major connectors major connectors rola m. shadid, bds, msc

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Major Major Connectors Connectors Rola M. Shadid, BDS, MSc

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Page 1: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Major ConnectorsMajor Connectors Major ConnectorsMajor Connectors

Rola M. Shadid, BDS, MSc

Page 2: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Major ConnectorMajor ConnectorMajor ConnectorMajor Connector

A major A major connector is the component of is the component of the RPD that connects the parts of the the RPD that connects the parts of the prosthesis located on one side of the arch prosthesis located on one side of the arch with those on the opposite side. with those on the opposite side.

It is that unit of the RPD to which all It is that unit of the RPD to which all other parts are directly or indirectly other parts are directly or indirectly attached.attached.

A major A major connector is the component of is the component of the RPD that connects the parts of the the RPD that connects the parts of the prosthesis located on one side of the arch prosthesis located on one side of the arch with those on the opposite side. with those on the opposite side.

It is that unit of the RPD to which all It is that unit of the RPD to which all other parts are directly or indirectly other parts are directly or indirectly attached.attached.

Page 3: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Functions of Major ConnectorFunctions of Major ConnectorFunctions of Major ConnectorFunctions of Major Connector

UnificationUnification Partial denture acts as one unitPartial denture acts as one unit Connects various partsConnects various parts

UnificationUnification Partial denture acts as one unitPartial denture acts as one unit Connects various partsConnects various parts

Page 4: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Functions of Major ConnectorFunctions of Major ConnectorFunctions of Major ConnectorFunctions of Major Connector

Stress DistributionStress Distribution Distributes functional loads to both Distributes functional loads to both

teeth & mucosateeth & mucosa

Stress DistributionStress Distribution Distributes functional loads to both Distributes functional loads to both

teeth & mucosateeth & mucosa

Page 5: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Functions of Major ConnectorFunctions of Major ConnectorFunctions of Major ConnectorFunctions of Major Connector

Cross-Arch Stabilization Cross-Arch Stabilization ** (Counterleverage)(Counterleverage) Bracing elements on one side of the Bracing elements on one side of the

arch providing stability to the otherarch providing stability to the other

Cross-Arch Stabilization Cross-Arch Stabilization ** (Counterleverage)(Counterleverage) Bracing elements on one side of the Bracing elements on one side of the

arch providing stability to the otherarch providing stability to the other

Page 6: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Requirements of Major ConnectorRequirements of Major ConnectorRequirements of Major ConnectorRequirements of Major Connector

Rigidity Rigidity ** Functions as one unit Functions as one unit

Rigidity Rigidity ** Functions as one unit Functions as one unit

Page 7: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

To Increase RigidityTo Increase RigidityTo Increase RigidityTo Increase Rigidity

Use a more rigid alloy Use a more rigid alloy Chrome-cobalt > gold alloys; cast > wroughtChrome-cobalt > gold alloys; cast > wrought

Shape (cross-section)Shape (cross-section) 1/2 round > 1/2 pear shaped > flat bars1/2 round > 1/2 pear shaped > flat bars

Use a more rigid alloy Use a more rigid alloy Chrome-cobalt > gold alloys; cast > wroughtChrome-cobalt > gold alloys; cast > wrought

Shape (cross-section)Shape (cross-section) 1/2 round > 1/2 pear shaped > flat bars1/2 round > 1/2 pear shaped > flat bars

Page 8: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

To Increase RigidityTo Increase RigidityTo Increase RigidityTo Increase Rigidity

Increase the bulk as the length increasesIncrease the bulk as the length increases Corrugate linguoplate or rugae areasCorrugate linguoplate or rugae areas

Increase the bulk as the length increasesIncrease the bulk as the length increases Corrugate linguoplate or rugae areasCorrugate linguoplate or rugae areas

Page 9: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

RequirementsRequirementsRequirementsRequirements

Non-Interference with soft tissuesNon-Interference with soft tissues Should not enter undercut areasShould not enter undercut areas

avoid by changing path of insertion avoid by changing path of insertion or by using blockoutor by using blockout

Non-Interference with soft tissuesNon-Interference with soft tissues Should not enter undercut areasShould not enter undercut areas

avoid by changing path of insertion avoid by changing path of insertion or by using blockoutor by using blockout

