PubMed · 390120
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J W McCartney. 1979. Lingual plating for reciprocation.. https://doi.org/10.1016/0022-3913(79)90191-4
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Three clasping systems were placed in five patients, and measurements of abutment tooth mobility were made. These data were compared to previously established baselines and statistically analyzed. The findings of the study are: 1. There was no difference in abutment tooth mobility during the 4-week test period with each of the three clasping systems. The important factor may have been the fit of the distal-extension denture base over the residual ridge, which provides the stability to prevent increases in abutment mobility. 2. Any mobility increases were in a buccal direction only, or toward the flexible retentive clasp arm. There was never any change in lingual mobility. 3. All five patients chose the I-bar retainer as the design of choice due to its increased resistance to dislodgment. Periodic recall of distal-extension removable partial denture patients is mandatory to ensure proper stress distribution and prevent increases in abutment tooth mobility.
The position of a retained root for preservation of a ridge requires modification of the design of a distal-extension removable partial denture on the side of the retained root. A model with silicone rubber over the ridges and simulated retained roots was fabricated. A framework with mesial rests, distal proximal plates, and I-bar clasp arms was fitted to it. A pencil lead was attached to the framework to record the arcs of rotation of the I-bar clasp arm. The movements and the fulcrums of the prosthesis were changed by the presence of simulated retained roots posterior to the distal abutment.
This anatomically contoured, carefully restored tooth is now capable of continuing to serve as an abutment for the patient's existing removable partial denture, and a complex and extensive treatment has been avoided.