Retention and Deformation of CobaltChromium and High-Impact Polyamide Clasps

Objective: The use of metal clasps especially in anterior region may cause aesthetic problems. Polyamide resin has been suggested as an alternative aesthetic denture clasp material. This study compared the retentive force and deformation of cobaltchromium and polyamide clasps after 36 months of simulated clinical use. Materials­and­Methods: The retentive force for clasp removal was measured in distilled water using a custom-made apparatus with intervals corresponding to 0, 6, 12, 18, 24, 30 and 36 months of simulated clinical use. The distance (mm) between the retentive and reciprocal clasp tips was measured using a microscope before and after the insertion-removal procedures. Results: Significant difference was observed in distance between clasp tips for metal clasps between baseline and 36 months for molars and premolars (p

Kobalt-Krom ve Yüksek Etkili Poliamid Kroşelerin Deformasyonları ve Retantif Kuvveti

Amaç: Metal kroşelerin kullanımları özellikle anterior bölgede ise estetik problemlere yol açabilir. Poliamid rezinin yeni bir tipi alternatif estetik bir dental kroşe materyali olarak kullanılmaya başlamıştır. Bu çalışmanın amacı kobalt-krom kroşeler ile poliamid kroşelerin 36 aylık kullanım periyodu sonunda retantif kuvvetlerinin ve deformasyonlarının karşılaştırılmasıdır. Gereç ve Yöntemler: Kroşelelerin retantif kuvvetleri distile su içerisinde, özel tasarlanmış, yerleştirme-çıkarma mekanizmasıyla çalışan bir test aparatı yardımıyla ölçüldü. Klinik uygulamanın simülasyonu elde edilip bu aparat yardımıyla 0, 6, 12, 18, 24, 30 ve 36. aylarda ölçüm yapıldı. Yerleştirip çıkartma testinden önce ve sonra bir mikroskop yardımıyla kroşenin retantif ve resiprokal kolları arasındaki mesafe mm cinsinden ölçüldü. Bulgular: Otuz altı ayın sonunda premolar ve molarlarda metal kroşe tiplerinin kendi aralarındaki karşılaştırılmalarında resiprokal ve retantif kollar arasındaki mesafede önemli ölçüde farklılıklar gözlendi. Ek olarak yine molar ve premolar dişlerde 36 ay sonunda metal kroşelerin retantif kuvvetinde önemli değişim gözlenirken, poliamid kroşelerde hiçbir retantivite farkı gözlenmedi. Sonuç: Poliamid kroşeler özellikle premolarlarda kobalt-krom kroşelere alternatif olabilir.

___

Khan SB, Geerts GAVM. Aesthetic clasp design for Removable partial dentures: A literature review SADJ 2005; 60: 190-4.

Anderson JN, Lammie GA. A clinical survey of partial dentures. Br Dent J 1952; 92: 59-67.

De Delgado MM, Garcia LT, Rudd KD. Camouflaging partial denture clasps. J Prosthet Dent 1986; 55: 656-60.

Vallittu P, Kokkonen M. Deflection fatigue of cobalt-chromium, titanium and gold alloy cast denture clasp. J Prosthet Dent 1995: 74: 412-21.

Özcan M. The use of chair side silica coating for different dental applications. J Prosthet Dent 2002; 87: 469-72.

Highton R, Caputo A, Matyas J. Force transmission and retentive capabilities utilizing labial and palatal I-bar partial dentures. J Oral Rehabil 1987; 4: 489-99.

Mindan S, Ruiz-Villandiego J. A flexible lingual clasp as an esthetic alternative: A clinical report. J Prosthet Dent 1993; 69: 245-46.

Chow TW, Clark RKF, Clarke DA, Ho GF. A rotational path of insertion for Kennedy Class IV removable partial dentures. Br Dent J 1988; 164: 180-3.

Katsumata Y, Hojo S, Hamano N, Watanabe T, Yamaguchi H, Okada SM, et al. Bonding strength of autopolymerizing resin to nylon denture base polymer. Dent Mater J 2009; 28: 409-18.

Kurtulmus H, Kumbuloglu O, Aktas RT, Kurtulmus A, Boyacioglu H, Oral O, et al. Effects of saliva and nasal secretion on some physical properties of four different resin materials. Med Oral Patol Oral Cir Bucal 2010; 15: 969-75.

Bergman B, Hugoson A, Olsson CO. A 25-year longitudinal study of patients treated with removable partial dentures. J Oral Rehabil 1995; 22: 595-9.

Bates JF. The mechanical properties of the cobalt-chromium alloys and their relation to partial denture design. Br Dent J 1965; 119: 389-96.

13. Firtell DN. Effect of clasp design upon retention removable partial dentures. J Prosthet Dent 1968; 20: 43-52. 14. Morris H, Farah JW, Craig RG, Hood JAA. Stress distribution within circumferential clasp arms. J Oral Rehabil 1976; 3: 387-94.

Frank RP, Nicolls JI. A study of the flexibility of wrought wire clasps. J Prosthet Dent 1981; 45: 259-67.

Ghani F, Mahood M. A laboratory examination of the behavior of cast cobalt-chromium clasps. J Oral Rehabil 1990; 17: 29.

Snyder H, Duncanson M. The effect of clasp form on permanent deformation. Int J Prosthodont 1992; 5: 345-50.

Vandenbrink JP, Wolfaardt J, Faulkner MG. A comparison of various removable partial denture clasp materials and fabrication procedure for placing clasps on canine and premolar teeth. J Prosthet Dent 1993; 70: 180-88.

Vallittu PK, Miettinen T. Duration of induction melting of cobaltchromium alloy and its effect on resistance to deflection fatigue of cast denture clasps. J Prosthet Dent 1996; 75: 332-8.

Ahmad I, Sherriff M, Waters NE. The effect of reducing the number of clasps on removable partial denture retention. J Prosthet Dent 1992; 68: 928-33.

Marei M. Measurement (in vitro) of amount of force required to dislodge specific clasps from different depths of undercut. J Prosthet Dent 1995; 74: 258-63.

Bridgeman JT, Marker VA, Hummel SK, Benson BW, Pace LL. Comparison of titanium and cobalt-chromium removable partial denture clasps. J Prosthet Dent 1997; 78: 187-93.

Kotake M, Wakabayashi N, Ai M, Yoneyama, Hamanaka H. Fatigue resistance of titanium-nickel alloy cast clasps. Int J Prosthodont 1997; 10: 547-52.

Rodrigues RC, Ribeiro RF, Mattos M C, Bezzon OL. Comparative study of circumferential clasp retention force for titanium and cobalt-chromium removable partial dentures. J Prosthet Dent 2002; 88: 290-6.

Sato Y, Ae Y, Yuasa Y, Akagawa Y. Effect of friction coefficient on Akers clasp retention. J Prosthet Dent 1997; 78: 22-9.