Page 10: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Non-Interference With TissuesNon-Interference With TissuesNon-Interference With TissuesNon-Interference With Tissues

Avoid terminating on:Avoid terminating on: Free gingival margin Free gingival margin

Cross abruptly at 90Cross abruptly at 90oo

Relief is used to minimize Relief is used to minimize impingementimpingement

Avoid terminating on:Avoid terminating on: Free gingival margin Free gingival margin

Cross abruptly at 90Cross abruptly at 90oo

Relief is used to minimize Relief is used to minimize impingementimpingement

Page 11: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Borders of maxillary connector Borders of maxillary connector should be placed should be placed a minimum a minimum of 6 mm of 6 mm away from and away from and parallel to the gingival parallel to the gingival margins.margins.

Border of mandibular Border of mandibular connector should be located connector should be located a a minimum of 4 mm below the minimum of 4 mm below the gingival margingingival margin

Borders of maxillary connector Borders of maxillary connector should be placed should be placed a minimum a minimum of 6 mm of 6 mm away from and away from and parallel to the gingival parallel to the gingival margins.margins.

Border of mandibular Border of mandibular connector should be located connector should be located a a minimum of 4 mm below the minimum of 4 mm below the gingival margingingival margin

Page 12: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Non-Interference With TissuesNon-Interference With TissuesNon-Interference With TissuesNon-Interference With Tissues

Avoid terminating on:Avoid terminating on: Hard structures such as the mid-Hard structures such as the mid-

palatal suture or mandibular toripalatal suture or mandibular tori Place reliefPlace relief

Avoid terminating on:Avoid terminating on: Hard structures such as the mid-Hard structures such as the mid-

palatal suture or mandibular toripalatal suture or mandibular tori Place reliefPlace relief

Page 13: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Non-Interference With TissuesNon-Interference With TissuesNon-Interference With TissuesNon-Interference With Tissues

Avoid terminating on:Avoid terminating on: Lingual frenum & the movable soft palateLingual frenum & the movable soft palate Soft tissue movements must also be allowed Soft tissue movements must also be allowed

Avoid terminating on:Avoid terminating on: Lingual frenum & the movable soft palateLingual frenum & the movable soft palate Soft tissue movements must also be allowed Soft tissue movements must also be allowed

Page 14: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Minimize Food ImpactionMinimize Food ImpactionMinimize Food ImpactionMinimize Food Impaction

Locate margins away from the FGMLocate margins away from the FGM Eliminate "traps" or large concavities Eliminate "traps" or large concavities

where food can collectwhere food can collect

Locate margins away from the FGMLocate margins away from the FGM Eliminate "traps" or large concavities Eliminate "traps" or large concavities

where food can collectwhere food can collect

Page 15: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Unobtrusive *Unobtrusive *Unobtrusive *Unobtrusive *

Smooth transition from connector to Smooth transition from connector to denture base - butt joint denture base - butt joint

Smooth transition from connector to Smooth transition from connector to denture base - butt joint denture base - butt joint

Page 16: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

UnobtrusiveUnobtrusiveUnobtrusiveUnobtrusive

Line angles and edges should be smooth Line angles and edges should be smooth and roundedand rounded

Borders should not interfere with speechBorders should not interfere with speech

Line angles and edges should be smooth Line angles and edges should be smooth and roundedand rounded

Borders should not interfere with speechBorders should not interfere with speech

Page 17: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

ReliefReliefReliefRelief

Mandibular major connectors Mandibular major connectors should be should be located and/or located and/or relievedrelieved to prevent to prevent impingement of tissue because the distal impingement of tissue because the distal extension denture rotates in function. extension denture rotates in function.

Except for a palatal torus or prominent Except for a palatal torus or prominent median palatal suture area, median palatal suture area, maxillary maxillary connectors connectors ordinarily require ordinarily require no reliefno relief..

Mandibular major connectors Mandibular major connectors should be should be located and/or located and/or relievedrelieved to prevent to prevent impingement of tissue because the distal impingement of tissue because the distal extension denture rotates in function. extension denture rotates in function.

Except for a palatal torus or prominent Except for a palatal torus or prominent median palatal suture area, median palatal suture area, maxillary maxillary connectors connectors ordinarily require ordinarily require no reliefno relief..

