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Top (left) and bottom (right) retainers Vacuum form retainer in the foreground (used on upper); illustration of an early Hawley retainer in the background. Orthodontic retainers are custom-made devices, usually made of wires or clear plastic, that hold teeth in position after surgery or any method of realigning teeth.
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.
For Clear Removable braces, an Essix retainer is used. This is similar to the original aligner; it is a clear plastic tray that is firmly fitted to the teeth and stays in place without a plate fitted to the palate. There is also a bonded retainer where a wire is permanently bonded to the lingual side of the teeth, usually the lower teeth only.
An Akers' clasp is the classic direct retainer for removable partial dentures. [1] Named after its inventor, Polk E. Akers, this suprabulge clasp consists of a rest, a guide plate, a retentive arm and a reciprocal arm. Akers' clasps, as a rule, face away from an edentulous area. Should they face the edentulous area, they are termed reverse ...
A custom-made device, as defined in the regulations, means a medical device, other than a mass-produced medical device, that (a) is manufactured in accordance with a HCP's written direction giving its design characteristics; (b) differs from medical devices generally available for sale or from a dispenser; and (c) is for the sole use of a ...
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Physical retainer (This is a mesh of metal that allows the pink base material to connect to the metal framework of the RPD. Some consider physical retainers their own component (making a total of seven), while others consider them within the indirect retainer category (thus making a total of six components.)
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 ...
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