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RPD Chapt-06 Rest and Rest Seat

By Danesh Kumar- JSMU


• Any component of RPD on surface that provide vertical support is called
rest.
• Rest should always be located on properly prepared tooth .
• Prepared tooth surface that receive rest is called rest seat.
• Rest can be occlusal, lingual or incisal.
• Primary function of rest→ provide vertical support
• Function of rest:
1. Maintain components in planned position.
2. Maintains established occlusal relationships by preventing settling of
the denture
3. Prevents impingement of soft tissue
4. Directs and distributes occlusal loads to abutment teeth
• Rest transmit vertical forces to the abutment teeth and to direct those
forces along the long axes of the abutment.
• Rest must be rigid & provide positive support, no independent movement
or slippage.
• Function of implants as a rest:
i. Eliminates compression of supporting soft tissues.
ii. Controls vertical movement of denture base
iii. Eliminates or alters fulcrum lines.
iv. Increase support and stability
• Form of occlusal rest:

1. Outline form should be rounded triangle,& apex toward center.


2. Should be as long as wide, base of triangle should be 2.5mm for
molar & pre molars.
3. Marginal ridges is decreased of 1.5 mm for bulk & rigidity.
4. Floor of rest seat must be apical to marginal ridges & concave.

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5. Angle between occlusal rest & vertical minor Connector must be less
than 90°( greater than 90° cause slippage & failure to transmit forces.
6. The occlusal rest should be spoon shaped and slightly inclined
apically from the marginal ridge.
7. The rest should restore the occlusal morphology of the tooth that
existed before preparation of the rest seat.
• Extended occlusal rest given in Class2 modification 1& class 3—tilted tooth
• EOR to minimize further tipping of the abutment and to ensure that the
forces are directed down the long axis of the abutment.
• Preparation of EOR include removing pits, fissures, 1-2 bevel placement on
buccal & lingual side & 1-2 mm guiding plane on mesial.
• Interproximal occlusal rest seats:
1. Adjacent rest are used & extend farther lingually.
2. Avoid contact points with teeth & sufficient space is also provided.
3. Creation of a vertical groove must be avoided to prevent a torquing
effect on the abutments by the minor connector.
• Internal occlusal rest:
1. For totally tooth supported RPD
2. Also called intra coronal rest .
3. Occlusal support from rest seat & horizontal stabilization from near
vertical walls.
4. Form of rest always parallel to path of placement & slightly dovetail.
5. It help to elimination of a visible clasp arm buccally & permits the
location of the rest seat in a more favorable position in relation to
the tipping axis (horizontal) of the abutment.
• Rest should be always on sound enamel.
• Proximal tooth surfaces are much more vulnerable to caries attack than are
the occlusal surfaces supporting an occlusal rest.
• The preparation of occlusal rest seats always must follow proximal
preparation, never precede it.
• Occlusal rest seats in sound enamel may be prepared with burs and
polishing points.
• Occlusal rest seat preparations in existing restorations are treated the same
way as those in sound eenamel
• Occlusal rest seats in crowns and inlays generally are made somewhat
larger and deeper than those in enamel.

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• Lingual Rest:

1. Sufficient space must be present & preferred site for external rest is
occlusal surface of molar.
2. The rest seat, from the lingual aspect, assumes the form of a broad
inverted V, maintaining the natural contour sometimes seen in a
maxillary canine cingulum.
3. V on lingual surface at junction of gingival & middle 1/3rd of tooth.
4. V notch form is self-centering for the rest and at the same time
directs forces rather favorably in an apical direction.
5. Rest seat preparation is broadest at the most lingual aspect of the
canine.
6. Borders of the rest seat are slightly rounded to avoid line angles .
7. Mesiodistal length of the preparation should be a minimum of 2.5 to
3 mm, labiolingual width about 2 mm, and incisal-apical depth a
minimum of 1.5 mm.
• Incisal Rest:

1. Least desired.
2. Contact point is not Involved in preparation of the rest seat.
3. More applicable to the mandibular canine.
4. Provides definite support with relatively little loss of tooth structure
and little display of metal.
5. Incisal rests are used predominantly as auxiliary rests or as indirect
retainers.
6. An incisal rest seat is prepared in the form of a rounded notch at the
incisal angle & beveled both labially and lingually.

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7. An incisal rest seat should be approximately 2.5 mm wide and 1.5
mm deep.
8. Avoid a line angle at the junction of the axial wall of the preparation
and the floor of the rest seat.

©Danesh Kumar—SIOHS/ Jinnah Sindh Medical University


Contact Info: kumardanesh058@gmail.com/ 03312415069

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