Page 18: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibular Major ConnectorsMandibular Major ConnectorsMandibular Major ConnectorsMandibular Major Connectors

Lingual BarLingual Bar Lingual PlateLingual Plate Sublingual bar Sublingual bar Lingual bar with cingulum bar Lingual bar with cingulum bar

(continuous bar)(continuous bar) Labial bar Labial bar Swing lock designSwing lock design

Lingual BarLingual Bar Lingual PlateLingual Plate Sublingual bar Sublingual bar Lingual bar with cingulum bar Lingual bar with cingulum bar

(continuous bar)(continuous bar) Labial bar Labial bar Swing lock designSwing lock design

Page 19: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibular Major ConnectorsMandibular Major ConnectorsMandibular Major ConnectorsMandibular Major Connectors

Lingual BarLingual Bar Most common in mandibeMost common in mandibe Use whenever possibleUse whenever possible

Lingual BarLingual Bar Most common in mandibeMost common in mandibe Use whenever possibleUse whenever possible

Page 20: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibular Major ConnectorsMandibular Major ConnectorsMandibular Major ConnectorsMandibular Major Connectors

Lingual BarLingual Bar ShapeShape

Flat on tissue sideFlat on tissue side Convex or tear-drop on Convex or tear-drop on

tongue sidetongue side (1/2 pear shape, with (1/2 pear shape, with

thin edge toward teeth)thin edge toward teeth)

Lingual BarLingual Bar ShapeShape

Flat on tissue sideFlat on tissue side Convex or tear-drop on Convex or tear-drop on

tongue sidetongue side (1/2 pear shape, with (1/2 pear shape, with

thin edge toward teeth)thin edge toward teeth)

Page 21: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual BarLingual BarLingual BarLingual Bar

Located above moving tissue but as far below the gingival tissue as possible

The superior border should The superior border should be tapered toward the be tapered toward the gingival tissue superiorly gingival tissue superiorly with its greatest bulk at the with its greatest bulk at the inferior border, resulting inferior border, resulting in a contour that is a half-in a contour that is a half-pear shape.pear shape.

Located above moving tissue but as far below the gingival tissue as possible

The superior border should The superior border should be tapered toward the be tapered toward the gingival tissue superiorly gingival tissue superiorly with its greatest bulk at the with its greatest bulk at the inferior border, resulting inferior border, resulting in a contour that is a half-in a contour that is a half-pear shape.pear shape.

Page 22: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibular Major ConnectorsMandibular Major ConnectorsMandibular Major ConnectorsMandibular Major Connectors

Lingual BarLingual Bar SizeSize

Occluso-gingival width = 4 to 6 mmOccluso-gingival width = 4 to 6 mm Thickness = l.5 to 2 mmThickness = l.5 to 2 mm

Lingual BarLingual Bar SizeSize

Occluso-gingival width = 4 to 6 mmOccluso-gingival width = 4 to 6 mm Thickness = l.5 to 2 mmThickness = l.5 to 2 mm

Page 23: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Inferior Border of Lingual Bar *Inferior Border of Lingual Bar *Inferior Border of Lingual Bar *Inferior Border of Lingual Bar *

Patient lifts tonguePatient lifts tongue Activates floor of mouthActivates floor of mouth

Measure from tip of probe to free gingival marginMeasure from tip of probe to free gingival margin

ORORo Make impression Make impression

with lifted tongue with lifted tongue o Measure on castMeasure on cast

Patient lifts tonguePatient lifts tongue Activates floor of mouthActivates floor of mouth

Measure from tip of probe to free gingival marginMeasure from tip of probe to free gingival margin

ORORo Make impression Make impression

with lifted tongue with lifted tongue o Measure on castMeasure on cast

Page 24: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Inferior Border of Lingual BarInferior Border of Lingual BarInferior Border of Lingual BarInferior Border of Lingual Bar

Page 25: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual BarLingual BarLingual BarLingual Bar PositionPosition

