The effects of loading locations and direct retainers on the movements of the abutment tooth and denture base of removable partial dentures.

Abstract

The purpose of this study was to evaluate the degree and amount of movement of the abutment tooth and denture base influenced by the direct retainer of distal extension removable partial denture and the location of functional loading, then to suggest direct retainer design with minimal adverse effect and with optimum functional loading location for residual tissue. The displacement of the abutment tooth and inclination of the denture base were determined, with 30 N as work load utilizing simulation model and strain gauge system, about two types of direct retainers with mesial or distal rest and nine loading points on denture base. Displacement and inclination was determined with the one-way analysis of variance and Scheffe's multiple test was performed. The results revealed that type of direct retainer influenced on the magnitude rather than direction of the abutment tooth displacement. The distal displacement of abutment tooth was significantly less in Type M clasp (with mesial rest and connection) than in Type D clasp (with distal rest and connection) (p<0.05). The location of loading points influenced both of the magnitude and direction of the abutment tooth and denture base movement. Posterior and lingual loading resulted in significantly distal displacement of abutment tooth (p < 0.05).