Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis

Purpose: The purpose of this study was to evaluate the behavior of mandibular canines acting as abutment teeth and indirect retainers of a Kennedy class II according to different designs: lingual rest and lingual rest associated with a reciprocal arm. Materials & methods: A resin cast with t...

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Main Authors: Marisol C. Camacho, Yolanda R. Gallardo, Roberto Ch. Stegun, Bruno Costa, Newton Sesma
Format: Article
Language:English
Published: Elsevier 2018-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844017337878
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author Marisol C. Camacho
Yolanda R. Gallardo
Roberto Ch. Stegun
Bruno Costa
Newton Sesma
author_facet Marisol C. Camacho
Yolanda R. Gallardo
Roberto Ch. Stegun
Bruno Costa
Newton Sesma
author_sort Marisol C. Camacho
collection DOAJ
description Purpose: The purpose of this study was to evaluate the behavior of mandibular canines acting as abutment teeth and indirect retainers of a Kennedy class II according to different designs: lingual rest and lingual rest associated with a reciprocal arm. Materials &amp; methods: A resin cast with two simulated canine teeth was made in Ni-Cr alloy, representing a Kennedy class II mandibular arch. With the objective of simulating the resilience of the periodontal ligament, a polyurethane layer was added at the canine tooth's root. A metallic framework of Co-Cr alloy was fabricated with a T bar clasp and a lingual rest associated with a reciprocal arm. To obtain the second framework, the reciprocal arm was removed using a tungsten bur. Each framework was submitted to tensile force using a VersaTest machine. The magnitude and direction of canine movement during removal of the framework was measured using two dial gauges (mm). The axial tensile force required to remove the experimental framework (N) was also evaluated. The data were compared using the paired t-test with 95% confidence intervals. Differences were considered significant at P < .05. Results: The mean retentive force of the modified design framework with the reciprocal arm was significantly higher (P < .0001) than that of the framework with the lingual rest. The abutment teeth showed movement in the lingual and mesial directions, and this movement was less when associated with the reciprocal arm design. Conclusion: The reciprocal arm in association with a lingual rest in the framework decreased the movement of the abutment teeth when analyzed in the bucco-lingual and mesio-distal directions and contributed to increased retention by friction.
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spelling doaj.art-eb17128f9c7141ae9339bb167f97401c2022-12-21T18:15:43ZengElsevierHeliyon2405-84402018-03-0143e00575Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture ProsthesisMarisol C. Camacho0Yolanda R. Gallardo1Roberto Ch. Stegun2Bruno Costa3Newton Sesma4Department of Prosthodontics, Dental School, Científica del Sur, Peru; Corresponding author. Rua Epitácio Pessoa, 260. Embaré, Santos-SP, CEP 11043-300, São Paulo, Brazil.Department of Prosthodontics, Dental School, Sao Paulo University, Av. Prof. Lineu Prestes, 2227- Cidade Universitária- Butanta, São Paulo, CEP: 05508-000, BrazilDepartment of Prosthodontics, Dental School, Sao Paulo University, Av. Prof. Lineu Prestes, 2227- Cidade Universitária- Butanta, São Paulo, CEP: 05508-000, BrazilDepartment of Prosthodontics, Dental School, Sao Paulo University, Av. Prof. Lineu Prestes, 2227- Cidade Universitária- Butanta, São Paulo, CEP: 05508-000, BrazilDepartment of Prosthodontics, Dental School, Sao Paulo University, Av. Prof. Lineu Prestes, 2227- Cidade Universitária- Butanta, São Paulo, CEP: 05508-000, BrazilPurpose: The purpose of this study was to evaluate the behavior of mandibular canines acting as abutment teeth and indirect retainers of a Kennedy class II according to different designs: lingual rest and lingual rest associated with a reciprocal arm. Materials &amp; methods: A resin cast with two simulated canine teeth was made in Ni-Cr alloy, representing a Kennedy class II mandibular arch. With the objective of simulating the resilience of the periodontal ligament, a polyurethane layer was added at the canine tooth's root. A metallic framework of Co-Cr alloy was fabricated with a T bar clasp and a lingual rest associated with a reciprocal arm. To obtain the second framework, the reciprocal arm was removed using a tungsten bur. Each framework was submitted to tensile force using a VersaTest machine. The magnitude and direction of canine movement during removal of the framework was measured using two dial gauges (mm). The axial tensile force required to remove the experimental framework (N) was also evaluated. The data were compared using the paired t-test with 95% confidence intervals. Differences were considered significant at P < .05. Results: The mean retentive force of the modified design framework with the reciprocal arm was significantly higher (P < .0001) than that of the framework with the lingual rest. The abutment teeth showed movement in the lingual and mesial directions, and this movement was less when associated with the reciprocal arm design. Conclusion: The reciprocal arm in association with a lingual rest in the framework decreased the movement of the abutment teeth when analyzed in the bucco-lingual and mesio-distal directions and contributed to increased retention by friction.http://www.sciencedirect.com/science/article/pii/S2405844017337878Materials scienceDentistryEngineering
spellingShingle Marisol C. Camacho
Yolanda R. Gallardo
Roberto Ch. Stegun
Bruno Costa
Newton Sesma
Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis
Heliyon
Materials science
Dentistry
Engineering
title Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis
title_full Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis
title_fullStr Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis
title_full_unstemmed Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis
title_short Behavior of mandibular canines as abutment teeth and indirect retainers in Kennedy class II Removable Partial Denture Prosthesis
title_sort behavior of mandibular canines as abutment teeth and indirect retainers in kennedy class ii removable partial denture prosthesis
topic Materials science
Dentistry
Engineering
url http://www.sciencedirect.com/science/article/pii/S2405844017337878
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