Superior border Superior border 3-4 mm or more below FGM3-4 mm or more below FGM As far from gingival margin as As far from gingival margin as

possiblepossible

PositionPosition Superior border Superior border 3-4 mm or more below FGM3-4 mm or more below FGM As far from gingival margin as As far from gingival margin as

possiblepossible

Page 26: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibular Major Connector ReliefMandibular Major Connector ReliefMandibular Major Connector ReliefMandibular Major Connector Relief

Eliminates impingementEliminates impingement Wax spacer (relief) placed under major Wax spacer (relief) placed under major

connectorconnector

One thickness of 30 gauge wax One thickness of 30 gauge wax **

Eliminates impingementEliminates impingement Wax spacer (relief) placed under major Wax spacer (relief) placed under major

connectorconnector

One thickness of 30 gauge wax One thickness of 30 gauge wax **

Page 27: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual Bar IndicationLingual Bar IndicationLingual Bar IndicationLingual Bar Indication

The lingual bar should be used for The lingual bar should be used for mandibular RPD where sufficient space mandibular RPD where sufficient space exists between the slightly elevated exists between the slightly elevated alveolar lingual sulcus and the lingual alveolar lingual sulcus and the lingual gingival tissue gingival tissue (more than 8 mm)(more than 8 mm)

The lingual bar should be used for The lingual bar should be used for mandibular RPD where sufficient space mandibular RPD where sufficient space exists between the slightly elevated exists between the slightly elevated alveolar lingual sulcus and the lingual alveolar lingual sulcus and the lingual gingival tissue gingival tissue (more than 8 mm)(more than 8 mm)

Page 28: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Contraindications for Lingual Contraindications for Lingual BarBarContraindications for Lingual Contraindications for Lingual BarBar Remaining natural Remaining natural

anterior teeth severely anterior teeth severely tilted linguallytilted lingually

Interfering lingual toriInterfering lingual tori High attachment of High attachment of

lingual frenumlingual frenum Interference with Interference with

elevation of the floor of elevation of the floor of the mouth during the mouth during functional movements functional movements (< 8 (< 8 mm)mm)

Remaining natural Remaining natural anterior teeth severely anterior teeth severely tilted linguallytilted lingually

Interfering lingual toriInterfering lingual tori High attachment of High attachment of

lingual frenumlingual frenum Interference with Interference with

elevation of the floor of elevation of the floor of the mouth during the mouth during functional movements functional movements (< 8 (< 8 mm)mm)

Page 29: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual Plate (Linguoplate)Lingual Plate (Linguoplate)Lingual Plate (Linguoplate)Lingual Plate (Linguoplate)

Lingual bar with extension over cingula of Lingual bar with extension over cingula of anterior teethanterior teeth

Use where a lingual bar cannot be usedUse where a lingual bar cannot be used

Lingual bar with extension over cingula of Lingual bar with extension over cingula of anterior teethanterior teeth

Use where a lingual bar cannot be usedUse where a lingual bar cannot be used

Page 30: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual PlateLingual PlateLingual PlateLingual Plate

Inferior border at the Inferior border at the ascertained height of ascertained height of the alveolar lingual the alveolar lingual sulcus when the sulcus when the patient's tongue is patient's tongue is slightly elevated.slightly elevated.

Inferior border at the Inferior border at the ascertained height of ascertained height of the alveolar lingual the alveolar lingual sulcus when the sulcus when the patient's tongue is patient's tongue is slightly elevated.slightly elevated.

Page 31: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual PlateLingual PlateLingual PlateLingual Plate

Rest at each end of lingual plateRest at each end of lingual plate Prevents forces being directed faciallyPrevents forces being directed facially Easier denture tooth addition than bar Easier denture tooth addition than bar **

Rest at each end of lingual plateRest at each end of lingual plate Prevents forces being directed faciallyPrevents forces being directed facially Easier denture tooth addition than bar Easier denture tooth addition than bar **

Page 32: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual Plate VariationsLingual Plate VariationsLingual Plate VariationsLingual Plate Variations

May show through embrasuresMay show through embrasures May show through embrasuresMay show through embrasures

Page 33: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual Plate IndicationsLingual Plate IndicationsLingual Plate IndicationsLingual Plate Indications

Potential Impingement from lingual bar Potential Impingement from lingual bar High floor of the mouthHigh floor of the mouth (< 8 mm) (< 8 mm) Prominent lingual frenum Prominent lingual frenum Lingual toriLingual tori

