Retention of Complete Denture Flashcards
There are two types of retention:
Primary retention
Retention gained from the basel seat
Secondary retention
Improve the Retention by improve the stability and reduce the dislodging force.
The physical means of retention involve:
- Adhesion.
- Cohesion.
- Interfacial surface tension.
- Atmospheric pressure.
- Capillarity.
- Gravity.
1) Adhesion
It is the physical force involved in the attraction between two unlike molecules. In the case of the denture, it is the attraction between the denture and saliva, and the saliva and oral mucosa.
2) Cohesion
• It is the physical attraction of like molecules to each other. In other words, cohesion is the force which holds molecules of the same substance together. In complete dentures, saliva needs to be cohesive.
Interfacial surface tension
It is the tension or resistance to separation developed between two well adapted surfaces separated by a thin film of fluid. It is the force that maintains the surface continuity of liquid.
Studies have shown that a reduction in atmospheric pressure (e.g ., at high altitudes) reduces the amount of
retention.
Some of the ways of increasing surface area of the basal seat is through
Vestibuloplasty and ridge augmentation.
The mechanical means of retention involve:
- Undercuts.
- Overdenture attachment.
- Implants.
- Mucosal inserts.
- Rubber suction discs.
- Rubber suction chamber.
- Magnets Springs.
Path of insertion :
the path through which the denture is fully seated on the tissue
Path of dislodgment :
the path through which the denture can be dislodged during function
Favorable undercuts can be used as
mechanical means of retention.
Common undercuts in the anterior maxillary region,
the tuberosity and the retromylohyoid region (lingual pouch).
There is now overwhelming evidence that a two-implant overdenture should become the
first choice of treatment for the edentulous mandible.
Support is
that property which resists vertical movement or displacement of the dentures towards the basal seat area.