functional basing

6 occlusion

   a) harmonious occlusion

   b) size of food table

   c) occlusal pattern of posterior teeth
7 Denture base

   a) Size & configuration

   b) accuracy of adaptation of base to
   the tissues
Removable partial dentures by design are intended
 to be removed from and replaced into the mouth.
 Because of this, they are not rigidly connected to
 the teeth or tissues, which means that they are
 subjected to movement in response to functional
 loads. These movement can cause generation of
 stresses which if not controlled , can damage the
 remaining teeth and supporting bone.Efforts must
 be always directed towards minimizing the
 harmful forces on the remaining teeth by proper
 designing of the RPD.
THANK YOU

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biomechanics in rpd

  • 2. INTRODUCTION  Biomechanics basically deals with application of mechanical principles to biological tissues. In the oral cavity one would find a number of sources of stress generation, the human body is built in such a manner that it learns to adapt to any stressful situation. However when we try to create an artificial replacement of that natural component which is lost, we are at a loss in making it fully functional and adaptable.
  • 3. Biomechanics (GPT 7):  1: the application of mechanical laws to living structures, specifically the locomotor systems of the body.  2: the study of biology from the functional viewpoint.  3: An application of the principles of engineering design as implemented in living organisms.
  • 4. Mechanical principles applicable in Removable Prosthodontics − Lever principle − Inclined plane − Snowshoe principle
  • 5. Lever: A simple machine consisting of a rigid bar pivoted on a fixed point and used to transmit force, as in raising or moving a weight at one end by pushing down on the other.
  • 9. Inclined plane  Inclined plane Forces against an inclined plane may result in deflection of that which is applying the forces or may result in movement to the inclined plane, neither of these is desirable.
  • 10. Snowshoe principle  This principle is based on distribution of forces to as large an area as possible. Like in a snow shoe which is designed to distribute forces on the entire base area of the shoe, a partial denture should cover maximum area possible within the physiologic limits so as to distribute the forces over a larger area.
  • 11. Stress consideration in a partial denture  The stresses can be divided as: − Vertical 1.Displacing stresses 2. Dislodging stresses − Horizontal − Torsional
  • 12. Displacing stress − Those forces which are the result of stresses along the long axis of the teeth in a crown to apex direction and the relatively vertical stresses on the ridge mucosa. These are the least harmful and are born well if within physiologic limits.
  • 13. Dislodging stress − These are the forces which tend to lift the partial denture from its rest position. Reciprocal dislodging action occurs when wide edentulous spaces are interrupted by few teeth thus inviting an antero-posterior or lateral tilt of prosthesis.
  • 14. Horizontal stress − They originate as a component of rhythmic chewing stroke. These forces are effective in mesio-distal and buccolingual direction. These lateral stresses are most damaging.
  • 15. Torsional stress − It is a twisting rotational type of force. It’s a combination of vertical and horizontal force. Torsion is noted most frequently where a long segment acts upon the first abutment it engages. Where the ridge mucosa has higher resiliency torque is higher. Torque applies rotation about a fixed point.
  • 16. Biomechanical consideration of individual component “Perpetual preservation of what is remaining is more important than meticulous replacement of what is lost” De Van
  • 17. Major connector − Connects parts of prosthesis located on one side of the arch with those on the opposite side − Should be rigid: − Distribution of force − Effectiveness of other components − If flexible forces concentrated on individual teeth or ridge damaging.
  • 19.
  • 20. Rest Relation between rest and abutment should be such that forces should be directed apically down along the long axis of the tooth Stress absorbed by fibers of PDL without getting damaged.
  • 21. Indirect retainer To prevent the DEB from moving away from its seat because of cheek and tongue forces, sticky food. It uses mechanical advantage of leverage by moving the fulcrum line farther from the force.
  • 22. Contributes to support and stability of the partial denture counteracts horizontal forces applied to the denture. Long span mandibular lingual bar major connector (even if tooth supported), IR provides additional support and rigidity for lingual bar. Prevents impingement of the lingual bar on the mucosa during function.
  • 29. Amount of tooth contact
  • 31. Control stress by design consideration
  • 32. 1. Retention as a means of stress control A) forces of adhesion and cohesion B) atmospheric pressure C) Frictional contact D) Neuromuscular control
  • 33. Strategic clasp positioning a) Quadrilateral configuration b) Tripod configuration c) Bilateral configuration
  • 34. Clasp design a) circumferential clasp b) bar clasp c) combination clasp
  • 35. 4 Indirect retention 5 Functional basing 6 occlusion a) harmonious occlusion b) size of food table c) occlusal pattern of posterior teeth
  • 36. 7 Denture base a) Size & configuration b) accuracy of adaptation of base to the tissues
  • 37. Removable partial dentures by design are intended to be removed from and replaced into the mouth. Because of this, they are not rigidly connected to the teeth or tissues, which means that they are subjected to movement in response to functional loads. These movement can cause generation of stresses which if not controlled , can damage the remaining teeth and supporting bone.Efforts must be always directed towards minimizing the harmful forces on the remaining teeth by proper designing of the RPD.