Potential Impingement from lingual bar Potential Impingement from lingual bar High floor of the mouthHigh floor of the mouth (< 8 mm) (< 8 mm) Prominent lingual frenum Prominent lingual frenum Lingual toriLingual tori

Page 34: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Lingual Plate IndicationsLingual Plate IndicationsLingual Plate IndicationsLingual Plate Indications

The residual ridges in The residual ridges in Class I arch have undergone Class I arch have undergone such vertical resorption such vertical resorption that they will offer only that they will offer only minimal resistance to horizontal rotations of the minimal resistance to horizontal rotations of the denture through its bases.denture through its bases.

For using For using periodontally weakenedperiodontally weakened

teeth to furnish support teeth to furnish support to prosthesis and to help to prosthesis and to help resist horizontal rotation of the distal extension resist horizontal rotation of the distal extension type of denture. (act as periodontal splint)type of denture. (act as periodontal splint)

The residual ridges in The residual ridges in Class I arch have undergone Class I arch have undergone such vertical resorption such vertical resorption that they will offer only that they will offer only minimal resistance to horizontal rotations of the minimal resistance to horizontal rotations of the denture through its bases.denture through its bases.

For using For using periodontally weakenedperiodontally weakened

teeth to furnish support teeth to furnish support to prosthesis and to help to prosthesis and to help resist horizontal rotation of the distal extension resist horizontal rotation of the distal extension type of denture. (act as periodontal splint)type of denture. (act as periodontal splint)

Page 35: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibular Lingual Bar with Continuous Mandibular Lingual Bar with Continuous Bar (Cingulum Bar)Bar (Cingulum Bar)(Kennedy Bar, Double Lingual Bar)(Kennedy Bar, Double Lingual Bar)

Mandibular Lingual Bar with Continuous Mandibular Lingual Bar with Continuous Bar (Cingulum Bar)Bar (Cingulum Bar)(Kennedy Bar, Double Lingual Bar)(Kennedy Bar, Double Lingual Bar)

Lingual bar with secondary bar on Lingual bar with secondary bar on cingula of anterior teeth cingula of anterior teeth **

Lingual bar with secondary bar on Lingual bar with secondary bar on cingula of anterior teeth cingula of anterior teeth **

Page 36: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibulat Lingual Bar with Mandibulat Lingual Bar with Continuous Bar IndicationsContinuous Bar IndicationsMandibulat Lingual Bar with Mandibulat Lingual Bar with Continuous Bar IndicationsContinuous Bar Indications

When a linguoplate is otherwise When a linguoplate is otherwise indicated but the axial indicated but the axial alignment of anterior teeth is alignment of anterior teeth is such that excessive blockout such that excessive blockout of interproximal undercuts of interproximal undercuts would be required. would be required.

When wide diastema exists When wide diastema exists between mandibular anterior between mandibular anterior teeth and a linguoplate teeth and a linguoplate would objectionably display would objectionably display metal in a frontal view.metal in a frontal view.

When a linguoplate is otherwise When a linguoplate is otherwise indicated but the axial indicated but the axial alignment of anterior teeth is alignment of anterior teeth is such that excessive blockout such that excessive blockout of interproximal undercuts of interproximal undercuts would be required. would be required.

When wide diastema exists When wide diastema exists between mandibular anterior between mandibular anterior teeth and a linguoplate teeth and a linguoplate would objectionably display would objectionably display metal in a frontal view.metal in a frontal view.

Page 37: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Mandibulat Lingual Bar with Mandibulat Lingual Bar with Continuous BarContinuous BarMandibulat Lingual Bar with Mandibulat Lingual Bar with Continuous BarContinuous Bar

Potential food trap between two barsPotential food trap between two bars Normally avoidNormally avoid

Potential food trap between two barsPotential food trap between two bars Normally avoidNormally avoid

Page 38: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Maxillary Major ConnectorsMaxillary Major ConnectorsMaxillary Major ConnectorsMaxillary Major Connectors

