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Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures

PURPOSE: The aim of this study was to establish guidelines for the selection of cast and wrought-wire clasps for removable partial dentures (RPDs) that would be appropriate for clinically encountered undercuts and facial curvatures. METHODS: Randomly selected discarded casts were collected and 30 pr...

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Autores principales: Owen, C. Peter, Naidoo, Noland
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275311/
https://www.ncbi.nlm.nih.gov/pubmed/33622544
http://dx.doi.org/10.1016/j.identj.2021.01.005
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author Owen, C. Peter
Naidoo, Noland
author_facet Owen, C. Peter
Naidoo, Noland
author_sort Owen, C. Peter
collection PubMed
description PURPOSE: The aim of this study was to establish guidelines for the selection of cast and wrought-wire clasps for removable partial dentures (RPDs) that would be appropriate for clinically encountered undercuts and facial curvatures. METHODS: Randomly selected discarded casts were collected and 30 premolars and 30 molars were surveyed, sectioned to a line representing the clasp and scanned using a flatbed scanner. The average clasp curvature and length for each group was determined and a three-dimensional model printed, to which wrought wire clasps of 0.9- and 1.0-mm diameter were adapted. Standard wax clasp patterns were adapted and cast in a stellite alloy. Each clasp was deformed beyond its proportional limit; and the forces exerted at that limit and at deflections of 0.25 mm, 0.5 mm, and 0.75 mm were measured, and a safety limit was calculated that would ensure elastic deformation at the required undercuts. RESULTS: A table was produced with guidelines for those clasps that would provide the highest retentive force within the proposed safety limit. The highest forces were provided by cast clasps in a 0.25-mm undercut. Wrought round wire of 1-mm diameter provided the next highest retentive forces, in a 0.25-mm undercut for premolar clasps arms and 0.5-mm for molar clasps. CONCLUSIONS: The results provide valid guidelines for the use of combinations of clasp material and undercut that would exert the maximum retentive force without deformation for both short (premolar) as well as long (molar) clasps, for wrought and cast clasps.
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spelling pubmed-92753112022-08-02 Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures Owen, C. Peter Naidoo, Noland Int Dent J Scientific Research Report PURPOSE: The aim of this study was to establish guidelines for the selection of cast and wrought-wire clasps for removable partial dentures (RPDs) that would be appropriate for clinically encountered undercuts and facial curvatures. METHODS: Randomly selected discarded casts were collected and 30 premolars and 30 molars were surveyed, sectioned to a line representing the clasp and scanned using a flatbed scanner. The average clasp curvature and length for each group was determined and a three-dimensional model printed, to which wrought wire clasps of 0.9- and 1.0-mm diameter were adapted. Standard wax clasp patterns were adapted and cast in a stellite alloy. Each clasp was deformed beyond its proportional limit; and the forces exerted at that limit and at deflections of 0.25 mm, 0.5 mm, and 0.75 mm were measured, and a safety limit was calculated that would ensure elastic deformation at the required undercuts. RESULTS: A table was produced with guidelines for those clasps that would provide the highest retentive force within the proposed safety limit. The highest forces were provided by cast clasps in a 0.25-mm undercut. Wrought round wire of 1-mm diameter provided the next highest retentive forces, in a 0.25-mm undercut for premolar clasps arms and 0.5-mm for molar clasps. CONCLUSIONS: The results provide valid guidelines for the use of combinations of clasp material and undercut that would exert the maximum retentive force without deformation for both short (premolar) as well as long (molar) clasps, for wrought and cast clasps. Elsevier 2021-02-20 /pmc/articles/PMC9275311/ /pubmed/33622544 http://dx.doi.org/10.1016/j.identj.2021.01.005 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Scientific Research Report
Owen, C. Peter
Naidoo, Noland
Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
title Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
title_full Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
title_fullStr Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
title_full_unstemmed Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
title_short Guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
title_sort guidelines for the choice of circumferential wrought wire and cast clasp arms for removable partial dentures
topic Scientific Research Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9275311/
https://www.ncbi.nlm.nih.gov/pubmed/33622544
http://dx.doi.org/10.1016/j.identj.2021.01.005
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