The utilization of intracoronal or extracoronal removable partial denture attachments in conjunction with a fixed retainer applies additional stresses to the structural durability of the fixed retainer and its integrity with the underlying abutment. Therefore, the utilization of this attachment with a fixed retainer requires understanding and diligent application of the basic principles of fixed prosthodontics.The primary objective of prosthodontics must be the preservation and health of the remaining existing tissues and structures: teeth, periodontal tissues, temporomandibular joint, and oral facial muscles. This must be of primary importance as we achieve our goals of (1) eliminating existing pathology, (2) restoring morphology and function, and (3) improving esthetics and thereby heightening self-esteem and the psychological well-being of the individual. These objectives make us sensitive to the considerations we have discussed in preparation design and the tissue management required in the fabrication of fixed retainers.
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