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RETENTION AND STABILITY
WHAT IS RETENTION?• IT IS THE ABILITY OF THE DENTURE TO RESIST
VERTICAL TISSUE AWAY MOVEMENT.
WHAT IS STABILITY?• IT IS THE QUALITY OF THE DENTURE TO BE FIRM AND
STEADY, WHEN FUNCTIONAL FORCES ARE APPLIED.
(RESISTANCE TO HORIZONTAL AND ROTATIONAL FORCES).
FACTORS AFFECTING RETENTION.
PHYSICAL.
MECHANICAL.
ANATOMICAL.
RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
PHYSICAL.
MECHANICAL.
ANATOMICAL.RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
1- ADHESION
• PHYSICAL ATTRACTION BETWEEN UNLIKE MOLECULES.(DENTURE-SALIVA-MUCOSA)
2- COHESION
• PHYSICAL ATTRACTION BETWEEN SIMILAR MOLECULES.(SALIVARY MOLECULES)
3-INTERFACIAL SURFACE TENSION(CAPILLARY ATTRACTION).
• THE ATTRACTIVE FORCES BETWEEN SURFACE MOLECULES.
• IT IS THE RESISTANCE TO SEPARATION POSSESED BY A FILM OF LIQUID BETWEEN 2 WELL ADAPTED SURFACES.
4- ATMOSPHERIC PRESSURE
WHEN YOU SEAT THE DENTURE, AIR ESCAPES FROM UNDERNEATH THE FITTING SURFACE,
FORMING A PARTIAL VACCUUM BETWEEN THE MUCOSA AND THE DENTURE, RESULTING IN
TRAPPED REDUCED PRESSURE. ATMOSPHERIC PRESSURE IS LARGER, THUS SEATS THE DENTURE.
5- VISCOSITY.
• THE RESISTANCE OF PART OF THE FLUID TO MOVE OVER ANOTHER.
THE GREATER THE VICOSITY THE BETTER THE RETENTION.
6- GRAVITY.
• IS CONSIDERED RETENTIVE TO THE LOWER DENTURE, AND DISPLACING TO THE UPPER
DENTURE.
ALL THE FACTORS
WORKING TOGETHER.
PHYSICAL.
MECHANICAL.
ANATOMICAL.RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
1-SHAPE OF POLISHED SURFACE.
2-DENTURE FOUNDATION AREA
3-PRESENCE OF UNDERCUTS
4- DENTURE EXTENSION
5- INTIMATE CONTACT
PHYSICAL.
MECHANICAL.
ANATOMICAL.RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
1-RIDGE HEIGHT
2-SOFT PALATE ANATOMY
3- ARCH RELATIONSHIP
4- TONGUE SHAPE
5- VISCOSITY OF SALIVA
PHYSICAL.
MECHANICAL.
ANATOMICAL.RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
1- RIDGE AUGMENTATION
2- VESTIBULOPLASTY
DEEPENING OF THE
VESTIBULE TO GAIN
RIDGE HEIGHT.
3- DENTAL IMPLANTS
PHYSICAL.
MECHANICAL.
ANATOMICAL.RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
1- ADHESIVES
• CREAMS USED AS ADHESIVE IN THE FITTING SURFACE OF THE DENTURE.
2- MICRO SUCTION DISCS
3- DENTAL IMPLANTS
PHYSICAL.
MECHANICAL.
ANATOMICAL.RETENTIVE AIDS.
SURGICAL.
PSYCHOLOGICAL.
SOME PATIENTS HAVE THE
NEUROMUSCULAR AND PSYCOLOGICAL
ABILITY, TO COPE AND USE THE
DENTURE.
STABILITY
RETENTION.
BALANCED OCCLUSION.
HEIGHT OF OCCLUSAL PLANE.
POSITION OF POSTERIOR TEETH.
PROPER RELEIF.RIDGE FORM.PALATAL VAULT.WIDTH OF
OCCLUSAL SURFACE.SHAPE AND SIZE OF
THE TONGUE.SHAPE OF THE
POLISHED SURFACE.
RETENTION.
FOR A DENTURE TO BE STABLE IT SHOULD BE RETENTIVE FIRST.!!!!!!!
BALANCED OCCLUSION.
HEIGHT OF OCCLUSAL
PLANE.
WHICH IS MORE STABLE!!!!!!!!!!!
THE FURTHER AWAY THE OCCLUSAL PLANE , FROM THE RIDGE, THE LESS THE STABILITY.
POSITION OF POSTERIOR TEETH.
PLACING THE POSTERIOR TEETH SLIGHTLY LINGUAL TO THE CREST OF THE RIDGE, THE MORE STABLE. THE FORCES FALLING ON THE TEETH BECOMES MORE CENTRALISED.THIS IS KNOWN AS
“LEVER BALANCE”.
INCLINED PLANE ACTION
PROPER RELEIF.
FIRST ROCKING THEN
MIDLINE FRACTURE.
RIDGE FORM.
PALATAL VAULT.
V- SHAPED PALATE HELPS RESIST LATERAL LOADS.
WIDTH OF OCCLUSAL SURFACE.
THE OCCLUSAL WIDTH IS LESS
THAN THE NATURAL,
THUS DECREASING
THE AMOUNT OF LOAD
FALLING ON THE DENTURE.
SHAPE AND SIZE OF THE TONGUE.
LARGE AND MEDIUM SIZED TONGUES HELP STBILIZE THE LOWER
DENTURE.
SHAPE OF THE POLISHED SURFACE.
THE CHEEK AND THE TONGUE
SEAT THE DENTURES IN
PLACE.