I-bar Removable Partial Dentures introduction • RPI stands for : • R : rest • P : plate ( proximal ) • I : I bar clasp 2 Direct retainers • It is that component part of a RPD that is used to retain and prevent dislodgement, consisting of clasp assembly or a precision attachment – GPT TYPES OF DIRECT RETAINERS INTRACORONAL RETAINERS External attachments Internal attachments Bar attachments Special attachments EXTRACORONAL RETAINERS Occlusally approaching Gingivally approaching 3 clasps Types on the basis of design circumferential or Akers clasps : Simple circlet Reverse circlet Fish hook or hairpin Embrassure clasp Multiple circlet Ring clasp Combination clasp Vertical projection or Bar or roach clasps: T clasp Modified T clasp Y clasp I clasp and I bar 4 i-bar removable partial dentures It is a special type of removable partial denture Designed by Kratochvil in 1963 To reduce tooth contact of the retainer 5 DIRIEIRENCE BETWEEN IBAR RPD & REGULAR RPD I-BAR RPD REGULAR RPD 1. Mesial rest ( instead of 1. Distal rest distal rest. In other words, the rest is on proximal side away from edentulous space) 2. Occlusally approaching retainer is used 2. I- bar retainer is used for direct retention 3. Normal guide planes 3. Long guide planes 6 Design concept • I-Bar Partial denture component : 1. Rest 2. Proximal plates 3. Major connectors 4. Minor connectors 5. Denture base connectors 6. retainers 7 Mesial rest • Function of rest (a) Provide vertical support against occlusal forces and (b) Control the relationship of the prosthesis to supporting structures • In order to Perform this function Rest must be of sufficient bulk To withstand direct occlusal force and also the indirect force that they are subjected to as fulcrum points 8 Proximal plates • Additional proximal plate on distal surface. • The proximal plate covers the guide plane from marginal ridge to the tooth tissue junction and extends onto the attached gingiva for 2mm. Advantages: • Provides horizontal stability. • Reunites & stabilizes the arch • retention because of parallelism and because dislodgement is limited to the path of insertion. • Protects the tooth-tissue junction by preventing food impaction and because of mental coverage in the area • Provides good reciprocation • Distributes occlusal force throughout the arch 9 i-bar • Retention in most partial denture clasps is achieved with retentive arm that engages an undercut on an abutment tooth. • I-bar provides retention against vertical displacement, But this retention is augmented considerably by the parallelism of guide planes that, in most situations, limit displacement to the path of insertion. • The arm is long and tapering with a half-round cross section. • The tip which flexes, engages an undercut at the height of mesio-distal contour. • Proper positioning of l-bar allows the tip to move passively into the mesial embrassure space when the extension base recieves occlusal loading . 10 Advantages & disadvantages • Advantages of I-bar configuration: 1. Because tooth contour is not altered food accumulation against the tooth surface is minimized. 2. I-bar is passive in relation to the abutment tooth except against vertical displacing forces • Disadvantages: 1. Reduced retention 2. Less horizontal stability than other retentive elements. 11 RPI-SYSTEM INTRODUCTION • RPI is a modified I-bar retainer system • Krol devised it in 1973. • All the components of the I-bar assembly were modified significantly to fulfill Krol's design. • Principle of Krol's design was - "Stress control with minimal tooth & gingival coverage" • The speciality of these dentures is that the direct retainer is modified such that the retentive and reciprocal units of the clasp act in the mesio-distal direction (in conventional design the retentive & reciprocal units act buccolingually). 12 Modification of each component of I-bar retainer required to form RPI system MESIAL REST MODIFICATION PROXIMAL PLATE MODIFICATION I-BAR MODIFICATION 13 Modification of each component MESIAL REST MODIFICATION I-BAR MODIFICATION • The mesial rest extends only into the triangular fossa even in molar preparations. • The tip of the I-bar is modified to have a pod-shape in order to allow more tooth contact. • The canine rests are circular, concave depressions prepared on the mesial marginal ridge. • It is placed more mesially so that it shifts towards the mesial embrasure space under occlusal load and increases reciprocation. • It does not cover the entire marginal ridge • The I-bar is designed to compensate 14 PROXIMAL PLATE MODIFICATION • One of the major disadvantages of the I-bar denture was the excessive tooth contact produced b the extra long proximal plate. • Krol introduces 3 modifications to the proximal plate. • Any one of these modifications may be followed while designing an PI retainer. The 3 different design modifications of the proximal plate are: 1. Design modification I 2. Design modification Il 3. Design modification III 15 PROXIMAL PLATE DesignMODIFICATION Design Design modification I modification II modification III • Here the proximal plate is designed to extend from the marginal ridge to the junction between the middle & cervical third of tooth (remember in an I-bar retainer the proximal plate extends about 2mm across the tooth tissue junction ) • Here the proximal plate is designed to extend along the entire length of the proximal surface of the abutment with a minimum tissue relief. • A relief is provided near the gingival margin at tooth tissue junction. • This allows the • Here, the proximal plate is designed to contact just about 1 mm of the gingival third of the guiding plane of the abutment tooth. • The purpose of reducing the length 16 of the proximal plate Thank you