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 Means of Support
 Means of Connection
 Means of Retention
And
 Means of Reciprocation / Bracing
‹
‹WHY?
Increase masticatory efficiency
Support!
How?
 Hard tissue support (teeth)
 Soft Tissue support (Mucosa)
REST
Occlusal
Incisal
Cingulum
“Any component of a partial denture on a tooth
surface that provides vertical support is called a
rest”
 Primary Rest:
A rest that is part of a retentive clasp is referred to
a primary rest
 Auxiliary Rest:
A rest that is responsible for additional support or
indirect retention is called an auxiliary rest or
secondary rest
 Portion of a tooth prepared to receive a rest
 1.
 occlusal rest placed at the
arrow
 2.
 create a premature contact
 3.
 unless a rest seat was
prepared
 1. Direct forces along long axis of abutment
 2. Prevents denture base from moving cervically
& impinging gingiva
Major connector imbeds into tissue
 3. Maintain a clasp -tooth relationship
 4. Prevent extrusion of abutments
 5. Provide reference for relines or
impressions
 6. Act as indirect retainer
◦ Prevents rotation (Class I or II RPD’s only)
 Rounded triangular shape
◦ Apex near center of tooth
 Base of triangle should be one third the
bucco-lingual width of the tooth
 Floor inclined towards the center
 Angle formed by rest and minor connector
should be less than 900
 Marginal ridge must be lowered and rounded
1-1.5mm
◦ Bulk of metal to prevent fracture
 Adjacent teeth, the form is also modified
 Flared more on facial and lingual line
angles
 Deepest portion is central
 An explorer tip will not slide off the rest seat
 Usually the canine, due to its well-developed
cingulum
 When canine is not available, an incisor may
be used
 Inverted “V”
 < 900
 Slightly rounded to avoid sharp line angles
 Test as ‘positive’ with explorer tip
 1mm depth
 Do not create an enamel undercut
 Cylindrical bur along the long axis of the
tooth
 Light pressure
 High-speed handpiece
 +/- Waterspray
 Minimal heat is generated
 Chromium-cobalt lingual rest seat on
mandibular canine retained by resin cement
with acid-etched tooth preparation.
Preparation on mandibular premolar for surveyed crown incorporates
space for mesio-occlusal rest seat. Adequate occlusal reduction
was accomplished to accommodate the depth of the rest seat in the
abutment crown. The modification for the rest seat is performed
following the standard crown preparation.
 1 – rest placed on an
unprepared tooth
surface tend to collect
food particles
 2 – rest seat allow the
rest to be shaped so
that it blends into the
contour of tooth
 The designof rest seats on
post teeth
 1 – occlusal view
 2 – mesiodistal view
 3 – proximal view
 Rest seat of post teeth
should normally be saucer-
shaped
 Use of a box-shapes rest
seat within a cast
restoration result in rest
applying damaging
horizontal loads on the
abutment tooth(restricted
to tooth -supported
dentures where the perio
health of the abutment
teeth is good
 Rest should be at least
0.8 -1mm thick for
adequate strength. Pt
asked to occlude on a
strip of softened pink
wax. The thickness of
wax in the region of
rest seat indicate
sufficient enamel has
been removed
 On maxillary ant teeth,
 particularly canines ,
the cingulum is often
well developed so that
modest prep to
accentuate its form
creates a rest seat w/o
penetration of enamel
 A cylindrical green
stone with a rounded
tip should be used.
 A spherical instrument
tends to create
unwanted undercuts.
 Preparation for Preparation
for mandibular
 anterior tooth is shown
from
 the:
 1 – labial viewpoint
 2 – lingual viewpoint
 3 – proximal viewpoint
 Incisal rest seat can be
 prepared using a
tapered
 cylindrical diamond
 Vertical stop
 Transfer of forces
 Indirect retainer
 Position of Clasp
 Tipped Abutment
 Prevent extrusion
 Prevent sinking of denture
 Prevent food packing
 Forms lost tooth surface
 Posterior abutment
 Long axis of tooth
 Boxed vs rounded
 Spoon shaped
 Rounded triangle
 Middle 1/3 of occlusal surface
 Central portion deeper than marginal ridge
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf
1..Reest-lecture-converted.pdf

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1..Reest-lecture-converted.pdf

  • 1.
