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Rests & Rest Seats PowerPoint PPT Presentation


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Rests & Rest Seats. Rest. A rigid component resting in a recessed preparation on the occlusal, lingual or incisal surface Provides vertical support. Rest Seat. Portion of a tooth prepared to receive a rest. Functions. Direct forces along long axis of abutment. Slides down incline.

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Rests & Rest Seats

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Rests rest seats l.jpg

Rests & Rest Seats


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Rest

  • A rigid component resting in a recessed preparation on the occlusal, lingual or incisal surface

  • Provides vertical support


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Rest Seat

  • Portion of a tooth prepared to receive a rest


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Functions

  • Direct forces along long axis of abutment


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Slides down incline

Functions

  • SUPPORT - prevents denture base from moving cervically & impinging gingiva

Fractured abutment, no rest seat


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Major connector imbeds into tissue


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Functions

  • Maintain a clasp -tooth relationship


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Functions

  • Prevent extrusion of abutments

  • Provide reference for relines or impressions


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Functions

  • Act as indirect retainer

    • Prevents rotation (Class I or II RPD’s only)


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Preparation of Rest Seats

  • Light pressure

  • High-speed handpiece

  • +/- Waterspray

  • Minimal heat is generated


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Preparation of Rest Seats

  • Keep in enamel

  • No anesthesia


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Preparation of Rest Seats

  • Occlusal Rest Seats

    • Diamonds

      • 8801- 014

      • 38006 -135

    • Medium round carbide burs

      • #2, #4

8801- 014


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Preparation of Rest Seats

8837K-014

  • Cingulum Rest Seats & Guiding Planes

    • Long, medium diameter cylindrical bur or diamond (e.g. #57L; 8837K-014)


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Rest Seat Form

  • Smooth flowing outline form (i.e. no sharp line angles)


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Occlusal Rest Seat Form

  • Rounded triangular shape

    • Apex near center of tooth


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Occlusal Rest Seat Form

  • Base of triangle should be one third the bucco-lingual width of the tooth


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Occlusal Rest Seat Form

  • Marginal ridge must be lowered and rounded 1-1.5mm

    • Bulk of metal to prevent fracture


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Occlusal Rest Seat Form

  • Floor inclined towards the center

  • Angle formed by rest and minor connector should be less than 900


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Occlusal Rest Seat Form

  • Deepest portion is central


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Occlusal Rest Seat Form

  • Floor should be concave or spoon shaped ball-&-socket joint

  • Prevents horizontal stresses & torque


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Occlusal Rest Seat Form

  • Directs the occlusal forces along the long axis of the tooth

  • Prevent orthodontic movement


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“Positive” Rest Seats

  • An explorer tip will not slide off the rest seat


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Occlusal Rest Seat Form

  • Conventional Form


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Occlusal Rest Seat Form

  • Adjacent Tooth

    • Rest not flared to facial line angle

    • Lingual flared more - space for minor connector


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Double Embrasure Rest Seat Form

  • Adjacent teeth, the form is also modified

  • Flared more dramatically on facial and lingual line angles


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Double Embrasure Rest Seat Form

  • Provides space for the retentive & bracing arms

  • Ensure all line angles are smoothed


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Lingual Rest Seats

  • Usually the canine, due to its well-developed cingulum

  • When canine is not available, an incisor may be used


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Cingulum Rest Seat Form

  • Inverted “V”

  • < 900


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Cingulum Rest Seat Form

  • Slightly rounded to avoid sharp line angles

  • Test as ‘positive’ with explorer tip

  • 1mm depth


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Correct Preparation


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Preparation Too High


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Preparation Too Low


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Cingulum Rest Preparation

  • Do not create an enamel undercut

  • Cylindrical bur along the long axis of the tooth


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Cingulum Rest Seat Placement

  • Place in sound tooth structure or restorations

  • Not on amalgam restorations

  • If not prominent or large pulp

    • Use different tooth

    • Bonded rest seat

    • Onlay or crown


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Maxillary Cingulum Rest Seats

  • Avoid opposing occlusion


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Maxillary Cingulum Rest Seats

  • 1.5 - 2.0 mm clearance for metal

  • Check with articulated models


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Bonded Cingulum Rests

  • Flat emergence profile

  • Pumice, rinse, etch, bond using rubber dam

  • Ensure cervical composite well adapted


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Composite Bonded Rest Seat Form

Correct

Overcontoured

Overcontoured

Open margin


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Round Lingual Rest Seat Form

  • Mesial of the canine teeth when typical cingulum rest contraindicated

    • Large restoration

    • Lack of clearance with the opposing teeth

    • Poor cingulum


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Round Lingual Rest Seat Form

  • Spoon shaped, similar to occlusal rest seat

  • More difficult due to the incline of the lingual surface

  • Easily incorporated into crowns


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Incisal Rests

  • Inferior mechanically & esthetically

  • Lingual rest is nearer to the center of rotation

    • Less torquing potential


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