1.1. Anterior-Posterior Palatal Strap Anterior-Posterior Palatal Strap

2.2. Palatal plate-type connector Palatal plate-type connector

3.3. Single palatal strapSingle palatal strap

4. U-shaped palatal connector (Anterior Palatal Strap)

5. Single palatal bar

6. Anterior-posterior palatal bar

1.1. Anterior-Posterior Palatal Strap Anterior-Posterior Palatal Strap

2.2. Palatal plate-type connector Palatal plate-type connector

3.3. Single palatal strapSingle palatal strap

4. U-shaped palatal connector (Anterior Palatal Strap)

5. Single palatal bar

6. Anterior-posterior palatal bar

Page 39: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Maxillary Major ConnectorsMaxillary Major ConnectorsMaxillary Major ConnectorsMaxillary Major Connectors

Whenever it is Whenever it is necessary for the necessary for the palatal connector to palatal connector to make contact with make contact with the teeth for support, the teeth for support, definite tooth definite tooth support by definite support by definite rest seats should be rest seats should be provided provided **

Whenever it is Whenever it is necessary for the necessary for the palatal connector to palatal connector to make contact with make contact with the teeth for support, the teeth for support, definite tooth definite tooth support by definite support by definite rest seats should be rest seats should be provided provided **

Page 40: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Maxillary Major ConnectorsMaxillary Major ConnectorsMaxillary Major ConnectorsMaxillary Major Connectors

Terminate 6.0 mm or more from free Terminate 6.0 mm or more from free gingival margin when possiblegingival margin when possible

Terminate 6.0 mm or more from free Terminate 6.0 mm or more from free gingival margin when possiblegingival margin when possible

Page 41: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Anterior-Posterior Palatal Strap*Anterior-Posterior Palatal Strap*Anterior-Posterior Palatal Strap*Anterior-Posterior Palatal Strap*

Maximum rigidity Maximum rigidity Minimum bulkMinimum bulk Use in most cases Use in most cases Especially torus palatinusEspecially torus palatinus

Maximum rigidity Maximum rigidity Minimum bulkMinimum bulk Use in most cases Use in most cases Especially torus palatinusEspecially torus palatinus

Page 42: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Anterior-Posterior Palatal Strap Anterior-Posterior Palatal Strap IndicationsIndicationsAnterior-Posterior Palatal Strap Anterior-Posterior Palatal Strap IndicationsIndications

Class I and II arches in which excellent Class I and II arches in which excellent abutment and residual ridge support abutment and residual ridge support exists, and direct retention can be made exists, and direct retention can be made adequate without the need for indirect adequate without the need for indirect retention.retention.

Long edentulous spans in Class II, Long edentulous spans in Class II, modification 1 arches.modification 1 arches.

Class IV archesClass IV arches

Class I and II arches in which excellent Class I and II arches in which excellent abutment and residual ridge support abutment and residual ridge support exists, and direct retention can be made exists, and direct retention can be made adequate without the need for indirect adequate without the need for indirect retention.retention.

Long edentulous spans in Class II, Long edentulous spans in Class II, modification 1 arches.modification 1 arches.

Class IV archesClass IV arches

Page 43: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Anterior-Posterior Palatal Strap Anterior-Posterior Palatal Strap IndicationsIndicationsAnterior-Posterior Palatal Strap Anterior-Posterior Palatal Strap IndicationsIndications Inoperable palatal tori that do not Inoperable palatal tori that do not

extend posteriorly to the junction of the extend posteriorly to the junction of the hard and soft palateshard and soft palates..

The only condition preventing its use is The only condition preventing its use is when there is an inoperable maxillary when there is an inoperable maxillary torus that extends posteriorly to the soft torus that extends posteriorly to the soft palate.palate.

Inoperable palatal tori that do not Inoperable palatal tori that do not extend posteriorly to the junction of the extend posteriorly to the junction of the hard and soft palateshard and soft palates..

The only condition preventing its use is The only condition preventing its use is when there is an inoperable maxillary when there is an inoperable maxillary torus that extends posteriorly to the soft torus that extends posteriorly to the soft palate.palate.

