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If the abutment screw becomes loose the final restoration cannot be removed without destroying it in many instances. This results in a remake and increased cost. Two, excess cement along the implant surface can potentially act as a medium for colonization by bacteria and can jeopardize the attachment, ultimately resulting in implant failure.
When a removable denture is worn, retainers to hold the denture in place can be either custom made or "off-the-shelf" (stock) abutments. When custom retainers are used, four or more implant fixtures are placed and an impression of the implants is taken and a dental lab creates a custom metal bar with attachments to hold the denture in place.
The wing or retainer must be rigid and is usually fabricated from a metal alloy. The inner surface must fit closely to the abutment tooth. The intaglio is treated in some way to enhance the micromechanical adhesion between the prosthesis and the composite resin cement. In the past various methods have been used, ranging from metal-weave ...
Cleaning options for removable retainers include retainer/denture tablets, the use of a toothbrush and fragrance-free soap or non-abrasive toothpaste. If the water used to clean the retainer is too hot, it may cause shrinkage. [1] If the retainer is removable, it should be cleaned before inserting.
A removable partial denture (RPD) is a denture for a partially edentulous patient who desires to have replacement teeth for functional or aesthetic reasons and who cannot have a bridge (a fixed partial denture) for any reason, such as a lack of required teeth to serve as support for a bridge (i.e. distal abutments) or financial limitations.
It has a tight fit and holds all of the teeth in position. There are many types of brands for clear retainers, including Zendura Retainer, Essix Retainer, and Vivera Retainer. [46] A Hawley retainer is also a removable orthodontic appliance made from a combination of plastic and metal that is custom-molded to fit the patient's mouth. Removable ...