  • 2.
  • 3.  Means of Support  Means of Connection  Means of Retention And  Means of Reciprocation / Bracing
  • 6.  Hard tissue support (teeth)  Soft Tissue support (Mucosa)
  • 8. “Any component of a partial denture on a tooth surface that provides vertical support is called a rest”
  • 9.  Primary Rest: A rest that is part of a retentive clasp is referred to a primary rest  Auxiliary Rest: A rest that is responsible for additional support or indirect retention is called an auxiliary rest or secondary rest
  • 10.  Portion of a tooth prepared to receive a rest
  • 11.  1.  occlusal rest placed at the arrow  2.  create a premature contact  3.  unless a rest seat was prepared
  • 12.  1. Direct forces along long axis of abutment
  • 13.  2. Prevents denture base from moving cervically & impinging gingiva
  • 14. Major connector imbeds into tissue
  • 15.
  • 16.  3. Maintain a clasp -tooth relationship
  • 17.  4. Prevent extrusion of abutments  5. Provide reference for relines or impressions
  • 18.  6. Act as indirect retainer ◦ Prevents rotation (Class I or II RPD’s only)
  • 19.  Rounded triangular shape ◦ Apex near center of tooth
  • 20.  Base of triangle should be one third the bucco-lingual width of the tooth
  • 21.  Floor inclined towards the center  Angle formed by rest and minor connector should be less than 900
  • 22.  Marginal ridge must be lowered and rounded 1-1.5mm ◦ Bulk of metal to prevent fracture
  • 23.  Adjacent teeth, the form is also modified  Flared more on facial and lingual line angles
  • 24.  Deepest portion is central
  • 25.  An explorer tip will not slide off the rest seat
  • 26.  Usually the canine, due to its well-developed cingulum  When canine is not available, an incisor may be used
  • 28.
  • 29.
  • 30.  Slightly rounded to avoid sharp line angles  Test as ‘positive’ with explorer tip  1mm depth
  • 31.
  • 32.
  • 33.  Do not create an enamel undercut  Cylindrical bur along the long axis of the tooth
  • 34.  Light pressure  High-speed handpiece  +/- Waterspray  Minimal heat is generated
  • 35.  Chromium-cobalt lingual rest seat on mandibular canine retained by resin cement with acid-etched tooth preparation.
  • 36. Preparation on mandibular premolar for surveyed crown incorporates space for mesio-occlusal rest seat. Adequate occlusal reduction was accomplished to accommodate the depth of the rest seat in the abutment crown. The modification for the rest seat is performed following the standard crown preparation.
  • 37.
  • 38.
  • 39.
  • 40.  1 – rest placed on an unprepared tooth surface tend to collect food particles  2 – rest seat allow the rest to be shaped so that it blends into the contour of tooth
  • 41.  The designof rest seats on post teeth  1 – occlusal view  2 – mesiodistal view  3 – proximal view  Rest seat of post teeth should normally be saucer- shaped  Use of a box-shapes rest seat within a cast restoration result in rest applying damaging horizontal loads on the abutment tooth(restricted to tooth -supported dentures where the perio health of the abutment teeth is good
  • 42.  Rest should be at least 0.8 -1mm thick for adequate strength. Pt asked to occlude on a strip of softened pink wax. The thickness of wax in the region of rest seat indicate sufficient enamel has been removed
  • 43.  On maxillary ant teeth,  particularly canines , the cingulum is often well developed so that modest prep to accentuate its form creates a rest seat w/o penetration of enamel  A cylindrical green stone with a rounded tip should be used.  A spherical instrument tends to create unwanted undercuts.
  • 44.  Preparation for Preparation for mandibular  anterior tooth is shown from  the:  1 – labial viewpoint  2 – lingual viewpoint  3 – proximal viewpoint  Incisal rest seat can be  prepared using a tapered  cylindrical diamond
  • 45.  Vertical stop  Transfer of forces  Indirect retainer  Position of Clasp  Tipped Abutment  Prevent extrusion  Prevent sinking of denture  Prevent food packing  Forms lost tooth surface
  • 46.
  • 47.  Posterior abutment  Long axis of tooth  Boxed vs rounded
  • 48.  Spoon shaped  Rounded triangle  Middle 1/3 of occlusal surface  Central portion deeper than marginal ridge