-
Rest
- It's a rigid extension of RPD that prevents movement towards mucosa & transmits functional forces to teeth
-
Types
- Occlusal rests
- Lingual/Cingulum rests
- Incisal rests
-
Can be placed upon
- Sound enamel
- Silver amalgam
- Cast restorations
-
Rest seat
- The prepared recess in a tooth/ restoration created to receive occlusal, incisal, cingulum/lingual rest
-
Functions of Rest & Rest seat
-
1. Support
- Primary function is to provide support to the RPD
-
2. Force transfer
- Aids in transferring force along long axis of tooth
-
3. Indirect retention
- Rests are positioned anterior & posterior to axis of rotation to prevent distal extention base from lifting
-
4.Positional maintenance
- Rigidity of rest helps in maintaining clasp assembly in proper position
-
5. Stability
- Thickness & position of rest helps in stability denture with other components of RPD.
In distal extention cases, rest seat should be shallow & saucer shaped
-
6. Establishing occlusal plane
- Helps in establishing occlusion plane in cases of tipped molars.
-
7. Prevent food impaction
- Rest placed closed to edentulous space prevents food impaction in abutment minor connector interface
-
8. Prevent tooth migration
- Rest placed on proximal surface of teeth adjacent to edentulous space prevents tooth migration & thus maintain small edentulous spaces
-
9. Reciprocation
- Helps in reciprocating stresses generated by retentive arm of clasp assembly on abutment teeth
-
Occlusal rest
-
Outline form is a rounded triangular shape
- Apex at centre of occlusal surface & base at the marginal ridge
-
Floor of the rest seat should be apical to marginal ridge & occlusal surface should be concave or spoon shaped
- Spoon shaped - so that it directs the forces along long axis of tooth
- Angle formed by occlusal rest & vertical minor connector should be less than 90°
- Bur used - Diamond No. 6 or 8 round burs
- Note : In completely tooth borne RPD, occlusal rests transmit - 100% of occlusal forces to the teeth
-
Lingual/Cingulum rest
-
Indications
- If anterior tooth has gradual lingual slope rather than perpendicular
- Used mostly on maxillary canines than on incisors/mandibular canines
- On incisors it's indicated only when missing canines or when canines are periodontally compromised
-
Lingual rest is preferred to an incisal rest because
- More esthetic
- Exerts less leverage on tooth
- It's placed near the centre of rotation of supporting tooth so that it doesn't tip the tooth
-
It's slightly rounded V shaped with apex of V directed incisally
- Bur used - 1/4th inch diamond disk
-
Incisal rests
- Least desirable position rest placement.
Used on sound tooth & never on cast restorations
- Mainly used as indirect retainers
- Frequently used on mandibular canines, rarely on maxillary canines.
In incisors, they're generally not used, but if required multiple rests are placed
- They're placed on mesioincisal/ distoincisal angle of tooth depending whether tooth is to be clasped.
If tooth is not clasped, rest is placed on distoincisal angle for aesthetics
- Cast circumferential clasp - Distoincisal angle
Bar clasp - Mesial incisal angle
-
Dimensions
-
OTHER KEY POINTS
- Intracoronal or internal rest don't increase/provide retention
- Internal occlusal rest provides Vertical support & horizontal stability
-
Reasons for failure of rest seat in RPD
- Inadequate depth of rest seat preparation
- Improper rest seat preparation