Page 44: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Anterior-Posterior Palatal BarAnterior-Posterior Palatal BarAnterior-Posterior Palatal BarAnterior-Posterior Palatal Bar A narrow (A-P) variation of anterior-A narrow (A-P) variation of anterior-

posterior palatal strap posterior palatal strap Double palatal bar connector Double palatal bar connector Requires greater bulk for rigidity Requires greater bulk for rigidity

A narrow (A-P) variation of anterior-A narrow (A-P) variation of anterior-posterior palatal strap posterior palatal strap Double palatal bar connector Double palatal bar connector Requires greater bulk for rigidity Requires greater bulk for rigidity

Page 45: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Anterior-Posterior Palatal BarAnterior-Posterior Palatal BarAnterior-Posterior Palatal BarAnterior-Posterior Palatal Bar

More objectionable to the patient More objectionable to the patient Strap connectors provide greater Strap connectors provide greater

distribution of stressesdistribution of stresses

More objectionable to the patient More objectionable to the patient Strap connectors provide greater Strap connectors provide greater

distribution of stressesdistribution of stresses

Page 46: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Palatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type Connector

Covers one half or more of the hard palateCovers one half or more of the hard palate Maximum tissue supportMaximum tissue support Connector of choice in long distal extension Connector of choice in long distal extension

cases cases

Covers one half or more of the hard palateCovers one half or more of the hard palate Maximum tissue supportMaximum tissue support Connector of choice in long distal extension Connector of choice in long distal extension

cases cases

Page 47: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Palatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type Connector

Greater stability and stress distributionGreater stability and stress distribution Not used with torus Not used with torus Increases retentionIncreases retention

Greater stability and stress distributionGreater stability and stress distribution Not used with torus Not used with torus Increases retentionIncreases retention

Page 48: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Palatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type Connector

Connector should:Connector should: be fabricated of uniformly thin metal *be fabricated of uniformly thin metal * have accurate anatomic reproduction have accurate anatomic reproduction

of the rugaeof the rugae improves strength and rigidity improves strength and rigidity

Connector should:Connector should: be fabricated of uniformly thin metal *be fabricated of uniformly thin metal * have accurate anatomic reproduction have accurate anatomic reproduction

of the rugaeof the rugae improves strength and rigidity improves strength and rigidity

Page 49: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Palatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type ConnectorPalatal Plate-Type Connector

Connector should:Connector should: Cover same area as complete denture Cover same area as complete denture

posteriorly posteriorly Have large surface area of mucosal contactHave large surface area of mucosal contact

improves potential for retentionimproves potential for retention

Connector should:Connector should: Cover same area as complete denture Cover same area as complete denture

posteriorly posteriorly Have large surface area of mucosal contactHave large surface area of mucosal contact

improves potential for retentionimproves potential for retention

Page 50: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

1.1. A cast plate between A cast plate between two or more edentulous two or more edentulous areasareas

2.2. A complete or partial A complete or partial cast plate that extends cast plate that extends posteriorly to the posteriorly to the junction of the hard and junction of the hard and soft palatesoft palate

1.1. A cast plate between A cast plate between two or more edentulous two or more edentulous areasareas

2.2. A complete or partial A complete or partial cast plate that extends cast plate that extends posteriorly to the posteriorly to the junction of the hard and junction of the hard and soft palatesoft palate

Palatal Plate-Type Connector Palatal Plate-Type Connector FormsFormsPalatal Plate-Type Connector Palatal Plate-Type Connector FormsForms

Page 51: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

3. 3. An anterior palatal An anterior palatal connector with a connector with a provision for extending provision for extending an acrylic resin denture an acrylic resin denture base posteriorlybase posteriorly

3. 3. An anterior palatal An anterior palatal connector with a connector with a provision for extending provision for extending an acrylic resin denture an acrylic resin denture base posteriorlybase posteriorly

Palatal Plate-Type Connector Palatal Plate-Type Connector FormsFormsPalatal Plate-Type Connector Palatal Plate-Type Connector FormsForms

Page 52: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Palatal Plate-Type Connector Palatal Plate-Type Connector IndicationsIndicationsPalatal Plate-Type Connector Palatal Plate-Type Connector IndicationsIndications

Abutments are periodontally involvedAbutments are periodontally involved Maximum stress distribution is neededMaximum stress distribution is needed** Flabby tissue Flabby tissue Shallow palatal vault Shallow palatal vault

