tikrit university college of dentistry dr. reem ahmed sh...

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Tikrit University College of Dentistry Dr. Reem Ahmed Sh. 3th class cden.tu.edu.iq REST AND REST SEAT REST:-a rigid extension of partial denture which rest on occlusal , incisal, and lingual surfaces of a tooth and to used to dissipate the forces that applied on the prosthesis. REST SEAT:- is that portion of the tooth that have been selected and prepared to receive a rest. Types of rest: 1-occlusal rest 2- lingual rest 3-incisal rest FUNCTIONs OF REST 1- direct forces along the long axis of abutment. 2- Vertical stop:- prevents denture base from moving cervically and impinging gingival. 3- maintain a clasp-tooth relation ship 4- prevent extrusion of abutment 5- act as indirect retainer prevent rotation in case (CL I & CL II ) REQUIREMENTS OF A REST 1-should have sufficient thickness of metal to prevent breakage especially over the marginal ridge. 2- It should fit the rest seat accurately with beveled margins , properly contoured, thus preventing food stagnation or impaction

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Page 1: Tikrit University College of Dentistry Dr. Reem Ahmed Sh ...cden.tu.edu.iq/images/New/2016/Lectures/Dr.Reem/3New/7.pdf · REST SEAT:-is that portion of the tooth that have been selected

Tikrit University – College of Dentistry Dr. Reem Ahmed Sh. – 3th class

cden.tu.edu.iq

RESTANDRESTSEAT

REST:-arigidextensionofpartialdenturewhichrestonocclusal,incisal,andlingualsurfacesofatoothandtousedtodissipatetheforcesthatappliedontheprosthesis.

RESTSEAT:-isthatportionofthetooththathavebeenselectedandpreparedtoreceivearest.

Typesofrest:

1-occlusalrest

2-lingualrest

3-incisalrest

FUNCTIONsOFREST

1- directforcesalongthelongaxisofabutment.2- Verticalstop:-preventsdenturebasefrommovingcervicallyand

impinginggingival.3- maintainaclasp-toothrelationship4- preventextrusionofabutment5- actasindirectretainerpreventrotationincase(CLI&CLII)REQUIREMENTSOFAREST1-shouldhavesufficientthicknessofmetaltopreventbreakageespeciallyoverthemarginalridge.2-Itshouldfittherestseataccuratelywithbeveledmargins,properlycontoured,thuspreventingfoodstagnationorimpaction

Page 2: Tikrit University College of Dentistry Dr. Reem Ahmed Sh ...cden.tu.edu.iq/images/New/2016/Lectures/Dr.Reem/3New/7.pdf · REST SEAT:-is that portion of the tooth that have been selected

Tikrit University – College of Dentistry Dr. Reem Ahmed Sh. – 3th class

cden.tu.edu.iq

OCCLUSALRESTSANDRESTSEATItisessentialthatarestseatbepreparedintheocclusalsurfaceofeachtooththatreceiveocclusalrest1- Itshouldneverbeplacedonatooththathasnotbeen

adequatelyprepared.2- theoutlineformshouldberoughlytriangle,withthebaseof

thetrianglelocatedatthemarginalridgeandtheroundedapexdirectedtowardthecenterofthetooth.

3- itshouldbe(smoothgentlecurve).Sharpangles,walls,and

ledgesmustbeavoided.

4-restseatshouldoccupyonethirdtoonehalfofthemesiodistaldiameterofthetoothandapproximatelyonehalfthebuccolingualwidthofthetoothmeasuredfromcusptiptocusptip.

4- theflooroftherestseatshouldinclinedtowardthecenterofthetooth.

5- theflooroftherestseatshouldbelessthan900sothetransmittedforcescandirectedalongthelongaxisofthetooth.ananglegreaterthan900willcauseslippageoftheprosthesisandorthodonticmovementofabutmenttooth.

Page 3: Tikrit University College of Dentistry Dr. Reem Ahmed Sh ...cden.tu.edu.iq/images/New/2016/Lectures/Dr.Reem/3New/7.pdf · REST SEAT:-is that portion of the tooth that have been selected

Tikrit University – College of Dentistry Dr. Reem Ahmed Sh. – 3th class

cden.tu.edu.iq

6- thedeepestpartshouldlocatednearthecenterofthetooth.7- itshould1-1.5mmthicknessofrest.

OCCLUSALRESTONAMULGUMRESTORATION

Placingocclusalrestsonlargeamalgamrestorationishazardousatbest.Theprimaryreasonforattemptingthisiseconomic,sinceanamalgamrestorationcostslessthanacompletecoveragerestoration(crown).Theunfavourableflowpropertiesandpoortensilecharacteristicsofamalgamincreasetheprobabilityofrestorationfailure.Thepatientshouldinformedoftreatmentoptionsandtheircomplications.

ifwehavetwoocclusalrestoneonthedistalsideofonetoothandanotheronmesialsideonanothertoothiscalled(doubleembrasurerest).

Page 4: Tikrit University College of Dentistry Dr. Reem Ahmed Sh ...cden.tu.edu.iq/images/New/2016/Lectures/Dr.Reem/3New/7.pdf · REST SEAT:-is that portion of the tooth that have been selected

Tikrit University – College of Dentistry Dr. Reem Ahmed Sh. – 3th class

cden.tu.edu.iq

Lingualorcingulumrestandrestseat

usedprimarilyonmaxillarycanines.Thenormalmorphologyofamaxillarycaninepermitspreparationofasatisfactoryrestseatwithminimaltoothreduction.Thethicknessofenamelonthelingualsurfaceofmandibularcaninerarelyallowsalingualresttobeused.Whencanineisnotavailable,anincisorsmaybeused

1- lingualrestseatshouldbepreparedonenamelandithasinvertedVshapeatthejunctionofthegingivalandmiddlethirdofthetoothandtheapexdirectedincisally.

2- donnotcreateanenamelundercut.3- placeonsoundtoothorcastrestoration(crown)4- weshouldnotplaceonamalgamrestoration5- ifwehadprominentpulpwedoingeither

a- onlayorcrownb- usedifferenttooth

6- avoidapposingocclusion

Page 5: Tikrit University College of Dentistry Dr. Reem Ahmed Sh ...cden.tu.edu.iq/images/New/2016/Lectures/Dr.Reem/3New/7.pdf · REST SEAT:-is that portion of the tooth that have been selected

Tikrit University – College of Dentistry Dr. Reem Ahmed Sh. – 3th class

cden.tu.edu.iq

Incisalrestandrestseat

inferiormechanicallyandesthetically,usedfrequentlyonmandibularcanine,theymayusedsuccessfullyifabutmentsaresoundandcastrestorationarenotindicated.

1- incisalrestsshouldbepositionedneartheincisalanglesofabutmentteeth,whatevertheyaredesignedformesioincisalordistoincisalanglesdependsontheprescribedclaspingsystem.

2- appearasasmallVshapenotchlocatedapproximately1.5-2mmfromtheproximal-incisalangleofthetooth.Thedeepestpartofthepreparationshouldbetowardthecenterofthetoothmesio-distaly.Thenotchshouldprovidepositiveseatfortherest.

3- Theenamelonthelingualsurfaceshouldbepreparedasashallowdepressiontoaccommodatetheminorconnectorandavoidannoyingthetongue.