An analysis of mesial rest-I-bar clasp designs. 1976

W J Demer

The mesial rest-I-bar concept is the most important contribution to clasp partial denture design in the last 30 to 40 years. When used with discernment in situations where it is not contraindicated, it constitutes an excellent design for extension-base removable partial dentures. It has become the design of choice for an increasing number of dentists. Use of the three elements that make up the clasp assembly does not necessarily insure that the clasp will function as intended. There are situations for which it should not be used. Unless adequately adjusted after framework construction as well as during the maintenance program, the beneficial effects may be more imaginary than actual. Strict adherence to the mesial position for the rest is not rational for toothsupported dentures and may be questioned for some extension-base prostheses. I-bars have several advantages as direct retainers. However, no single type of retainer is applicable for all retentive situations, and other types should be selected where conditions are unfavorable for I-bar use. A framework which permits a slight amount of movement toward the edentulous residual ridge is an important consideration in design of extension-base removable partial dentures, particularly for those of the mandibular arch. However, compromise of this principle is sometimes necessary to satisfy other design requirements. Design of the framework is only one of the factors that contribute to a successful removable partial denture. Of at least equal importance is the adequacy of support provided by the denture base and the nature of the occlusion. If meticulous attention is directed to these two factors, the forces transmitted to the teeth through the framework can be kept to a minimum and within physiologic tolerance. Conversely, neglect of these considerations may cause a framework of any design to become destructive.

UI MeSH Term Description Entries
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003799 Dental Stress Analysis The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures. Analyses, Dental Stress,Analysis, Dental Stress,Stress Analyses, Dental,Stress Analysis, Dental,Dental Stress Analyses
D003832 Denture, Partial, Removable A partial denture designed and constructed to be removed readily from the mouth. Removable Partial Denture,Denture, Removable Partial,Dentures, Removable Partial,Partial Denture, Removable,Partial Dentures, Removable,Removable Partial Dentures
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000044 Dental Abutments Natural teeth or teeth roots used as anchorage for a fixed or removable denture or other prosthesis (such as an implant) serving the same purpose. Abutments, Dental,Abutment, Dental,Dental Abutment
D012399 Rotation Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Clinorotation,Clinorotations,Rotations

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