Abutments are periodontally involvedAbutments are periodontally involved Maximum stress distribution is neededMaximum stress distribution is needed** Flabby tissue Flabby tissue Shallow palatal vault Shallow palatal vault

Page 53: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Single Palatal StrapSingle Palatal StrapSingle Palatal StrapSingle Palatal Strap

Usually use for Class III & IV casesUsually use for Class III & IV cases * * Usually use for Class III & IV casesUsually use for Class III & IV cases * *

Page 54: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Single Palatal StrapSingle Palatal StrapSingle Palatal StrapSingle Palatal Strap

Strap should be 8mm wide or approximately as wide as the combined width of a maxillary premolar and first molar.

Confined within an area bounded by the four principal rests

Strap should be 8mm wide or approximately as wide as the combined width of a maxillary premolar and first molar.

Confined within an area bounded by the four principal rests

Page 55: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Single Palatal StrapSingle Palatal StrapSingle Palatal StrapSingle Palatal Strap

NeverNever use in cases involving distal extensions use in cases involving distal extensions since it must be made bulky for rigiditysince it must be made bulky for rigidity

Relief may be required over bony midline Relief may be required over bony midline Not used with torusNot used with torus

NeverNever use in cases involving distal extensions use in cases involving distal extensions since it must be made bulky for rigiditysince it must be made bulky for rigidity

Relief may be required over bony midline Relief may be required over bony midline Not used with torusNot used with torus

Page 56: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Palatal BarPalatal BarPalatal BarPalatal Bar Don’t useDon’t use Narrow anterio-posteriorlyNarrow anterio-posteriorly Thick occluso-gingivally Thick occluso-gingivally Palatal bar objectionable due to bulkPalatal bar objectionable due to bulk

Don’t useDon’t use Narrow anterio-posteriorlyNarrow anterio-posteriorly Thick occluso-gingivally Thick occluso-gingivally Palatal bar objectionable due to bulkPalatal bar objectionable due to bulk

Page 57: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

U-Shaped or "Horse-Shoe" Palatal U-Shaped or "Horse-Shoe" Palatal ConnectorConnectorU-Shaped or "Horse-Shoe" Palatal U-Shaped or "Horse-Shoe" Palatal ConnectorConnector

Poor connector Poor connector NeverNever use unless use unless

absolutely necessaryabsolutely necessary Requires bulk in the Requires bulk in the

rugae area (where rugae area (where the tongue requires the tongue requires freedom) for rigidityfreedom) for rigidity

Poor connector Poor connector NeverNever use unless use unless

absolutely necessaryabsolutely necessary Requires bulk in the Requires bulk in the

rugae area (where rugae area (where the tongue requires the tongue requires freedom) for rigidityfreedom) for rigidity

Page 58: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

U-Shaped or "Horse-Shoe" U-Shaped or "Horse-Shoe" Palatal ConnectorPalatal ConnectorU-Shaped or "Horse-Shoe" U-Shaped or "Horse-Shoe" Palatal ConnectorPalatal Connector

Too flexibleToo flexible Allows movement at the posteriorAllows movement at the posterior Traumatic to the residual ridgeTraumatic to the residual ridge Use only where torus prohibits other Use only where torus prohibits other

connector & extends to the posterior limit connector & extends to the posterior limit of the hard palateof the hard palate

Too flexibleToo flexible Allows movement at the posteriorAllows movement at the posterior Traumatic to the residual ridgeTraumatic to the residual ridge Use only where torus prohibits other Use only where torus prohibits other

connector & extends to the posterior limit connector & extends to the posterior limit of the hard palateof the hard palate

Page 59: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

Flexes, impinging on soft tissueFlexes, impinging on soft tissue

Page 60: Major Connectors Major Connectors Rola M. Shadid, BDS, MSc

ReferencesReferencesReferencesReferences

Chapter 5 Major and Minor Connectors, Chapter 5 Major and Minor Connectors, McCracken's Removable Partial McCracken's Removable Partial Prosthodontics, 11Prosthodontics, 11thth edition edition

Chapter 5 Major and Minor Connectors, Chapter 5 Major and Minor Connectors, McCracken's Removable Partial McCracken's Removable Partial Prosthodontics, 11Prosthodontics, 11thth edition edition