Principles of Attachment Selection John Wiley （附件的选择约翰·威利的原则）.pdfVIP

4 Principles of Attachment Selection Hamid Shafie Various Movements Allowed by Resilient At- tachments Vertical Movement: The prosthesis is al- One of the most confusing issues for den- lowed to move bodily toward the tissue. This tists is choosing the appropriate attachment type of movement results in even loading and assembly for implant overdenture cases. They support from the entire anterior-posterior usually ask themselves many questions when length of the residual ridge. Typically, move- it comes to selecting the right attachment ment is stopped by the supporting structure assembly. First, which attachment should one of the residual ridge, meaning as soon as the use? Would a bar or stud attachments be best? prosthesis comes into contact with the resid- Depending on the answers to those questions, ual ridge and passes the resiliency of the soft more considerations follow. For instance, which tissue, it stops. bar or stud would be best for this particular Hinge Movement: Hinge movement is case? that in which the prosthesis revolves around Learning about the mechanical properties an axis that has been formed by the most and the load distribution characteristics of posterior attachments on each side of the different attachments is the easiest way to arch. determine which one to use. Most available Rotation Movement: Rotation movement al- attachments demonstrate different levels of lows the prosthesis to rotate around an axis resiliency. Attachment resiliency is associated that runs anterior-posteriorly.