Rests: Rest Seats

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Rests

&

Rest Seats
Rest:
 Any component of a partial denture on a tooth surface
that provides vertical support. Stewart

 a rigid extension of fixed or removable dental


prosthesis that prevents movement toward the
mucosa and transmit functional forces to the teeth or
dental implant. GPT-8

Rest seat:
The prepared surface of an abutment to
receive the rest.
Functions of rests:
1. The primary purpose of the rest is to provide
vertical support for the partial denture.

2. Maintains components in their planned


positions.
3. Maintains established occlusal relationships
by preventing settling of the denture.

4. Prevents impingement of soft tissue.

5. Directs and distributes occlusal loads to


abutment teeth.
Classification
 Based on relation to direct retainer:
 Primary rests .
 Secondary rests.

 Based on area of placement:


 Occlusal rests.
 Lingual or cingulum rests.
 Incisal rests.
Primary rest
• A rest that is part of retentive clasp assembly.
• Prevent vertical movement of the RPD toward
the tissues .
• Help transmit applied forces to the supporting
tissues.
• Should be shallow & saucer shaped .
Secondary
rest

Primary rest
Auxiliary or secondary rests
• A rest that is responsible for additional
support or indirect retention .
• Used as in direct retainers in extension base
RPD .
• Placed ant. Or post. To the axis of rotation to
prevent the extension bases from lifting away
from the underlying ridges.
Forms of rests

1- The occlusal rest:


Seated on the occlusal surface of posterior
teeth.
2- The cingulum or lingual rest:
It is seated on the lingual surface of the tooth usually
maxillary canine .
3- The incisal rest:
Is seated on the incisal edge of a tooth usually a
mandibular canine.
1- Occlusal rest
A rigid extension of RPD that contacts the
occlusal surface of a tooth or restoration, the
occlusal surface of which may have been
prepared to receive it .
FORM OF THE OCCLUSAL REST
AND REST SEAT
Guidelines for designing and location to form
the occlusal rest seat :
1. The outline form of an occlusal rest seat
should be a rounded triangular shape with the
apex toward the center of the occlusal surface.
2- It should be as long as it is wide, and the base
of the triangular shape (at the marginal ridge)
should be at least 2.5 mm for both molars and
premolars.
3- The marginal ridge of the abutment tooth at the
site of the rest seat must be lowered ?
• to permit a sufficient bulk of metal for strength
and rigidity of the rest and the minor connector.
• This means that a reduction of the marginal
ridge of approximately 1.5 mm is usually necessary.
4- The floor of the occlusal rest seat should be
apical to the marginal ridge and the occlusal
surface and should be concave, or spoon shaped.
5- The angle formed by the occlusal rest and the
vertical minor connector from which it
originates should be less than 90 degrees. ?
• this way can the occlusal forces be directed
along the long axis of the abutment tooth.
Why not
angle greater than 90 degrees
• Fails to transmit occlusal forces along the
supporting vertical axis of the abutment tooth.

• permits slippage of the prosthesis away from


the abutment, which can result in orthodontic-
like forces being applied to an inclined plane on
the abutment Tooth movement
EXTENDED OCCLUSAL REST
Indication:
• Posterior abutment is a mesially tipped molar
especially in In Kennedy Class II, modification
1, and Kennedy Class III.
Purpose:
• Designed and prepared to minimize further
tipping of the abutment.
• to ensure that the forces are directed down
the long axis of the abutment.
Outline form:
1- rest should extend more than one-half the
mesiodistal width of the tooth.
2- should be approximately one-third the
buccolingual width of the tooth.
3- should allow for a minimum of 1-mm
thickness of the metal.
4- he preparation should be rounded with no
undercuts or sharp angles.
INTERPROXIMAL OCCLUSAL REST SEATS
Outline form :
1- rest seats are prepared as individual occlusal rest
seats.
2- the preparations must be extended farther lingually
than is ordinarily accomplished.
3- avoid reducing or eliminating contact points of
abutment teeth.
4- sufficient tooth structure must be removed ?
• to allow adequate bulk of the component for
strength.
• to permit the component to be so shaped that
occlusion will not be altered.*
2- LINGUAL RESTS ON CANINES AND
INCISOR TEETH
A metallic extension of RPD framework that fits
into a prepared depression within an abutment
tooth's lingual surface .
Used :
A- maxillary canine ( mainly):
• a gradual lingual incline rather than
perpendicular.
• a prominent cingulum.
B- maxillary central incisors:
In a few instances.
C- mandibular canine:
• The lingual slope is usually too steep for an
adequate lingual rest seat to be placed in the
enamel.
• lack of thickness of the enamel in which a seat
of adequate form to support.
The preparation of an anterior tooth to
receive a lingual rest
Two methods:
A - slightly rounded V is prepared on the lingual
surface at the junction of the gingival and the
middle one third of the tooth.
• The apex of the V is directed incisally.
• All line angles must be eliminated.
• the rest seat must be smooth and
polished
B- lingual rest placed on a prepared rest seat in
a cast restoration:
• The most satisfactory lingual rest from the
standpoint of support
• This is done most effectively by planning and
executing a rest seat in the wax pattern.
• The lingual rest may be placed on the lingual
surface of a cast veneer crown (Figure 6-18), a
three-quarter crown, an inlay, a laminate
veneer, a composite restoration, or an etched
metal restoration.
3-Incisal rests
Incisal rests are placed at the incisal angles of
anterior teeth and on prepared rest seats.

• the least desirable placement of a rest seat??.


• are used predominantly as auxiliary rests or as
indirect retainers.
• Used in the mandibular canine.
Outline form:
1- An incisal rest seat is prepared in the form of
a rounded notch at the incisal angle of a canine
or on the incisal edge of an incisor.
2- the deepest portion of the preparation apical
to the incisal edge.

3- The notch should be beveled both labially and


lingually, and the lingual enamel should be
partly shaped to accommodate the rigid minor
connector connecting the rest to the framework.
4- should be approximately 2.5 mm wide and 1.5
mm deep so that the rest will be strong without
having to exceed the natural contour of the incisal
edge.
A lingual rest is preferable to an incisal rest
because :
• it is placed closer to the horizontal axis of
rotation (tipping axis) of the abutment and
therefore will have less of a tendency to tip
the tooth.
• lingual rests are more esthetically acceptable
than are incisal rests.
Thank
you

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