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Published byJacob Nicholson Modified over 9 years ago
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RETENTION AND STABILITY
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WHAT IS RETENTION? IT IS THE ABILITY OF THE DENTURE TO RESIST VERTICAL TISSUE AWAY MOVEMENT.
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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).
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FACTORS AFFECTING RETENTION.
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1- ADHESION PHYSICAL ATTRACTION BETWEEN UNLIKE MOLECULES.(DENTURE-SALIVA-MUCOSA)
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2- COHESION PHYSICAL ATTRACTION BETWEEN SIMILAR MOLECULES.(SALIVARY MOLECULES)
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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.
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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.
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5- VISCOSITY. THE RESISTANCE OF PART OF THE FLUID TO MOVE OVER ANOTHER. THE GREATER THE VICOSITY THE BETTER THE RETENTION.
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6- GRAVITY. IS CONSIDERED RETENTIVE TO THE LOWER DENTURE, AND DISPLACING TO THE UPPER DENTURE.
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ALL THE FACTORS WORKING TOGETHER.
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1-SHAPE OF POLISHED SURFACE.
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2-DENTURE FOUNDATION AREA
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3-PRESENCE OF UNDERCUTS
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4- DENTURE EXTENSION
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5- INTIMATE CONTACT
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1-RIDGE HEIGHT
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2-SOFT PALATE ANATOMY
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3- ARCH RELATIONSHIP
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4- TONGUE SHAPE
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5- VISCOSITY OF SALIVA
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1- RIDGE AUGMENTATION
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2- VESTIBULOPLASTY DEEPENING OF THE VESTIBULE TO GAIN RIDGE HEIGHT.
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3- DENTAL IMPLANTS
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1- ADHESIVES CREAMS USED AS ADHESIVE IN THE FITTING SURFACE OF THE DENTURE.
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2- MICRO SUCTION DISCS
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3- DENTAL IMPLANTS
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SOME PATIENTS HAVE THE NEUROMUSCULAR AND PSYCOLOGICAL ABILITY, TO COPE AND USE THE DENTURE.
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FOR A DENTURE TO BE STABLE IT SHOULD BE RETENTIVE FIRST.!!!!!!!
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WHICH IS MORE STABLE!!!!!!!!!!!
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THE FURTHER AWAY THE OCCLUSAL PLANE, FROM THE RIDGE, THE LESS THE STABILITY.
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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”.
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INCLINED PLANE ACTION
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FIRST ROCKING THEN MIDLINE FRACTURE.
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V- SHAPED PALATE HELPS RESIST LATERAL LOADS.
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THE OCCLUSAL WIDTH IS LESS THAN THE NATURAL, THUS DECREASING THE AMOUNT OF LOAD FALLING ON THE DENTURE.
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LARGE AND MEDIUM SIZED TONGUES HELP STBILIZE THE LOWER DENTURE.
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THE CHEEK AND THE TONGUE SEAT THE DENTURES IN PLACE.
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